Previously Healthy in Pediatrics — Case | Pediatric Emergency | SMLE Q#14595

SMLE Question #14595

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A previously healthy 6-year-old girl is brought to the emergency department about 24 hours after ingesting approximately 10 g of paracetamol (acetaminophen). She was initially asymptomatic but now has nausea, repeated non-bilious vomiting, and diffuse abdominal pain. Examination shows mild right upper quadrant tenderness without jaundice or altered mental status. At which stage of paracetamol toxicity is she most likely to be?

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