RT Book, Section
A1 Bales, Brian D.
A1 Hensel, Max
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181053315
T1 Nicotine Use Disorder
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181053315
RD 2024/04/24
AB Nicotine  is  a  naturally  occurring  alkaloid  found  primarily  in  tobacco.  Nicotine  delivery  methods  include  cigarettes,  pipe  and  cigar  tobacco,  smokeless  tobacco,  electronic  cigarettes,  nicotine  gum,  and  lozenges.  Long-term  complications  of  nicotine  use  include  coronary  artery  disease,  stroke,  peripheral  vascular  disease,  thromboangiitis  obliterans  (Fig.  27.22A),  chronic  obstructive  lung  disease,  and  oropharyngeal  and  pulmonary  malignancies.  Lighting  a  cigarette  while  using  supplemental  oxygen  may  cause  flash  burns  (Fig.  27.23).  Cigarette  smoking  also  causes  staining  of  nails  and  teeth  due  to  both  direct  staining  from  tar  and  nicotine  as  well  as  vascular  vasoconstriction  mediated  by  the  nicotine  and  carbon  monoxide  present  in  tobacco  smoke  (Fig.  27.22B).  More  recently,  the  increased  use  of  electronic  cigarettes  (vaping)  has  resulted  in  a  rise  in  e-cigarette–  and  vaping-associated  lung  injury  (EVALI)  with  typical  manifestations  of  bilateral  ground-glass  opacities  on  chest  CT  (Figs.  27.25  and  27.26).