@jtrebach

ER doc. Toxicologist. I like poisons. Show me ur cat. Posts/opinions/DMs = my own (not employer’s) & not medical advice. Contact: [email protected]☠️🏳️‍🌈

 Mitochondria
Joined May 2014
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After taking tons of tests over the years, I have honed a study technique that works well for me. And hopefully, it works for you too! A thread on the study technique that got me through med school, residency, fellowship, and one of the hardest board exams I’ve ever taken:🧵📚
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A 5-year-old male presents to the emergency department with inability to move his arms/legs and difficulty breathing.  Family reports they found him ingesting these fireworks (see image). What lab do you expect to be abnormal and why? ☠️☠️☠️☠️☠️
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Treatment of sick patients with ingestion of barium salts like this includes: -potassium replacement (watch for rebound hyperkalemia) -cardiac/airway monitoring -possibly dialysis -consider giving an oral sulfate salt to bind up the barium -call your local poison center!!!
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The (fictional) patient in the first tweet was based off real cases where people (or animals) have ingested these fireworks. For more cases check out the following cases: PMID: 42204929, 15675995, 24905573 Want more toxicology cases? Want to be a toxicologist? Let me know! 😊
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Josh Trebach, MD retweeted
eli@humeralheadOct 5
ohh that’s why
eli@humeralheadOct 5
bruh why am I going on a road trip when gas is 4.50 a gallon. Am I fucking stupid
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Josh Trebach, MD retweeted
Lindsay Lohan
@lindsaylohanOct 3
It’s October 3rd 💝
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But…but wouldn’t my hand still get cut???
Necessary Deals
@necessarydealsOct 1
Cut resistant gloves
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don’t make fun of neurologists until you walk a myelin their shoes
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sadly this is not the worst cpr i have seen
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didn’t think I needed to say this but epipens do not contain beta blockers and this home brew “allergy kit” is not a substitute for an actual epi pen
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As an ER doctor I hate these e-bikes… Please wear a helmet Don’t drink alcohol and e-bike Don’t carry a baby while riding an e-bike Don’t e-bike after taking your blood thinners and reminiscing about your last hip fracture
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I’m nothing without my forehead wrinkles I MUST HAVE MOREEEEEE
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hey all it’s been a while…anyways, here’s Pebble and Bucket
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Reposting this thread now that people are studying for tox boards and other tests!!! Good luck :)
Josh Trebach, MD@jtrebach30 Nov 2022
After taking tons of tests over the years, I have honed a study technique that works well for me. And hopefully, it works for you too! A thread on the study technique that got me through med school, residency, fellowship, and one of the hardest board exams I’ve ever taken:🧵📚
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stop telling yourself you deserve a sensitive man you deserve a sensitive AND specific man
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If the human body was an amusement park would the nephron or the semicircular canals be a better rollercoaster
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idk but I’m pretty sure that’s not it
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Croissant sleeping position let’s gooooo 🥐
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