Alcohol, trauma, or underlying medical condition? The legal limit of blood alcohol content is set by the US Department of Motor Vehicles at 0.08%. However, not everyone presents the same way clinically, as different individuals…
What is ABS? Auto brewery syndrome is a rare condition in which the gastrointestinal system produces ethanol through fermentation by fungi or bacteria in the gut. Normal digestion does produce some ethanol, but this process…
What is a Microsleep? Have you ever been sitting in front of your computer and dozed off for a brief second, only to be jerked awake by a head-snap? If so, you have experienced a…
Diabetes The American Diabetes Association (ADA) reports that there are 30.3 million American adults with diabetes. This is approximately 9.4% of the American population. The ADA also reports that 1.5 million Americans are diagnosed with…
In April, I covered delirium and noted that there are many underlying etiologies that can cause it. One such etiology is hypoperfusion. When the blood flow is cut off to the vital organs, the body…
In many of our cases we come across symptoms of delirium and are asked to determine if they are due to the assumed etiology, like alcohol or drug intoxication; or from something else, like seizures,…
This is the 5th out of 6 in this series of “5 things criminal attorneys should know about…” which I first posted a few years ago. Each month I highlight some areas of medicine that…
For the next few months I’ll post “5 things criminal attorneys should know about …” and highlight some areas of medicine that often cross into the criminal fields. I did this series a few years…
Benzodiazepines, or “Benzos” are a class of drug that commonly pop up in the criminal cases that we review. These sedative “Downers” are commonly prescribed for a variety of maladies; knowledge about the side effects…
Hypoglycemia and Ketoacidosis (ketones) are commonly seen in DUI cases as potential defenses for diabetes patients. Learn when you can and can’t use it.
On the day prior to his arrest, Mr. Smith went to see a psychiatrist and was placed on Wellbutrin. The doctor claimed to have considered the interactions of his medications and the hepatotoxic potential, yet…
Studies from 2010 indicate that “Patients with impaired renal or hepatic function may have difficulty clearing or metabolizing opioids and concurrent medications, leading to increased risk of adverse events.” At the time of his arrest,…
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