Case Details

Emergency Medicine Emergency Critical Care

Indian Doctors Network posted a case

almost 2 years ago

A 19-year-old student is found by her flatmate on a Monday morning minimally responsive.

Courtesy: 100 cases in clinical pathology

A 19-year-old student is found by her flatmate on a Monday morning minimally responsive.
She notices a large amount of vomitus by the bedside and several packs of paracetamol tablets lying on the floor. At hospital, her friend informs the doctors that she last saw the patient on Saturday night after a big argument had taken place between the patient and her boyfriend.
The patient confesses to taking numerous paracetamol tablets with alcohol throughout the
day on Sunday, but is unable to recollect the precise number though she informs the doctor
that her last tablet was taken at 6 pm on the previous evening.

Examination
The patient is haemodynamically stable (T 37, HR 90, BP 110/65, O2 sat 97% on air).
Abdominal examination reveals diffuse abdominal tenderness, most prominent in the right
upper quadrant.

Questions
What investigations are necessary for this patient?
How should the patient be treated?



Feed Profile Image