Toxicology Visual Pearls

About the Program

The Toxicology Visual Pearls series is a collaboration between ACMT and Academic Life in Emergency Medicine (ALiEM.) The pearls are open-access, expert peer-reviewed, toxicology-related visual stimuli followed by a question and discussion. The authors and editors volunteer their time and expertise to bring this well-regarded series to readers of the ALiEM blog. The series is led by Drs. Louise Kao and Howard Greller from ACMT and Dr. Kaitlin Bowers from ALiEM.

About ALiEM: ALiEM aims to enhance how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in EM and medical education. ALiEM strives to reshape medical education and academia in their evolution beyond the traditional classroom. 

How to Submit a Pearl

If you are interested in submitting a pearl for the series please see the submission guidelines below.

Please read the New Author Guidelines to prepare your pearl submission.

Below are links to all toxicology visual pearls. Click the button to view the photos, prompt, answers, and access the full post (some include other media including charts and videos.)

Feb 7, 2024

Hiss-teria Averted

By: Sean Flannigan, MD and Erik Fisher, MD

Aug 2, 2024

A “Purplexing” Finding

By: Kellie LeVine McKenzie, MD and Matthew Robert Dernbach, MD

July 26, 2024

Household Plant Gone Wrong

By: Deryan Smith, MD and Kathryn T. Kopec, DO

July 17, 2024

Skin Lesions

By: Mark Baumgarten, MD and Ann-Jeannette Geib, MD

July 10, 2024

Along Comes a Spider

By: Doug Maslowski MD and Anna Dulaney, PharmD, DABAT

May 29, 2024

Lye to the Eye

By: Hannah Corral, MD and Ann-Jeannette Geib, MD

May 22, 2024

Watt – Ever is that Foreign Body?

By: Carrie Bissell, MD and Kathryn T. Kopec, DO

April 24, 2024

Kitchen Cabinet High

By: Steven M. Perry, MD and Christine Murphy, MD

April 10, 2024

Abdominal Bruising

By: Maha M Farid MBBCh, MSc, PhD, Mohammed Abdelreheim, MSc, FRCPCH, CCT and Marwa Kh. Mohammed, MBBCh, MSc

March 27, 2024

A Bane to Existence

By: Nathaneal Franks, MD and Erik Fisher, MD

March 5, 2024

Bark with Some Bite

By: Ivan Ivanov, DO, Joanne Alonso, MD and Bhojnarine Seeram, MD

February 20, 2024

Salt, not Shock

By: Timothy Harmon, MD, Alexander Sidlak, MD and Meagan Singletary, PharmD

November 29, 2023

Needle to Necrosis

By: Christiana Agbonghae, MD and Ann-Jeannette Geib, MD

November 22, 2023

Poison Dart Frog

By: Nathaneal Franks, MD and Erik Fisher, MD

November 15, 2023

Apricot Kernels: Eat or Pass?

By: Laureen Nsofor, MD and Christine Murphy, MD

November 8, 2023

Making Rash Decisions

By: Destiny D. Folk, MD and Kathryn T. Kopec, DO

November 1, 2023

Who Doesn’t Like a Nice Rosé?

By: Allison Frazure, MD and Kathryn T. Kopec, DO

October 11, 2023

A Meal Worth Dying For

By: Faith Meyers, MD and Ann-Jeannette Geib, MD

October 4, 2023

On the Mark

By: Sofiya Diurba, MD and Ann-Jeannette Geib, MD

September 27, 2023

Mushroom Mishap

By: Kylee Brooks, MD and Anna Dulaney, PharmD, DABAT

August 16, 2023

Out of the Blue

By: Rafael Lima, MD and Arthur Daigh, MD

June 15, 2023

The Heart Won’t Go On and On

By: Sheila Goertemoeller, PharmD, DABAT, ICPS and Shan Yin, MD, MPH

June 7, 2023

Marcel the Shell with Toxins

By: Aaron Frolichstein, MD and Kathryn T. Kopec, DO

June 5, 2023

The Black Eschar

By: Alex Blackwell, MD and Kathryn T. Kopec, DO

February 24, 2023

Is the Silver Bullet for Refractory Vasoplegia Blue?

By: Parker Hambright, MD and Christine Murphy, MD

February 15, 2023

Swollen Lips

By: Maha M Farid MBBCh, MSc, PhD and Marwa Kh. Mohammed, MBBCh, MSc

June 6, 2022

Pretty (and Deadly) in Purple

By: Charles Harris III, MD and Ann-Jeannette Geib, MD

May 6, 2022

Substance-Induced Crystalluria: All That Glitters Is Not Gold

By: Alex Ponce, PharmD and Kris Nañagas, MD

April 4, 2022

Hypertension and Rash

By: Michael Semple, DO; Johana Lopez, MD; and Evan Schwarz, MD

February 16, 2022

Sink or Swim

By: Elzada Sercus, MD and Kathryn T. Kopec, DO

May 26, 2021

Questions About Green Pee? Urine Luck!

By: Clare Gunn, MD and Kathryn T. Kopec, DO

April 7, 2021

In “Spore” Taste

By: Bryan Ross, MD and Kris Nañagas, MD

February 10, 2021

Necrotic Spider Bite

By: Michael Simpson, MD and Rebecca Bruccoleri, MD

January 20, 2021

A Poke in the Belly

By: Caitlin Baldwin, DO; Alexis Cates, DO; and Steven J. Walsh, MD

November 9, 2020

Case of a Toxic Tea

By: Nicholas Titelbaum, MD; Vir Singh, MD; and Daniel Nogee, MD

October 5, 2020

“I Have a Nagging Feeling About This”

By: Brian Lewis, MD; Gilbert Nelson, DO; Thomas Vu, DO; and Bryan Judge, MD, FACMT

September 14, 2020

Awake Seizures

By: Kregg Laundon, MD and Christine Murphy, MD

July 27, 2020

Perineal Skin Burns

By: Kregg Laundon, MD and Christine Murphy, MD

July 13, 2020

Caterpillar Envenomation

By: Nicholas Titelbaum, MD and Robert Avera, MD

June 22, 2020

I’ll Huff and I’ll Puff…

By: Kathryn T. Kopec, DO and Blake Bauer, MD

June 8, 2020

A Foraging Experience to Die For

By: Robert Goodnough, MD; Karla Canseco, MD; and Eddie Garcia, MD

May 11, 2020

The Doom from Down Under

By: Christopher Gardner, MD and Kathryn T. Kopec, DO

May 4, 2020

Tox Never Smelled So Good

By: Jessica Hoglund, MD and Kathryn T. Kopec, DO

February 17, 2020

Painful Foot

By: Ethen Ellington and Kathryn T. Kopec, DO

February 10, 2020

The Blood Sample Doesn’t Look Right

By: Austin Costa, MD and Kathryn T. Kopec, DO

January 20, 2020

Look, Don’t Touch

By: Ashley Mazo, MD and Christine Murphy, MD

January 1, 2020

Painful Hand

By: Angela Rombola, MD and Kathryn T. Kopec, DO

October 2, 2019

Getting Caught Yellow Handed

By: Francisco Javier Andrade Jr., MD and Kathryn T. Kopec, DO

August 16, 2019

Mushroom Mania

By: Mary Grady, MD and Christine Murphy, MD

June 26, 2019

Abnormal ECG

By: Colin O’Neill, MD and Kathryn T. Kopec, DO

May 27, 2019

Eating Foraged Wild Mushrooms

By: Alayna Prest, MD and Kris Nañagas, MD

February 18, 2019

Don’t Go Breaking My Heart

By: Jennifer Pallansch, MD; Margaret R. Lewis, MD; and Kathryn T. Kopec, DO

January 21, 2019

Abnormal Brain Imaging

By: Laura Tormoehlen, MD, FACMT, FAAN and Jeff C. Miller, MD

December 3, 2018

Blue Urine

By: Jennifer K. Potter, MD and Kathryn T. Kopec, DO

August 30, 2018

Toxic Mouth Pain

By: Heather A. Borek, MD and Matthew Eisenstat, MD

April 9, 2018

Spider Bite

By: Adrienne Hughes, MD and Robert G. Hendrickson, MD

February 21, 2018

Drug-Induced Rash

By: Jennifer S. Love, MD and Louise Kao, MD, FACMT

December 18, 2017

Toxic “Weed”

By: Leslie R. Dye, MD, FACMT

July 10, 2017

Discolored Skin/Urine

By: Hannah Malashock, MD

May 1, 2017

Exotic Viper Envenomation

By: Bryan Judge, MD, FACMT

April 3, 2017

Suicide Plant

By: Louise Kao, MD, FACMT

October 16, 2017

Drug-Induced QT Prolongation

By: Ryan Marino, MD and Anthony Pizon, MD, FACMT