You received a call from the emergency department at your local hospital concerning a pediatric patient that you recently treated. The patient is a 6-year-old boy who was brought to the emergency department in a comatose state. His parents state that he recently visited your office for extraction of a grossly decayed primary tooth. The parents state that they had given him a few pain pills to help with the discomfort following the extraction. Physical examination of the boy revealed “comatose, hepatomegaly, and yellow sclera.” A computerized tomography (CT) scan revealed cerebral edema. Laboratory results showed elevated alanine aminotransferase (ALT), aspartate aminotransferase (AST), and prothrombin time (PT). The emergency department physician believes that treatment with the antidote N-acetylcysteine is necessary but has called you to confirm whether you prescribed any medications. What agent is most likely involved in the symptoms of this patient? A. Aspirin B. Acetaminophen C. Codeine D. Celecoxib E. Ibuprofen
Posted on: Mon, 29 Dec 2014 06:07:09 +0000
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