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Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management

Emergency Medicine Cases

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The Pitfalls of Bilirubin Elevations in Acute Acetaminophen Overdoses

Pitfalls in diagnosing acetaminophen overdose include false positive levels, high bilirubin, and only having an ALT instead of an AST. Late hepatic failure can cause elevated bilirubin but not high enough to interfere with acetaminophen levels. It's important not to miss potential hepatic failure cases due to limited lab results.

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