Lead poisoning

Risk factors: Home built before 1978 Pica or mouthing behaviors eg infants developmental delay Sibling with lead poisoning Low socioeconomic status Immigrant or international adoptee Signs symptoms: May be asymptomatic Abdominal painconstipation Cognitive impairmentbehavioral problems Encephalopathy Treatment management: Obtain venous sample if screening performed by capillary sample Environmental surveillance identify remove lead sources Notify public health department Nutritional counseling Chelation therapy if lead level 45 µgdL,

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