nuggets-internal medicine for usmle step 2

1) A person with combination of Microcytic Anemia + Renal failure + Neurological
deficit = LEAD POISONING…… Causes: can be ingested, inhaled or absorbed through
skin………….. a) Occupational exposure(solder, paint, car-radiator, battries, smelting, lead
glazes, refining) ; b) In children: Eating lead paint, old housing, urben dwellers………
Other clinical features: Abdominal pain, constipation, dementia, fatigue, Myalgia,
Lead nephropathy, Peripheral neuropathy (extensor weakness=wrist drop, foot drop),
Hypertension, Poor cognition.

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