Intentional overdose of numerous slow-release potassium and benzodiazepine tablets. Severe hyperkalemia on arrival to ED.
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Innumerable gastric rounded opacities in keeping with tablet ingestion. There are at least 8 tablets distal to the pylorus.
This is a case of massive polypharmacy overdose, primarily potassium supplements. The x-ray highlights the timing of recent ingestion (approximately 1 hour prior). The patient required endoscopic gastric decontamination, ICU support with dual concurrent haemodialysis, and survived.