Day 0 · 17:30
Arrival
She presents with nausea and a day of vague right-sided abdominal discomfort. The toothache backstory emerges: pain for four days, and 'quite a lot' of paracetamol. Counting packets together: roughly 28 tablets of 500 mg spread over the last 48 hours, the last two about six hours ago. She is tearful about the tooth, denies wanting to harm herself.
Vitals
HR92BP118/70RR16SpO299%T36.9
Which feature of this history most changes how the overdose is assessed?