CINIII
Forum Senior
Topics: 34
Posts: 64
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plz suggest guys.
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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classical presentation of lead poisoning in adults.
Any patient with CRF and GOUT, always suspect lead poisoning.
He is having classical symptoms like abd pain,senory disturbances,memory loss.
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| young_doc
Forum Guru
Topics: 56
Posts: 735
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the 'homemade' whiskey part is another BIG clue...as well as the low MCV (Lead affects the last step of Heme-synthesis...)
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| rezaaa
Forum Senior
Topics: 8
Posts: 182
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how does lead poisoning cause gout?
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| rezaaa
Forum Senior
Topics: 8
Posts: 182
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i think the gout is due to the alcohol and is meant to be a distractor
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| dratish
Forum Newbie
Topics: 7
Posts: 25
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More than 50% of the patients with lead nephropathy manifest saturnine gout. Even though hyperuricemia is universal with renal insufficiency, gout is rare unless the patient has underlying lead nephropathy.
i must admit it is a tough question. It has all features of Acute intermittent porphyria - 1) abdominal pain, (2) psychiatric symptoms and (3) peripheral neuropathies
Interestingly both lead and AIP cause motor neuropathy and this patient has sensory signs
Presence of renal failure i think is more indicative of Lead poisoning
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| rezaaa
Forum Senior
Topics: 8
Posts: 182
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thanks dratish its another drop in our sea of knowledge
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