p263

Question 1

Lead poisoning Treatment

Answer 1

chelation with drugs such as succimer and dimercaprol.

In addition, a lead abatement agency must be contacted to go and inspect the home.

Question 2

What would you expect to see in a blood smear of a patient with Lead poisoning?

Answer 2

Basophilic stippling of erythrocytes:

Lead eventually becomes associated with mitochondria in red blood cells and
appears as basophilic granules via H & E staining. This is a form of sideroblastic anemia

Question 3

For lead levels over __μg/dl, chelation treatment is usually needed

Answer 3

45
No
treatment is recommended for blood lead levels below this threshold

Question 4

Any patient who has a blood lead level over __μg/dl needs careful evaluation and
repeated blood lead levels

Answer 4

20

Question 5

Emergency hospitalization (choice E) and intravenous chelation is usually reserved for
children with lead levels over \_\_μg/dl.

Answer 5

70

Question 6

The CDC recommends: 1) screening virtually all children for lead exposure at __and __
months
2) screening children at high risk every _ months beginning at _ months of age

Answer 6

1) 12 24

2) 6. 6

Question 7

Summarize lead poisoning CxFx in a triad

Answer 7

neurologic deficits, abdominal pain and microcytic

anemia.