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Robey TE, Melnick ER. Undifferentiated altered mental status: a late presentation of toxic acetaminophen ingestion. Case Rep Emerg Med. 2012;2012:162387doi: 10.1155/2012/162387.
Robey, T. E., & Melnick, E. R. (2012). Undifferentiated altered mental status: a late presentation of toxic acetaminophen ingestion. Case reports in emergency medicine, 2012162387. https://doi.org/10.1155/2012/162387
Robey, Thomas E, and Melnick, Edward R. "Undifferentiated altered mental status: a late presentation of toxic acetaminophen ingestion." Case reports in emergency medicine vol. 2012 (2012): 162387. doi: https://doi.org/10.1155/2012/162387
Robey TE, Melnick ER. Undifferentiated altered mental status: a late presentation of toxic acetaminophen ingestion. Case Rep Emerg Med. 2012;2012:162387. doi: 10.1155/2012/162387. Epub 2012 Jun 28. PMID: 23326702; PMCID: PMC3542922.
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Case Rep Emerg Med. 2012;2012:162387. doi: 10.1155/2012/162387. Epub 2012 Jun 28.

Undifferentiated altered mental status: a late presentation of toxic acetaminophen ingestion.

Case reports in emergency medicine

Thomas E Robey, Edward R Melnick

Affiliations

  1. Department of Emergency Medicine, Yale University, 464 Congress Avenue, Steuite 260, New Haven, CT 06519-1315, USA.

PMID: 23326702 PMCID: PMC3542922 DOI: 10.1155/2012/162387

Abstract

Altered mental status is a common undifferentiated presentation in the emergency department. We describe a case of acetaminophen-induced acute liver failure that was diagnosed and treated prior to obtaining definitive historical or laboratory information about the etiology. The physical exam finding of scleral icterus in this case was a key element to rapid identification and treatment of this life-threatening condition. A discussion of appropriate N-acetylcysteine treatment for acute liver failure and acetaminophen intoxication is included.

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