DRamarnath
Forum Junior
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a 4 year boy is brought by his mother c/o apathy , fatigue and aggressive and he doesnot seem to play with other kids on examination he is found to be pale and other wise healthy with appropriate developmental milestones investigtions show hb -7.2 mg hematocrit- 32, with MCV elevated .mother says that they live near a paint manufacturing unit in their home town it was diagnosed by the physician as lead posioning which is the screeening method of choice for lead poisoning in this age group?
a.free erythrcyte portoporphyrin level
b.blood lead level
c.urinary lead level affter calciun EDTA administration
dfingerstick blood lead
e.xry of metaphysis of long bone to look for lead lines
in the above case which is the treatment of choice if the blood level is 54mg/dl
a.repeat lead level testing after 3 months
b.repeat after 2 months
c.treat with DMSA
d.immediate hospitilization and EDTA + DMSA
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| neurom
Forum Senior
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boy is at risk for lead poisoning - d
level 44 - 70 - treat with DMSA - c
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| cool doctor
Forum Junior
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1-b
2-c
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| Ivonne
Forum Guru
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1: D Finger stick blood lead------->screening
Whole blood lead level BBL---------->criterion standard for confirming diagnosis
2: C: BLL 46-69------>succimer
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| multifactorial
Forum Guru
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D. finger dipstick
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| hero
Forum Elite
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why MCV elevated?
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| neurom
Forum Senior
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mistake ?
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"Nature magically suits a man to his fortunes, by making them the fruit of his character".
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| DRamarnath
Forum Junior
Topics: 12
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answer d , c thats mcv not elevated mistake
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