LEAD POISONING IN ADULTS: GI Symptoms: abd pain, constipation (acute) Neuro: Cognitive deficit, Peripheral neuropathy (chronic) Hematological: Anemia
this patient has Signs of chronic lead poisoning: nonspecific symptoms (eg fatigue, irritability, insomnia), HTN, motor and sensory deficits, cognitive defect.
So we check for elevated venous Lead levels and give chelation therapy.
What about acute intermittent porphyria 2/2 alcohol? It also has painful abdomen, polyneuropathy
Does anyone have any ideas for this one???
Homemade whiskey and moonshine require brewing and boiling in metal pots. This can cause the release of high levels of lead into the solution and in turn to the individual once consumed. Given that the symptoms are pretty vague and could fit more than one answer choice, I believe the NBME is encouraging us to start making our own homemade whiskey and moonshine so we can learn these things hands on!!!! Who's in?
submitted by ∗step_prep7(71)
- Patient with risk factor for lead poisoning (homemade whiskey) presents with abdominal pain, neurologic symptoms, and a microcytic anemia, which are the three classic symptoms of lead poisoning
- Key idea: Potential buzzwords that should trigger thought of lead poisoning include battery factory, homemade whiskey, renovating old house, etc.
- Note: While not a high-yield association, lead poisoning can lead to worsening of gout