Paracetamol poisoning

A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…

Clinical rotations · common

A 46-year-old man with osteoarthritis is brought in three hours after taking twenty-four modified-release paracetamol tablets, each 665 mg, at one sitting. He w…

Clinical rotations · niche

A 26-year-old woman weighing 60 kg presents five hours after swallowing an unknown number of immediate-release paracetamol tablets. She is alert with normal obs…

Pre-internship · niche

A 19-year-old woman walks into a metropolitan emergency department with her sister ninety minutes after swallowing thirty modified-release paracetamol tablets.…

Clinical rotations · middle twist

A 19-year-old woman is brought to the emergency department by her flatmate two hours after swallowing a handful of paracetamol tablets following an argument. Sh…

Clinical rotations · niche

A 17-year-old girl weighing 55 kg says she swallowed 45 tablets of immediate-release paracetamol 500 mg about ten hours ago after an argument with her partner.…

Pre-internship · middle twist

A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…

Clinical rotations · niche

A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…

Clinical rotations · common

A 25-year-old patient receiving acetylcysteine for immediate-release paracetamol poisoning develops a rash, urticaria, and flushing shortly after the infusion s…

Mechanisms of disease · middle twist