{"id":1786,"date":"2017-09-27T20:16:31","date_gmt":"2017-09-28T00:16:31","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1786"},"modified":"2024-02-07T17:00:05","modified_gmt":"2024-02-07T17:00:05","slug":"ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/","title":{"rendered":"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, &amp; More"},"content":{"rendered":"\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/media.blubrry.com\/thereveal\/s\/media.blubrry.com\/roshcast\/s\/content.blubrry.com\/roshcast\/Ep_32_Roshcast_Emergency_Board_Review.mp3\"><\/audio><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Somewhere, something incredible is waiting to be known.<\/p>\n<cite>-Sharon Begley<\/cite><\/blockquote>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"h-welcome-back-to-roshcast-episode-32-we-are-returning-to-our-regular-format-letting-the-question-back-randomly-generate-this-week-s-material-we-will-have-another-collaborative-episode-with-the-em-clerkship-podcast-soon-nbsp-we-start-this-episode-off-with-another-rapid-review-based-on-a-recent-blog-post-by-yehuda-wolf-make-sure-you-keep-checking-the-blog-for-rapid-reviews\">Welcome back to Roshcast Episode 32! We are returning to our regular format \u2013 letting the question back randomly generate this week\u2019s material. We will have another collaborative episode with the <a href=\"http:\/\/emclerkship.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">EM Clerkship podcast<\/a> soon.&nbsp;We start this episode off with another rapid review based on a <a rel=\"noreferrer noopener\" aria-label=\"recent blog post (opens in a new tab)\" href=\"https:\/\/www.roshreview.com\/blog\/rapid-review\/rapid-review-rock-mountain-spotted-fever\/\" target=\"_blank\">recent blog post<\/a> by <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.roshreview.com\/author\/yehudawolf\/\" target=\"_blank\">Yehuda Wolf<\/a>. Make sure you keep checking the blog for rapid reviews.<\/h6>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"74\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/RapidReview-2-e1475624722961.png\" alt=\"\" class=\"wp-image-818\"\/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong style=\"font-size: inherit\">Rocky Mountain<\/strong><span style=\"font-size: inherit\"> spotted fever often presents with an abrupt onset of severe headaches, photophobia, vomiting, diarrhea, and myalgias, along with a maculopapular eruption on the patients\u2019 palms and soles. <\/span><\/li>\n\n\n\n<li><span style=\"font-size: inherit\">Rocky Mountain spotted fever is transmitted by the Dermacentor tick. <\/span><\/li>\n\n\n\n<li><span style=\"font-size: inherit\">Rocky Mountain<\/span><strong style=\"font-size: inherit\"> spotted fever<\/strong><span style=\"font-size: inherit\"> is treated with <\/span><strong style=\"font-size: inherit\">doxycycline<\/strong><span style=\"font-size: inherit\">, <\/span><strong style=\"font-size: inherit\">even in children<\/strong><span style=\"font-size: inherit\">.<\/span> <\/li>\n<\/ul>\n\n\n\n<p><strong>Now onto this week\u2019s podcast<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Question<\/strong><strong> 1<\/strong><\/p>\n\n\n\n<p>A 2-year-old boy is brought to the emergency department by his pregnant mother with complaints of hematemesis and bloody diarrhea and an episode of shaking that looked like a seizure. The patient has no past medical history; immunizations are up-to-date. His vital signs are BP 68\/32 mm Hg, HR 170 beats per minute, RR 30 breaths per minute, temperature is 36.8\u00b0C, and oxygen saturation is 96% on room air. On physical exam, the child appears pale and lethargic. HEENT exam is normal with moist mucosa. His abdomen is nondistended but tender on palpation with active bowel sounds. His skin is cool and clammy. Laboratory results are as follows:<\/p>\n\n\n\n<figure class=\"wp-block-table aligncenter\"><table><tbody><tr><td>Sodium<\/td><td>137 mEq\/L<\/td><td>&nbsp;<\/td><td>WBC<\/td><td>17,000\/\u00b5L<\/td><\/tr><tr><td>Potassium<\/td><td>5 mEq\/L<\/td><td>&nbsp;<\/td><td>Platelets<\/td><td>250\/\u00b5L<\/td><\/tr><tr><td>Chloride<\/td><td>99 mEq\/L<\/td><td>&nbsp;<\/td><td>Stool guaiac<\/td><td>Neg<\/td><\/tr><tr><td>BUN<\/td><td>10 mg\/dL<\/td><td>&nbsp;<\/td><td>UA<\/td><td>Neg<\/td><\/tr><tr><td>Creatinine<\/td><td>0.5 mg\/dL<\/td><td>&nbsp;<\/td><td>UDS<\/td><td>Neg<\/td><\/tr><tr><td>CO2<\/td><td>16 mg\/dL<\/td><td>&nbsp;<\/td><td>Serum tox screen<\/td><td>Neg<\/td><\/tr><tr><td>Glucose<\/td><td>280 mg\/dL<\/td><td>&nbsp;<\/td><td>aPTT, PT w\/INR<\/td><td>Normal<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Which of the following arterial blood gases is most consistent with the patient\u2019s diagnosis?<\/p>\n\n\n\n<p><span>A. pH 7.23, pCO<sub>2<\/sub> 47, HCO<sub>3<\/sub>20<\/span><\/p>\n\n\n\n<p><span>B. pH 7.33, pCO<sub>2<\/sub> 32, HCO<sub>3<\/sub>14<\/span><\/p>\n\n\n\n<p><span>C. pH 7.43, pCO<sub>2<\/sub> 40, HCO<sub>3<\/sub>24<\/span><\/p>\n\n\n\n<p><span>D. pH 7.52, pCO<sub>2<\/sub> 28, HCO<sub>3<\/sub>24<\/span><\/p>\n\n\n\n<p><span>E. pH 7.55, pCO<sub>2<\/sub> 33, HCO<sub>3<\/sub>34<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-iron-toxicity.png\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>&nbsp;<\/strong><strong>Question<\/strong><strong> 2<\/strong><\/p>\n\n\n\n<p>Where is the uterine fundus palpable at 36 weeks gestation?<\/p>\n\n\n\n<p><span>A. At the umbilicus<\/span><\/p>\n\n\n\n<p><span>B. At the xiphoid process<\/span><\/p>\n\n\n\n<p><span>C. Between the pubic symphysis and umbilicus<\/span><\/p>\n\n\n\n<p><span>D. Between the umbilicus and xiphoid process<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Fundal-height-fundus-uterus-pregnancy-@8x.png\" target=\"_blank\" rel=\"noreferrer noopener\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Question<\/strong><strong> 3<\/strong><\/p>\n\n\n\n<p>A 3-week-old boy presents with two days of nonbilious projectile vomiting. Examination reveals a mass in the infant\u2019s right upper quadrant. On a barium upper GI series report, the radiologist states a \u201cstring sign\u201d is present. Which of the following is this infant at greatest risk of developing?<\/p>\n\n\n\n<p><span>A. Hyperchloremia<\/span><\/p>\n\n\n\n<p><span>B. Hyperkalemia<\/span><\/p>\n\n\n\n<p><span>C. Hypokalemia<\/span><\/p>\n\n\n\n<p><span>D. Hyponatremia<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-pyloric-stenosis.jpg\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Question<\/strong><strong> 4<\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"361\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-ruptured-ectopic.jpg\" alt=\"\" class=\"wp-image-1789\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Ep32-ruptured-ectopic.jpg 512w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Ep32-ruptured-ectopic-300x212.jpg 300w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \/><\/figure>\n<\/div>\n\n\n<p>The ultrasound clip above is from an 18-year-old woman with her LMP six weeks ago. Which of the following is associated with this condition?<\/p>\n\n\n\n<p><span>A. Double decidual sac<\/span><\/p>\n\n\n\n<p><span>B. Fetal heart activity is never identified<\/span><\/p>\n\n\n\n<p><span>C. Relative maternal bradycardia <\/span><\/p>\n\n\n\n<p><span>D. The presence of a gestational and yolk sac on ultrasound<\/span><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Question<\/strong><strong> 5<\/strong><\/p>\n\n\n\n<p>What ultrasound finding is consistent with pulmonary edema?<\/p>\n\n\n\n<p><span>A. A lines<\/span><\/p>\n\n\n\n<p><span>B. Absence of lung sliding<\/span><\/p>\n\n\n\n<p><span>C. B lines<\/span><\/p>\n\n\n\n<p><span>D. Presence of lung sliding<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-b-lines.png\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><span><strong>Question 6<\/strong><\/span><\/p>\n\n\n\n<p>A 47-year-old previously healthy man is transferred to your facility in Arizona with acute respiratory distress syndrome and cardiogenic shock. Two days ago, symptoms began with muscle aches, fever, chills, cough, nausea, vomiting, and diaphoresis. Two weeks earlier he was camping in an old, unkempt cabin in the San Rafael Valley, AZ. His two friends who stayed with him eventually began to show similar symptoms. Which of the following tests will confirm the suspected diagnosis?<\/p>\n\n\n\n<p><span>A. Cardiac biopsy<\/span><\/p>\n\n\n\n<p><span>B. DNA probe for arthroconidia <\/span><\/p>\n\n\n\n<p><span>C. Hantavirus ELISA (IgM)<\/span><\/p>\n\n\n\n<p><span>D. <em>Leptospira<\/em> spp. serology (IgM)<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-hantavirus.jpg\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Question 7<\/strong><\/p>\n\n\n\n<p>A 16-year-old woman arrives to the ED via EMS after she collapsed at a Rave party. Her vital signs are 105.2\u00b0F, HR 160 RR 22, and BP 180\/100. She is confused, agitated, combative, diaphoretic and has mydriasis. Her reflexes are 4\/4 and clonus is noted. Her extremities demonstrate rigidity. Which of the following is the most likely diagnosis?<\/p>\n\n\n\n<p><span>A. Malignant Hyperthermia<\/span><\/p>\n\n\n\n<p><span>B. Neuroleptic malignant syndrome<\/span><\/p>\n\n\n\n<p><span>C. Serotonin Syndrome<\/span><\/p>\n\n\n\n<p><span>D. Thyrotoxicosis<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Ep32-serotonin-syndrome.png\">Teaching Image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"74\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/RapidReview-2-e1475624722961.png\" alt=\"\" class=\"wp-image-818\"\/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Iron overdose<\/strong> can cause an <strong>anion gap metabolic acidosis<\/strong>. <strong>Severe<\/strong> cases can lead to <strong>dehydration <\/strong>and<strong> shock<\/strong>.<\/li>\n\n\n\n<li><strong>Iron overdose<\/strong> should be <strong>treated supportively<\/strong>. In <strong>severe<\/strong> cases, <strong>IV deferoxamine<\/strong> can be given.<\/li>\n\n\n\n<li>The <strong>fundal height<\/strong> at <strong>12 weeks<\/strong> is approximately at the <strong>pubic symphysis<\/strong>. At <strong>20 weeks<\/strong>, it is at the <strong>umbilicus<\/strong>. At <strong>36 weeks<\/strong>, it is at the <strong>xiphoid process<\/strong>. And between 37 and 40 weeks, the fundal height regresses slightly.<\/li>\n\n\n\n<li><strong>Pyloric stenosis<\/strong> can cause a <strong>hypochloremic, hypokalemic metabolic alkalosis<\/strong>. Make sure you <strong>resuscitate<\/strong> <strong>before<\/strong> sending the patient to the <strong>operating room<\/strong>.<\/li>\n\n\n\n<li><strong>Pyloric stenosis<\/strong> presents with <strong>bilious<\/strong>, <strong>projectile vomiting<\/strong>. It typically occurs between <strong>2 weeks and 2 months of age<\/strong>, and it is more common in <strong>males<\/strong>.&nbsp;Diagnosis is made with <strong>ultrasound<\/strong> or an <strong>upper GI series<\/strong>.<\/li>\n\n\n\n<li><strong>Hemoperitoneum<\/strong> can lead to <strong>relative bradycardia<\/strong> thought to be due to <strong>irritation<\/strong> of the <strong>vagus nerve<\/strong>. &nbsp;<\/li>\n\n\n\n<li>The <strong>double decidual sign<\/strong> is a <strong>normal finding<\/strong> in <strong>early pregnancy<\/strong>.&nbsp;<strong>Later<\/strong> in the pregnancy, you can expect to see a <strong>gestational and yolk sac<\/strong> in the uterus.<\/li>\n\n\n\n<li><strong>B lines<\/strong> are indicative of <strong>pulmonary edema<\/strong>. <strong>A lines<\/strong> are a <strong>normal horizontal artifact<\/strong>.<\/li>\n\n\n\n<li><strong>Absence of lung sliding<\/strong> can be seen in the setting of <strong>pneumothorax<\/strong>, <strong>apnea<\/strong>, and <strong>superficial pneumonias<\/strong>.<\/li>\n\n\n\n<li><strong>Hantavirus<\/strong> is transmitted by <strong>feces<\/strong> and <strong>urine<\/strong> from <strong>deer mice<\/strong> and is found <strong>west of the Mississippi River<\/strong>. It can cause <strong>cardiopulmonary disease<\/strong>, <strong>renal disease<\/strong>, and <strong>hemorrhagic fevers<\/strong>.&nbsp;<strong>ECMO<\/strong> can be useful in <strong>severe<\/strong> cases.<\/li>\n\n\n\n<li><strong>Serotonin syndrome<\/strong> presents with <strong>fever<\/strong>, <strong>tachycardia<\/strong>, <strong>hypertension<\/strong>, <strong>agitation<\/strong>, and <strong>confusion<\/strong>. &nbsp;<strong>Treatment<\/strong> is with <strong>benzodiazepines<\/strong>, <strong>hydration<\/strong>, and <strong>aggressive cooling<\/strong>. <strong>MDMA<\/strong> or&nbsp;<strong>ecstasy<\/strong> can cause serotonin syndrome.<\/li>\n<\/ul>\n\n\n\n<p>That wraps up Episode 32. Don\u2019t forget to follow us on Twitter at <a href=\"twitter.com\/roshcast\">@Roshcast<\/a> and <a href=\"twitter.com\/roshreview\">@RoshReview<\/a>. We can also be reached by email at <a href=\"mailto:roshcast@roshreview.com\">roshcast@roshreview.com<\/a>. Please send over any feedback, corrections, or suggestions. You can also help us pick questions by identifying ones you would like us to review. To do so, write \u201cRoshcast\u201d in the submit feedback box as you go through the question bank.&nbsp;And finally, if you have a minute, make sure to rate us and leave comments on <a href=\"https:\/\/itunes.apple.com\/us\/podcast\/roshcast\/id1156487141?mt=2\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">iTunes<\/a> to help spread the word about Roshcast.<\/p>\n\n\n\n<p>Until next time,<br>Jeff and Nachi<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Somewhere, something incredible is waiting to be known. -Sharon Begley Welcome back to Roshcast Episode 32! We are returning to our regular format \u2013 letting the question back randomly generate this week\u2019s material. We will have another collaborative episode with the EM Clerkship podcast soon.&nbsp;We start this episode off with another rapid review based on <a href=\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":11,"featured_media":851,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2025,1999],"tags":[2032,2100,2101,2151,2180,2213,2233,2245,2289,2426,2489,2491,2493,2496,2531,2532,2555,2556,2652,2685,2711,2752,2773,2779,2824,2836,2841,2873,2902,2989,3009,3039,3113,3150,3159,3265,3305,3327,3330,3371,3409,3411,3414,3420,3457,3483,3527,3528,3532,3616,3669,3697,3699,3711,3729,3788,3790],"coauthors":[3856],"class_list":["post-1786","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emergency-medicine","category-podcast","tag-a-lines","tag-aggressive-cooling","tag-agitation","tag-anion-gap-metabolic-acidosis","tag-apnea","tag-b-lines","tag-benzodiazepine","tag-bilious-projectile-vomiting","tag-bradycardia","tag-confusion","tag-deer-mice","tag-deferoxamine","tag-dehydration","tag-dermacentor","tag-double-decimal-sign","tag-doxycycline","tag-ecmo","tag-ecstasy","tag-fever","tag-fundal-height","tag-gestational-sac","tag-hantavirus","tag-hemoperitoneum","tag-hemorrhagic-fever","tag-hydration","tag-hypertension","tag-hypochloremic-hypokalemic-metabolic-alkalosis","tag-infectious-diseases","tag-iron-overdose","tag-lung-sliding","tag-mdma","tag-mississippi-river","tag-neurology","tag-obstetrics","tag-operating-room","tag-pediatrics","tag-photophobia","tag-pneumonia","tag-pneumothorax","tag-pregnany","tag-pubic-symphysis","tag-pulmonary-edema","tag-pulmonology","tag-pyloric-stenosis","tag-resuscitation","tag-rocky-mountain-spotted-fever","tag-serotonin-syndrome","tag-severe-headache","tag-shock","tag-tachycardia","tag-toxicology","tag-ultrasound","tag-umbilicus","tag-upper-gi-series","tag-vagus-nerve","tag-xiphoid-process","tag-yolk-sac"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome &amp; More | RoshReview.com<\/title>\n<meta name=\"description\" content=\"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, &amp; More\" \/>\n<meta property=\"og:description\" content=\"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\" \/>\n<meta property=\"og:site_name\" content=\"RoshReview.com\" \/>\n<meta property=\"article:published_time\" content=\"2017-09-28T00:16:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-07T17:00:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png\" \/>\n\t<meta property=\"og:image:width\" content=\"502\" \/>\n\t<meta property=\"og:image:height\" content=\"354\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\",\"url\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\",\"name\":\"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome & More | RoshReview.com\",\"isPartOf\":{\"@id\":\"https:\/\/www.roshreview.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png\",\"datePublished\":\"2017-09-28T00:16:31+00:00\",\"dateModified\":\"2024-02-07T17:00:05+00:00\",\"author\":{\"@id\":\"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/a838e825547ab58f0be77d446d19338a\"},\"description\":\"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage\",\"url\":\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png\",\"contentUrl\":\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png\",\"width\":502,\"height\":354},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.roshreview.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, &amp; More\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/#website\",\"url\":\"https:\/\/www.roshreview.com\/blog\/\",\"name\":\"RoshReview.com\",\"description\":\"Free Powerful Rosh Content - Find content that fits you\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.roshreview.com\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/a838e825547ab58f0be77d446d19338a\",\"name\":\"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/image\/75849d0b5b168ef11fedd98d7b20b2f4\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/977f46ed31103df4f8dedd47070baa8fcb56b3e1b9e412217d7e5fbb642dd210?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/977f46ed31103df4f8dedd47070baa8fcb56b3e1b9e412217d7e5fbb642dd210?s=96&d=mm&r=g\",\"caption\":\"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.\"},\"description\":\"Nachi Gupta, MD PhD and Megha Rajpal, MD are emergency physicians with an interest in medical education. They are trying to make the world better one question at a time. Both reside in New York City.\",\"sameAs\":[\"https:\/\/www.roshreview.com\/author\/nachigupta\"],\"url\":\"https:\/\/www.roshreview.com\/blog\/author\/nachigupta\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome & More | RoshReview.com","description":"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/","og_locale":"en_US","og_type":"article","og_title":"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, &amp; More","og_description":"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.","og_url":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/","og_site_name":"RoshReview.com","article_published_time":"2017-09-28T00:16:31+00:00","article_modified_time":"2024-02-07T17:00:05+00:00","og_image":[{"width":502,"height":354,"url":"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png","type":"image\/png"}],"author":"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/","url":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/","name":"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome & More | RoshReview.com","isPartOf":{"@id":"https:\/\/www.roshreview.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage"},"image":{"@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage"},"thumbnailUrl":"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png","datePublished":"2017-09-28T00:16:31+00:00","dateModified":"2024-02-07T17:00:05+00:00","author":{"@id":"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/a838e825547ab58f0be77d446d19338a"},"description":"Welcome to RoshCast (Ep. 32), the first question and answer style emergency medicine podcast. Listen and learn more.","breadcrumb":{"@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#primaryimage","url":"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png","contentUrl":"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Nachi-and-Jeff.png","width":502,"height":354},{"@type":"BreadcrumbList","@id":"https:\/\/www.roshreview.com\/blog\/ep-32-iron-overdose-fundal-height-pyloric-stenosis-ectopic-pregnancy-hantavirus-bedside-ultrasound-serotonin-syndrome\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.roshreview.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, &amp; More"}]},{"@type":"WebSite","@id":"https:\/\/www.roshreview.com\/blog\/#website","url":"https:\/\/www.roshreview.com\/blog\/","name":"RoshReview.com","description":"Free Powerful Rosh Content - Find content that fits you","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.roshreview.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/a838e825547ab58f0be77d446d19338a","name":"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.roshreview.com\/blog\/#\/schema\/person\/image\/75849d0b5b168ef11fedd98d7b20b2f4","url":"https:\/\/secure.gravatar.com\/avatar\/977f46ed31103df4f8dedd47070baa8fcb56b3e1b9e412217d7e5fbb642dd210?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/977f46ed31103df4f8dedd47070baa8fcb56b3e1b9e412217d7e5fbb642dd210?s=96&d=mm&r=g","caption":"Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D."},"description":"Nachi Gupta, MD PhD and Megha Rajpal, MD are emergency physicians with an interest in medical education. They are trying to make the world better one question at a time. Both reside in New York City.","sameAs":["https:\/\/www.roshreview.com\/author\/nachigupta"],"url":"https:\/\/www.roshreview.com\/blog\/author\/nachigupta\/"}]}},"_links":{"self":[{"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/posts\/1786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/comments?post=1786"}],"version-history":[{"count":0,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/posts\/1786\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/media\/851"}],"wp:attachment":[{"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/media?parent=1786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/categories?post=1786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/tags?post=1786"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.roshreview.com\/blog\/wp-json\/wp\/v2\/coauthors?post=1786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}