98. Vomiting and Syncope Following Ingestion of Ramps

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Christopher P. Holstege MD2,3,4 and
  2. Justin H. Price MD1

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch98

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P. and Price, J. H. (2011) Vomiting and Syncope Following Ingestion of Ramps, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch98

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Mountain Area Health Education Center Rural Program, Hendersonville, NC, USA

  2. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 98, vomiting and syncope - following ingestion of ramps;
  • 26-year-old male, foraging for ramps (Allium tricocca) - striated broad-leafed plant for his spaghetti;
  • consuming dinner, he felt - tingling sensation of tongue, “throat closing up”;
  • stopped the meal “after four bites” - vomiting within a half hour of meal;
  • complaints of tongue and extremity paresthesias - blood pressure, 83/42 mmHg, pulse 42 beats;
  • examination, for anxiety (“die”) - diaphoresis, mild diffuse abdominal tenderness;
  • plants, responsible for toxicity