Lead Poisoning Flashcards
Findings in congenital lead poisoning?
Delayed dental and skeletal development
lead lines
osteosclerosis
Cramping abdominal pain
encephalopathy with convulsions, delirium
peripheral neuritis with muscular paralysis
mild anemia
coma or death
Screening test for diagnosis of LP?
Urine porphyrin
Lead lines dissapear how long after ceasing poisoning?
4 years
Widened metaphyses of LP can resemble what disease?
Pyle’s disease
skull findings in kids with CLP?
Increased intracranial pressure
leading to:
10% - widening of the cranial sutures (coronal & sagittal)
Conditions that may lead to complication of Lead shrapnel?
Acidosis, infection, alcoholism, thyrotoxicosis, arthritis, HPT
Why is retained lead shrapnel rarely a cause of poisioning?
Metallic lead is insoluble
What is required for lead poisioning in shrapnel?
Located in a cystic cavity, typically a synovial joint
Evidence of lead missile dissolution?
Progressive fragmentation of the missile
Enlargement
Migration of radiodense foci
(findings resemble lead arthrogram)
Saturnine Gout?
Moonshine malady
Expression of renal injury from lead, leading to uric acid retention
