J Emerg Med
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Randomized Controlled Trial
Intravenous Lidocaine for the Emergency Department Treatment of Acute Radicular Low Back Pain, a Randomized Controlled Trial.
Acute radicular back pain is a frequent complaint of patients presenting to the Emergency Department. ⋯ Intravenous lidocaine failed to clinically alleviate the pain associated with acute radicular low back pain.
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Electronic cigarettes (e-cigarettes) are a technology that has been touted as a safe and effective alternative to traditional cigarettes. There is, however, a paucity of literature showing the adverse outcomes of e-cigarettes and a correlation with acute eosinophilic pneumonia (AEP). ⋯ Though an alternative to traditional cigarettes, e-cigarettes can have unpredictable and potentially serious adverse effects. More research needs to be conducted to determine their safety. If seeing a patient in the ED with pulmonary symptoms after use of e-cigarettes, AEP should be considered in the differential.
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Guaifenesin is a common nonprescription medication that has been implicated in drug-induced nephrolithiasis. Dextromethorphan, a nonprescription antitussive found in some guaifenesin-containing preparations, is increasingly recognized as a substance of abuse by many youth and young adults. Renally excreted medications known to have poor solubility in urine have the potential to precipitate when ingested in large quantity, leading to acute obstruction of the ureters and renal failure. ⋯ This case highlights the potential for acute renal failure secondary to guaifenesin and dextromethorphan abuse.