Lead poisoning physical examination
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Patients with chronic lead poisoning usually appear very sick. Physical examination of patients with lead poisoning is usually remarkable for neurological, gastrointestinal, and hematological problems.
- Physical examination of patients with lead poisoning is usually remarkable for:
Appearance of the Patient
- Patients with lead poisoning usually appear normal.
- Tachycardia with regular pulse might be present due to anemia
- Skin examination of patients with lead poisoning is usually normal.
- Abnormalities of the head may include: 
- Burton's lines
- Icteric sclera
- Metallic taste
- excess lethargy
- learning disability
- Neck examination of patients with lead poisoning is usually normal.
- Pulmonary examination of patients with lead poisoning is usually normal.
- Back examination of patients with lead poisoning is usually normal.
- Genitourinary examination of patients with lead poisoning might show:
- Acute nephropathy - manifests with tubular defects, including phosphaturia, glucosuria and amino aciduria. This combination of tubular defects is referred as Fanconi’s syndrome.
- Chronic nephropathy - characterized histologically with chronic interstitial nephritis and is associated with gout and hypertension.
- Neuromuscular examination of patients with lead poisoning might manifest with the following: 
- Patient is usually oriented to persons, place, and time
- Weakness of extensor muscles (eg, foot drop, wrist drop)
- Hypersomnolent or have difficulty falling asleep
- attention difficulty
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