title: Case files of the Medical Toxicology Fellowship at Banner Good Samaritan Medical Center in Phoenix, AZ: a non-warfarin anticoagulant overdose.
abstract: A 50-year-old man presented to the emergency department (ED) following an overdose of his "blood thinners." The patient had become increasingly depressed over financial concerns, prompting a suicide attempt. He declined to provide any details regarding his current medications or his past medical history. A review of the computerized medical record, however, revealed he had a Factor V Leiden mutation with multiple venothromboembolic events. He previously had an inferior vena cava filter placed, and had received tissue plasminogen activator (tPA) for a cerebrovascular accident. A toxicology consult was obtained in the ED.
authors.affiliation: Department of Medical Toxicology, Banner Good Samaritan Medical Center, Banner Poison Control Center, Phoenix, AZ 85006, USA.
authors.forename: Chip
authors.initials: C
authors.lastname: Gresham
authors.forename: Michael
authors.initials: M
authors.lastname: Levine
authors.forename: Anne-Michelle
authors.initials: AM
authors.lastname: Ruha
mesh_terms: D000925:Anticoagulants / Q000506:poisoning*; D001130:Arizona; D062787:Drug Overdose; D017984:Enoxaparin / Q000506:poisoning*; D005165:Factor V / Q000235:genetics; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009110:Munchausen Syndrome / Q000523:psychology; D013406:Suicide, Attempted; D016306:Vena Cava Filters; D054556:Venous Thromboembolism / Q000188:drug therapy* / Q000235:genetics
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; C095381:factor V Leiden; D005165:Factor V