8-year-old Girl in Pediatrics — 8yo Child | Pediatric Emergency | SMLE Q#5889
SMLE Question #5889
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
An 8-year-old girl is brought to the emergency department 24 hours after intentionally ingesting approximately 20 g of paracetamol (about 800 mg/kg). She has persistent nausea, repeated vomiting, and increasing lethargy. Examination shows jaundice and right upper quadrant tenderness. Laboratory results are pending. Based on the typical time course of paracetamol toxicity, which stage best matches this presentation?
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