Emergency Medicine

Letters To The Editor

In reply: Acid-base disturbances

The elevated osmol gap was not a direct result of acetaminophen ingestion but more likely another unidentified toxic ingestion.

The Clinical Picture

Ring-enhancing cerebral lesions

The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?

Letters To The Editor

Opioid therapy and sleep apnea

An extremely important side effect is ingestion prior to sleep, with consequent cessation of breathing leading to death.