A woman presents eight hours after taking 40 paracetamol tablets. What is the most likely diagnosis?
Answer and explanation
Correct answer: A. Paracetamol overdose
- Step 1: The picture of a large paracetamol ingestion fits Paracetamol overdose.
Answer
Paracetamol overdose.
Why not the others: 'Aspirin overdose': it gives tinnitus, hyperventilation and mixed acid-base disturbance. 'Acute viral hepatitis': it gives a prodrome with raised transaminases and no known ingestion. 'Alcohol intoxication': it gives ataxia and slurred speech with breath odour.
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