Retained Foreign Body
Ectopic pregnancy
Mushroom induced hepatotoxity
- X-ray or US if mechanism involves glass or is high risk
- Consider retained FB if wounds not healing well
- US will demonstrate wooden foreign bodies
- Common cause for EP to be sued
Ectopic pregnancy
- 2 % all pregnancy are ectopic in location – increasing risk if history of ectopic
- 9% will present with only painless vaginal bleeding
- Can be associated pseudogestational sac
Mushroom induced hepatotoxity
- Most common Amanita ingestions
- Consider in new immigrants to the US who present with acute liver injury
- Consult your local toxicologist, treatment can include silibinin, NAC, high dose PCN, and ultimately possible liver transplant