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Case Studies > Case Conference: What's floating around out there? – Cases in Region 8 - August 24, 2016

Case Conference: What's floating around out there? – Cases in Region 8 - August 24, 2016

posted on Mar 17, 2020

Learning Objectives:

At the conclusion of this activity, attendees should be able to:
  • Recognize and be able to diagnose ricin toxicity
  • Distinguish the various forms of mercury toxicity
  • Determine when how to test and when to treat mercury toxicity
The speaker will begin by presenting several clinical cases/case presentations. The cases to be presented will be provided in final proposal. This will be followed by a discussion of the outcome of the case with consideration and implications for current and future clinical and public health practice. The presenter will conclude by discussing preventive steps that can be taken to decrease exposure to environmental hazards and improve patient care.

Cases discussed:

  • A 17 year-old male was found wandering the streets around midnight with altered mental status. He reported that he was in the woods earlier that day and ate a large amount of berries that he foraged.
  • A 32 year-old man was making a hand-crafted ceremonial knife in his kitchen at 2am, from what he thought was silver, which he obtained from his late grandfather’s dentist office. The knife was to cut the umbilical cord of his newborn baby who was due the next week. His 26 year-old pregnant wife was in the next room sleeping.

Presented by:

Thomas M. Nappe, DO
Emergency Physician, Toxicology Fellow
Rocky Mountain Poison and Drug Center 
Denver Health
Denver, CO
Region 8 PEHSU