TY - CHAP M1 - Book, Section TI - Fulminant Hepatic Failure A1 - Choi, H. Alex A1 - Bauer, Rebecca A1 - Lee, Kiwon A2 - Lee, Kiwon Y1 - 2012 N1 - T2 - The NeuroICU Book AB - A 42-year-old man with no past medical history presents with a 1-week history of sinus congestion. He was not getting adequate pain relief and took a total of 40 pills over 24 to 36 hours. The next day he developed right upper quadrant pain, nausea, and vomiting. He presented to the hospital for these symptoms. Examination is significant for jaundice and right upper quadrant abdominal pain but otherwise unremarkable. Labs are significant for aspartate aminotransferase/alanine aminotransferase (AST/ALT) 6180 U/L and 4860 U/L, respectively, total bilirubin 7.7 mg/dL, and International Normalized Ratio (INR) 4. Acetaminophen level was 108 μg/mL. He is started on an N-acetylcysteine drip and transferred to the neurologic intensive care unit (NICU) for close observation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1101643047 ER -