Monitor in ED in conjunction with Poison Control recommendations
Consider 6-hour observation period from time of<unk> , as some symptoms may be delayed
Consider admission if respiratory compromise, altered mental status, or GI complaints resistant to symptomatic treatment
Laundry detergent pod ingestion
Altered Metabolism
Caustic ingestion
Aspirin 
Kratom toxicity
Benzo or alcohol withdrawal
Hymenoptera stings
Thyroid storm