Case 21-2016: A 32-Year-Old Man in an Unresponsive State

A 32-year-old man was admitted to this hospital after being found in an unresponsive state in his jail cell. He had jaundice and encephalopathy; results of liver-function tests were abnormal, and CT revealed cerebral edema. Diagnostic tests were performed. Presentation of Case Dr. Samuel M. Vanderhoek (Anesthesia, Critical Care, and Pain Medicine): A 32-year-old incarcerated man was admitted to this hospital after being found in an unresponsive state in his jail cell. Two days before this admission, the patient had had nausea and vomiting. Acetaminophen, at a dose of 650 mg up to three times daily as needed, was prescribed, in addition to a preexisting prescription for acetaminophen at a dose of 325 mg twice daily. Earlier during the day of admission, the patient was reported to be acting strangely; later, he was found in an unresponsive state on . . .