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Transcript of Bad Fish
Madison Square Clinic
Ascending paralysis spreading to the upper body,
face, and head
Cyanotic and hyperventilating
Activated charcoal followed after a
diagnosis of tetrodoxtin poisoning
Bradycardia- Slow heart rate; was given atropine
The patient was diagnosed with Bradycardia (slow heart rate- was given atropine) within 30 minutes of being in the Emergency Room
After the administration of IV hydration, gastric lavage, and activated charcoal the patient was presumed to have tetrodotoxin poisoning
Pufferfish poisoning (final diagnosis)
Diagnosis of Multiple Conditions:Tetrodotoxin
Watching what you eat and drink
Keep a diary of their food intake to identify any links to their upset stomach.
A high fiber diet is good for your health; slowly increasing fiber intake will help your digestive system.
Rehydrating the patient by receiving clear liquids through the mouth or more commonly through intravenous solutions (IV)
It is crucial to avoid laxatives and to take a lower dose of prescribed drugs
Patient went to dinner in Indonesia having a meal of pufferfish and rice. Within an hour of leaving the dinner, he felt;
He went on another trip where he handled a pitohui and experienced the same problems.
Dr. Marshall Westwood
Middle aged man
HR 78 bpm
Oxygen saturation: 97% on room air
Alternative or Homeopathic
Caraway seeds or Fennel seeds
"Food Poisoning Treatment & Management." Food Poisoning Treatment & Management.N.p., n.d. Web. 10 Feb. 2014. <http://emedicine.medscape.com/article/175569-treatment>.
"Discovery Health." Discovery Fit and Health. N.p., n.d. Web. 10 Feb. 2014. <http://health.howstuffworks.com/wellness/natural-medicine/home-remedies/home-remedies-for-upset-stomach12.htm>.
Hewlett, James A. "Bad Fish: Human Anatomy and Phisiology Edition." National Center For Case Study And Teaching In Study (n.d.): n. pag. Print.
Lips and fingers were numb after handling the bird and wiping his mouth
These were minor symptoms and didn’t escalate any further
Tests/Procedures Performed: Batrachotoxin
None simply because his symptoms didn’t
escalate further then numbness of his finger
tips and mouth
Diagnosis of Multiple Conditions:Batrachotoxin
Bill found a bird (pitohui) n Papua New Guinea
Inside one of the feathers that bill collected to
analyze, he located an active ingredient called
This toxin is a steroidal alkaloid that is known
to act on the voltage –sensitive sodium channel in