Alison Jaworski, MD

Bupropion Overdose

Bupropion, most commonly sold as Wellbutrin, has many uses ranging from depression to smoking cessation.  It comes, however, with several side effects we should be aware of and some scary effects when taken in overdose.  In this post, we review this medication, the risks associated with it, and how to manage an overdose.

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Back to Basics: Informed Consent

You’re working a shift in the Emergency Department and your patient needs an LP. You grab an informed consent form and head into the room to discuss the procedure with the patient... Of course you know you have to discuss risks and benefits and get the patient to sign the form, but what does "informed consent" actually mean?

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A General Approach to Febrile Seizures

4 year old boy, otherwise healthy, is rushed into the emergency room by his mom because she thinks he had a seizure. His mom states he was sitting on the ground playing a game on his iPad when he suddenly started having jerking movements of his entire body that eventually self resolved after around 2 minutes. He has never had a seizure before. He is up to date on vaccines and had an unremarkable birth history. 

 

On exam, the child is not actively seizing at this time, he just seems slightly drowsy and confused. It is noted that he is febrile to 38.2 C, otherwise vitals are stable. The rest of the exam is nonfocal 

 

What should you be thinking about? What are your next steps?  

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