Lead poisoning physical examination: Difference between revisions
Jump to navigation
Jump to search
(→HEENT) |
|||
| Line 30: | Line 30: | ||
===HEENT=== | ===HEENT=== | ||
* Abnormalities of the head may include : | * Abnormalities of the head may include : | ||
*[[Burton's lines]] | |||
*[[Icteric sclera]] | *[[Icteric sclera]] | ||
*[[Headache]] | *[[Headache]] | ||
| Line 39: | Line 40: | ||
*[[seizure]] | *[[seizure]] | ||
*[[coma]] | *[[coma]] | ||
*[[learning disability]] | |||
===Neck=== | ===Neck=== | ||
Revision as of 01:56, 20 June 2018
|
Lead poisoning Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Lead poisoning physical examination On the Web |
|
American Roentgen Ray Society Images of Lead poisoning physical examination |
|
Risk calculators and risk factors for Lead poisoning physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aksiniya K. Stevasarova, MD
Overview
Patients with chronic lead poisoning usually appear very sick. Physical examination of patients with lead poisoning is usually remarkable for neurological, gastrointestinal, and [[hematological] problems.
Physical Examination
- Physical examination of patients with lead poisoning is usually remarkable for:
Appearance of the Patient
- Patients with lead poisoning usually appear normal.
Vital Signs
- Tachycardia with regular pulse might be present due to anemia
Skin
- Skin examination of patients with lead poisoning is usually normal.
HEENT
- Abnormalities of the head may include :
- Burton's lines
- Icteric sclera
- Headache
- Metallic taste
- Irritability
- Insomnia
- excess lethargy
- hyperactivity
- seizure
- coma
- learning disability
Neck
- Neck examination of patients with lead poisoning is usually normal.
Lungs
- Pulmonary examination of patients with lead poisoning is usually normal.
Heart
- Cardiovascular examination of patients with lead poisoning might experience chest pain.
Abdomen
Abdominal examination of patients with lead poisoning might reveal:
Back
- Back examination of patients with lead poisoning is usually normal.
Genitourinary
- Genitourinary examination of patients with lead poisoning might show:
- Acute nephropathy - manifests with tubular defects, including phosphaturia, glucosuria and amino aciduria. This combination of tubular defects is referred as Fanconi’s syndrome.
- Chronic nephropathy - characterized histologically with chronic interstitial nephritis and is associated with gout and hypertension.
Neuromuscular
- Neuromuscular examination of patients with lead poisoning might manifest with the following:
- Patient is usually oriented to persons, place, and time
- Delirium
- Hallucinations
- Weakness of extensor muscles (eg, foot drop, wrist drop)
- Hypersomnolent or have difficulty falling asleep
- ataxia
Extremities
=