Image of the Week: A suspected overdose of acetaminophen

A 75-year-old woman is brought to the emergency department after ingesting an unknown amount of acetaminophen. Approximately 4 hours earlier, she was found distraught with empty pill bottles nearby. Her daughter explains that her mother was recently diagnosed with dementia, has arthritis, and typically takes extended-release acetaminophen for pain relief throughout the day. After initial assessments, her serum acetaminophen (APAP) ...