NeuroTox @neuro_tox
For the love of NeuroToxicology! | 🧠 🩺 x 💊 🧪 🌱 ☣️ 🕷️ ⚛️ 🏭 | sharing educational content | by @PharmaCueCards | not medical advice, not drug endorsement pharmacue.org Everywhere, dose makes the tox Joined February 2023-
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For reference and a fascinating further read, check out the original @UCSF research news article: ucsf.edu/news/2021/08/4… #ornithology #neurotox 🐦⬛
Amazing story by @UCSF "[@CASBirdman] discovered the Pitohui’s neurotoxicity [in] holding a bird that bit his hand. To staunch the blood, he put his thumb in his mouth and soon felt his tongue and lips tingling. He knew then that they carried poison" (retrospect risky but now 🤣)
Amazing story by @UCSF "[@CASBirdman] discovered the Pitohui’s neurotoxicity [in] holding a bird that bit his hand. To staunch the blood, he put his thumb in his mouth and soon felt his tongue and lips tingling. He knew then that they carried poison" (retrospect risky but now 🤣)
🫢 Child holding coral 🐍 - thanks Dr. Greene for the great reminder to be safe when identifying snakes! Had to look up the USA 🇺🇲 pattern of #coralsnake vs king snakes (corals: mainly yellow/red/yellow/black except tail yellow/black/yellow) ref: #CDC cdc.gov/niosh/topics/s…
🫢 Child holding coral 🐍 - thanks Dr. Greene for the great reminder to be safe when identifying snakes! Had to look up the USA 🇺🇲 pattern of #coralsnake vs king snakes (corals: mainly yellow/red/yellow/black except tail yellow/black/yellow) ref: #CDC cdc.gov/niosh/topics/s…
🛍🛒 "Health Canada [has] determined [the] jewellery contains #cadmium in excess of allowable limits [as] it is illegal [for] jewellery items [for] children under 15 years [to] contain more than 130 mg/kg total cadmium if..." 😟 important info for the upcoming #EasterWeekend!
🛍🛒 "Health Canada [has] determined [the] jewellery contains #cadmium in excess of allowable limits [as] it is illegal [for] jewellery items [for] children under 15 years [to] contain more than 130 mg/kg total cadmium if..." 😟 important info for the upcoming #EasterWeekend!
📖 Very interesting (and great warning to viewers)! Reminds me of the cautionary tale from Homer’s ‘The Odyssey’, where seemingly-innocent ‘lotus’ fruits were definitely not so! #Toxicology #neurotox 🌷🍴🧂‼️🧠
📖 Very interesting (and great warning to viewers)! Reminds me of the cautionary tale from Homer’s ‘The Odyssey’, where seemingly-innocent ‘lotus’ fruits were definitely not so! #Toxicology #neurotox 🌷🍴🧂‼️🧠
Great new initiative to increase public access to 🇨🇦 #Canadian ⚕️ #Poison Centres that manage >200,000 calls annually! 📞 1-844-764-7669 (1-844-POISON-X) @parachutecanada @ON_Poison @BCDPIC #Toxicology (⚜️ Québec continuera d’utiliser son numéro provincial ⚜️ 📞 1-800-463-5060)
Great new initiative to increase public access to 🇨🇦 #Canadian ⚕️ #Poison Centres that manage >200,000 calls annually! 📞 1-844-764-7669 (1-844-POISON-X) @parachutecanada @ON_Poison @BCDPIC #Toxicology (⚜️ Québec continuera d’utiliser son numéro provincial ⚜️ 📞 1-800-463-5060)
Does taking opioids while breastfeeding place infants at risk of opioid toxicity? Our new study in @bmj_latest led by @JonZipursky finds no signal of harm in >85,000 infants of moms started on opioids after delivery. Not one death. bmj.com/content/380/bm…
Five years ago today tandfonline.com/doi/full/10.10…
🧪🌬🧠 Great new resource on #NITROUSOXIDE drug use toxicity (aka laughing gas, whippets) for myeloneuropathy treatment! Chronic N2O toxicity occurs via vitamin B12 inactivation (irreversible cobalt atom oxidation), so it makes sense tx focuses on B12 supplementing! #neurotoxins
🧪🌬🧠 Great new resource on #NITROUSOXIDE drug use toxicity (aka laughing gas, whippets) for myeloneuropathy treatment! Chronic N2O toxicity occurs via vitamin B12 inactivation (irreversible cobalt atom oxidation), so it makes sense tx focuses on B12 supplementing! #neurotoxins
One question I hear a lot is what is the difference between “opiate” and “opioid?” (And does it matter?) I made this slide years ago and it’s kind of cheesy but has proven useful as a basic (not comprehensive) primer on these two words that get confused a lot and what they mean.
🧪 🍺 Interesting epidemiological implications
🧪 🍺 Interesting epidemiological implications
🏭 🎨 A rare case and great review article!
🏭 🎨 A rare case and great review article!
Nice article on xylazine from @nytimes @dorazepam nytimes.com/2023/01/07/hea…
A 26 year old f w/PMHx of polysubstance use, DM1 presented w/ 1 hr hx of fever, chills, headache, nausea & arthralgia. Last time pt injected drugs: 2 hrs prior to presentation. Labs w/leucocytosis. What’s the likely pathogen & diagnosis? H/t @TheIDtrivia #MedEd
Loxosceles reclusa (brown recluse 🕷)! Found ~southeastern USA. Venom has sphingomyelinase D (+other digest enzymes); causes evolving and slowly healing skin ulcer (necrotic arachnidism / cutaneous loxoscelism), fatigue, myalgia, +/- autoimmune hemolysis/DIC. Tx mainly supportive
Loxosceles reclusa (brown recluse 🕷)! Found ~southeastern USA. Venom has sphingomyelinase D (+other digest enzymes); causes evolving and slowly healing skin ulcer (necrotic arachnidism / cutaneous loxoscelism), fatigue, myalgia, +/- autoimmune hemolysis/DIC. Tx mainly supportive
Why QRS widens in OD? 87% say Na channel ❌, usually right. Bupropion is a different story. Learn about its gap junction effects and their treatment implications in this mini episode! #FOAMcc #MedEd 👩💻bit.ly/3XQELSo 🍎apple.co/3Z4U62n 🎙spoti.fi/3k8lwFU
Why QRS widens in OD? 87% say Na channel ❌, usually right. Bupropion is a different story. Learn about its gap junction effects and their treatment implications in this mini episode! #FOAMcc #MedEd 👩💻bit.ly/3XQELSo 🍎apple.co/3Z4U62n 🎙spoti.fi/3k8lwFU https://t.co/hIVznIdEpB
Urine toxicology screens should be removed from brain death guidelines - fresh blog! ☠️ UTox misses *many* recreational & suicidal intoxications (eg fentanyl, baclofen) ☠️UTox is plagued by false-positives ☠️UTox doesn't sort out exposure vs intoxication emcrit.org/pulmcrit/urine…
Case report you'll never see in print: I decided not to give an experimental antidote and the patient got better anyway. 1/

The Poison® @poison_journal
149 Followers 2K Following Scientific journal aimed at the dissemination of Clinical Toxicology | Published by Panamerican Toxicology Press
Barbara @b_weil1
262 Followers 3K Following
Melissa @melissa_mincy68
276 Followers 3K Following
Linda @s_linda52
235 Followers 3K Following
Anna @annayankee50
356 Followers 3K Following
Marisa @sara69miyake
557 Followers 3K Following
Maxwell Ng, MD @MaxwellNgMD
57 Followers 189 Following 🧠 #Neurology Resident at @McMasterU | Interested in #MedEd and #AI | #FOAMed, #Scicomm, #Toxins | Bilingue 🇨🇦
Elizabeth Dauncey @liz_dauncey
940 Followers 1K Following Poisonous and medicinal plant scientist; author of Plants That Cure, Plants That Kill, Poisonous Plants: a guide...; mainly tweet about plants
Jerry Snow @ToxicSnowEM
684 Followers 249 Following Medical Toxicologist/Emergency Physician/Addiction Medicine, PHX Med Tox PD, Ironman x3, Mediocre ultra runner. #FriedChickenAndSweetTea #NACdaddy
Amanda @amanda_kuhn3
1K Followers 3K Following
Matt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | 💔Avenger Brass 5/27/24 ❤️🩹7/1/24
PharmaCue @PharmaCueCards
5 Followers 4 Following 💊⚕️ Medication cue cards by @voxavita | #FOAMed 🧑🎓 not medical advice
Voxavita Academy @voxavita
5 Followers 4 Following We believe in education, and we believe in you! 🧑⚕️ Medical learning should be exciting! 🧠 Join us for the learning revolution! 📖 | Not medical advice
Dr. Operculum @DrOperculum
13 Followers 183 Following 'The brain is the most important organ' -the brain | The imaginary doctor living rent free at @voxavita | Views be those of a laughing skeleton | Not med advice
Spencer Greene, MD �... @ToxSpencer
2K Followers 85 Following Medical Toxicologist & EM Doc. Clinical Professor, UHCOM. Snakebites, other envenomations, and mundane Tox stuff. Dad to humans, dog, & lots of cats
Maxwell Ng, MD @MaxwellNgMD
57 Followers 189 Following 🧠 #Neurology Resident at @McMasterU | Interested in #MedEd and #AI | #FOAMed, #Scicomm, #Toxins | Bilingue 🇨🇦
toxstagrams @toxstagrams
954 Followers 477 Following #FOAMed/#FOAMtox: Toxicologic trivia for anyone, anywhere, anytime. Tag @toxstagrams to be featured, and message with topics you want to see!
American Journal of F... @AJFMP
1K Followers 2 Following
Jerry Snow @ToxicSnowEM
684 Followers 249 Following Medical Toxicologist/Emergency Physician/Addiction Medicine, PHX Med Tox PD, Ironman x3, Mediocre ultra runner. #FriedChickenAndSweetTea #NACdaddy
Michael E Mullins @MikeMullinsMD
986 Followers 340 Following EM physician, toxicologist, editor. Opinions are not medical advice.
Michael S. Toce @therealMikeToce
369 Followers 294 Following Pediatric Emergency Medicine physician and Medical Toxicologist. I love my wife, my kids, and punk rock. Midwestern by birth, Boston by choice. @Bostonchildrens
Dalia Alwasiyah @dalwasiyahtox
191 Followers 187 Following Emergency physician and medical toxicologist. ❤️ barbells 🏋🏽♀️🏋🏽♀️. Tweets are my own opinions and do not represent my employers. Also not medical advice
Diane Calello 😷�... @DrDianeC
1K Followers 1K Following Toxicologist, Pediatrician, Writer, Poison Control. Tweets not medical advice. @toxandhound #cysticfibrosis
ToxInTen @ToxInTen
983 Followers 121 Following Evidence Based Medical Toxicology Podcast. Available on iTunes, Spotify and our website https://t.co/JzT8nDpLNK
EXTRIP @ExtripWorkgroup
2K Followers 133 Following The EXTRIP mission is to provide evidence-based recommendations on the use of extracorporeal treatments for toxin removal in poisoning.
Geoff Isbister @geoff_isbister
950 Followers 97 Following Clinical toxicologist and researcher ... love my wife, running and craft beer...but 8s enough
ToxJock @NarenGunja
273 Followers 345 Following #HealthInfoTech, A/Prof, Tox ☠️ doc 💊🐍🕷Hunter of exceptional caffeine when 🚴🏾♂️
Elizabeth Dauncey @liz_dauncey
940 Followers 1K Following Poisonous and medicinal plant scientist; author of Plants That Cure, Plants That Kill, Poisonous Plants: a guide...; mainly tweet about plants
Matt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | 💔Avenger Brass 5/27/24 ❤️🩹7/1/24
Joe Kennedy @JoeKennedyEM
1K Followers 926 Following Vermont’s neighborhood friendly poison doctor / Resuscitologist / APD for @UVMEmergencyMed by way of @toxikonchicago, @EMRES_MGHBWH and @MayoClinicSOM
MD @ToxTalks
2K Followers 305 Following
The Infectious Diseas... @TheIDtrivia
9K Followers 195 Following 🦠🧫💉 Lets PrEPare for the world 🌎 | Questions and infographics on ID topics | Original content | #IDTwitter #WeAreID #MedEd
MENATOX @MENATOX
923 Followers 140 Following Official account of the Midde East & North Africa Clinical Toxicology Association (MENATOX)
TAPNA Inc. @tapna_inc
877 Followers 103 Following Toxicology And Poisons Network Australasia: all things poisoning in Oz/NZ
UMassTox @UMassTox
2K Followers 220 Following From the Fellowship and Division of Medical Toxicology at the University of Massachusetts. Tweets not medical advice. Cases altered to protect patient privacy.
Ziad Kazzi, MD, FACMT... @ZiadKazzi
2K Followers 2K Following Emergency Medicine and Medical Toxicologist at Emory U, AUB and Georgia Poison Center- Past-President MENATOX and Vice-President ACMT and Board Member of MTF
Michelle Ruha @MichelleRuha
1K Followers 511 Following Medical Toxicology and Addiction Medicine. (Tweets are not medical advice and opinions are my own)
Kathryn Kopec @KopecToxEM
582 Followers 209 Following Emergency Medicine Physician & Medical Toxicologist
Melisa Lai-becker MD ... @BostonTox
534 Followers 389 Following Board certified Medical Toxicologist ☠️ +Emergency Physician inaroundnear Boston MA. #IGetToDoThis #NACinCOVID https://t.co/07Ohfw1ioN
radRounds Radiology N... @radRounds
59K Followers 41K Following Radiology Rounds - dedicated to the sharing of medical imaging cases and connecting radiology
Paul @paulgamboad
2K Followers 553 Following Interventional cardiologist. Opinions my own, and don’t represent medical advice.
Ryan Marino is on Blu... @RyanMarino
98K Followers 2K Following Human Doctor • Toxicology • Emergency • Addiction • #WTFentanyl & more often just WTF • drugs are misunderstood but people are misunderstood more • he/him
Dallas Tox @DallasTXTox
247 Followers 142 Following Official Twitter of the Dallas Medical Toxicology Fellowship. Tweets do not reflect Parkland or UT Southwestern and are not intended for medical advice.
Tedros Adhanom Ghebre... @DrTedros
2.1M Followers 2K Following Director-General of the World Health Organization. Retweets are not endorsements
TERIS Teratogen Infor... @TERISDatabase
75 Followers 86 Following TERIS is an authoritative database designed to assist #physicians in assessing the risks of #medications and other environmental exposures in #pregnancy
NBDPN @NBDPN
875 Followers 1K Following The National Birth Defects Prevention Network is a nonprofit organization addressing birth defects surveillance, research, and prevention. 👶🏻
Blue Ridge Poison Ct @BlueRidgePoison
592 Followers 214 Following The Blue Ridge Poison Center is staffed by nurses & MDs specially trained to handle all sorts of poisonings. Serving central and southwestern Virginia. Free!
NICE @NICEComms
241K Followers 1K Following Official feed of NICE - National Institute for Health and Care Excellence. We produce evidence-based health and social care guidance. Tweets by the comms team.
Wisconsin Poison Cent... @center_poison
273 Followers 131 Following Wisconsin Poison Center, located in Milwaukee, provides 24-hour, toll-free poison information for all individuals in Wisconsin. 1-800-222-1222
Society of Toxicology @SOToxicology
7K Followers 42 Following Sharing toxicology news & topics for discussion as part of the Society of Toxicology’s commitment to creating a safer, healthier world by advancing the science.
New Mexico Poison and... @nm_poison
205 Followers 130 Following The New Mexico Poison and Drug Information Center is a free public service program that is supported by the UNM Children's Hospital.
Massachusetts & Rhode... @MARIpoisonctr
368 Followers 271 Following MARIPC is a non-profit that provides assistance and expertise in the medical diagnosis, management and prevention of poisonings involving the people of MA & RI.
Michigan Poison & Dru... @MichiganPoison
593 Followers 1K Following Dedicated to our collective mission in poison prevention, education, reducing severity of toxic exposures, and providing high quality toxicological expertise
US Consumer Product S... @USCPSC
154K Followers 3K Following Standing for safety since 1972. Recalls, safety alerts and data. RTs, follows are not endorsements. Official account of U.S. Consumer Product Safety Commission.
All-Party Parliamenta... @APPCOG_UK
1K Followers 3K Following Twitter/X account of the All-Party Parliamentary Carbon Monoxide Group. Secretariat provided by @Policy_Connect
Anselm Wong @AnselmWong1
677 Followers 108 Following Emergency Med physician, researcher, clinical toxicologist, Director of The Global Educational Toxicology Uniting Project
Toxicology Investigat... @ToxICACMT
440 Followers 221 Following @acmtmedtox ToxIC: A leading multicenter network for toxicology research & surveillance. Advancing knowledge in medical toxicology. #Toxicology #MedTox
meghan spyres @mbspyres
1K Followers 406 Following Medical Toxicologist, EM physician, #FOAMtox, New Yorker in PHX. she/her
ACT @ACToxicology
1K Followers 125 Following The mission of the American College of Toxicology is to educate, lead, and serve professionals in toxicology. Likes and retweets do not equal endorsements.
AACT @AACTinfo
3K Followers 184 Following American Academy of Clinical Toxicology. Retweets/follows = not endorsements.