Clinical Case Database / Category: Clinical Care
A patient admitted following an overdose of paracetamol
Publication details
Dr Lucy Norman, Dr Coral Lever
Foundation Years Journal, volume 4, issue 5, p.28 (123Doc Education, London, May 2010)
Abstract
A 19-year-old girl presented to the A&E department at 10.30am after having taken an overdose of 16g paracetamol at 8am that morning. There was no prior history of alcohol excess or recreational drug intake. She denied suicidal intent and was upset that she had taken the overdose, claiming that she would not attempt the overdose again. On examination she was tearful, but no abnormalities could be detected.
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Authors
Dr Lucy Norman
Foundation Year 1
Southampton University Hospitals NHS Trust
Dr Coral Lever
Specialist Registrar in Gastroenterology
Southampton University Hospitals NHS Trust
References
1. Ramrkha P, Moore M (2005) Oxford Handbook of Acute Medicine, 2nd edition. Oxford University Press, pp. 828–831.
3. www.ars-informatica.ca/content/acetaminophen1.gif
4. Wolf SJ, Heard K, Sloan EP, Jagoda AS (2007) Clinical Policy: Critical Issues in the Management of Patients Presenting to the Emergency Department With Acetaminophen Overdose. Annals of Emergency Medicine, September;50(3).
5. Kumar P, Clark ML (2002) Clinical Medicine, 5th edition. Saunders.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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