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Grand Rounds Recap 5.18.22
It was another exciting week here in Cincinnati as we kicked off grand rounds with a session on performance improvement during our quarterly leadership curriculum with Dr. McDonough and discussed alternatives to hospital admission and available outpatient resources in the era of high boarding with our Chair, Dr. Pancioli. We finished our day with an excellent discussion on prenatal mental health care with Dr. Wolochatiuk in her R4 Case Follow Up and on uncommon causes of disorientation in Dr. Zalesky’s Taming the SRU lecture.
Grand Rounds Recap 5.4.22
Join us as we recap this week’s lectures including polypharmacy ingestions with Dr. Goff, pituitary disorders in the ED with Dr. Davis, and patient communication with Dr. Frederick. Lastly but certainly not least, review the head to head challenge of Dr. Diaz and Dr. Mand in this weeks CPC (Spoiler Alert: Dr. Mand Knocks it out of the park!)
Grand Rounds Recap 5/4
Acetaminophen Toxicity Sim - Drs. LaFollette, Nelson and Toth
Take a read through our Cases If It Bleeds it Leads..., Seeing is Believing..., and Belly Pain Bonanza. Curated commentary to follow
Acetaminophen Toxicity
- 60,000 poisonings / year
- ~500 deaths per year, evenly split therapeutic / suicide
- Mechanism - acetaminophen to NAPQI by P450, overwhelming gluthathione stores
- Alcohol, phenytoin, isoniazid all induce P450 and may increase NAPQI production. Chronic alcohol use will worsen toxicity when acute ingestion will competitively inhibit and can be preventative at producing the toxic metabolite