HEAVY METAL POISONING Flashcards
Arsenic poisoning - Mechanism of toxicity
Inhibits cellular respiration by binding to sulfhydryl groups and interfering with enzymes like pyruvate dehydrogenase.
Arsenic poisoning - Clinical features
Gastrointestinal symptoms, garlic odor on breath, hypotension, QT prolongation, and chronic exposure causing skin changes (hyperpigmentation, keratosis).
Arsenic poisoning - Antidote
Dimercaprol or succimer (DMSA).
Lead poisoning - Mechanism of toxicity
Interferes with heme synthesis and causes oxidative stress by replacing essential cations like calcium and zinc.
Lead poisoning - Clinical features
Abdominal pain, anemia (basophilic stippling), neurological symptoms (wrist/foot drop, cognitive decline), and lead lines on gums (Burton’s lines).
Lead poisoning - Antidote
Dimercaprol, EDTA, or succimer (DMSA) for chelation.
Mercury poisoning - Mechanism of toxicity
Binds sulfhydryl groups, disrupting proteins and enzymes, especially in the nervous and renal systems.
Mercury poisoning - Clinical features
Neurological symptoms (tremors, memory loss, erethism), acrodynia (painful extremities), and renal damage.
Mercury poisoning - Antidote
Dimercaprol or succimer (DMSA).
Iron poisoning - Mechanism of toxicity
Generates free radicals through Fenton reaction, leading to oxidative damage to cells and tissues.
Iron poisoning - Clinical features
Vomiting, abdominal pain, diarrhea, hematemesis, metabolic acidosis, and multiorgan failure in severe cases.
Iron poisoning - Antidote
Deferoxamine (chelating agent).
Copper poisoning - Mechanism of toxicity
Promotes oxidative damage through free radical generation and disrupts cellular processes.
Copper poisoning - Clinical features
Nausea, vomiting, hemolysis, and hepatic or renal failure.
Copper poisoning - Antidote
Penicillamine or trientine; zinc for Wilson’s disease.