Review Article

When Suicidality Is Suspected

Physicians have the potential to detect a person in danger of suicide. A history of self-injury, abuse of illegal substances or alcohol, mood disorders, and schizophrenia may contribute to the risk of suicide. There are four recognized screening tools that can assist in identifying individuals at risk to commit suicide….

Posted in: lithium 5

Case Report

Acute Lithium Intoxication: Properly Directing an Index of Suspicion

Lithium is known for its efficacy and toxicity. Toxic effects have been characterized even with therapeutic levels. Most physicians will at some point be faced with a patient with altered mental status and no records of his or her history. The differential diagnosis of altered mental status is long, and…

Posted in: altered mental status 4 lithium 5 toxicity 10

Case Report

Brugada Syndrome Unmasked by Lithium

Abstract:A 38-year-old man was brought by emergency medical service after resuscitation following cardiac arrest. The patient was found pulseless with a wide complex tachycardia. The patient had bipolar disorder and was on lithium, lamotrigine, and ziprasidone. His electrolytes and lithium levels were normal. An electrocardiogram (EKG) was performed the next…

Posted in: Brugada syndrome 3 lithium 5 ventricular arrhythmia 2

Case Report

Unrecognized Delayed Toxic Lithium Peak Concentration in an Acute Poisoning with Sustained Release Lithium Product

A 32-year-old female with a history of bipolar disorder was admitted after taking approximately 16 g of an extended-release lithium carbonate formulation in an attempted suicide. Five hours after consumption, the lithium serum level was 3.2 mEq/L. Fourteen hours after consumption, the lithium level was 5.1 mEq/L and the patient…

Posted in: dialysis 5 lithium 5 overdose 3

Case Report

Lithium-associated Hypothyroidism and Thyroid Papillary Carcinoma: A Case Report

Ionizing radiation, some hereditary factors, and chronic thyroid-stimulating hormone elevation increases the risk of differentiated thyroid carcinoma. Lithium salts are used in the treatment of affective (mood) disorders as well as a variety of other psychiatric conditions. There have been occasional reports of hematologic and solid neoplasms associated with lithium…

Posted in: hypothyroidism 8 lithium 5
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