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	<title>WikEM - User contributions [en]</title>
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	<updated>2026-05-13T03:25:45Z</updated>
	<subtitle>User contributions</subtitle>
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	<entry>
		<id>https://wikem.org/w/index.php?title=User:Jupet&amp;diff=28807</id>
		<title>User:Jupet</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=User:Jupet&amp;diff=28807"/>
		<updated>2015-01-10T12:06:04Z</updated>

		<summary type="html">&lt;p&gt;Jupet: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Juuso Tähkäpää, Paramedic, Registered nurse.&lt;br /&gt;
   private company: Paimio-Sauvo sairaankuljetus oy&lt;br /&gt;
   Turku, Finland&lt;/div&gt;</summary>
		<author><name>Jupet</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Ciguatera&amp;diff=28631</id>
		<title>Ciguatera</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Ciguatera&amp;diff=28631"/>
		<updated>2015-01-10T07:11:58Z</updated>

		<summary type="html">&lt;p&gt;Jupet: /* Treatment */  typo fix&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*Most cases tropics and subtropics, between 35 degrees north and south latitudes&lt;br /&gt;
*Most common fish are barracuda, moray eel, amberjack, and certain types of grouper, mackerel, parrotfish, and red snapper&lt;br /&gt;
*Caused by fish eating dinoflagellates that grow on and around coral reefs and contain a heat-stable toxin&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
*GI symptoms&lt;br /&gt;
**vomiting, diarrhea, and abdominal cramping&lt;br /&gt;
**3-30hrs after eating contaminated fish&lt;br /&gt;
*Neurologic symptoms&lt;br /&gt;
**Paresthesias, painful teeth, painful urination, blurred vision, nerve palsies, and hot/cold temperature reversal&lt;br /&gt;
*Cardiovascular symptoms &lt;br /&gt;
**Bradycardia, heart block, and hypotension.&lt;br /&gt;
&lt;br /&gt;
^Diagnosis based on history and physical only&lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
*Symptomatic&lt;br /&gt;
*Prevent recurrances&lt;br /&gt;
**Do not ingest alcohol, caffeine, nuts or fish for 6 months&lt;br /&gt;
&lt;br /&gt;
==Prognosis==&lt;br /&gt;
*Neurologic symptoms typically persist from a few days to several weeks&lt;br /&gt;
*~20% of patients have symptoms that persist for months&lt;br /&gt;
*&amp;lt;2% have symptoms that last for years&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Diarrhea]]&lt;br /&gt;
*[[Weakness]]&lt;br /&gt;
*[[Marine toxins and envenomations]]&lt;br /&gt;
&lt;br /&gt;
==Source==&lt;br /&gt;
UpToDate&lt;br /&gt;
&lt;br /&gt;
[[Category:Environ]]&lt;/div&gt;</summary>
		<author><name>Jupet</name></author>
	</entry>
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