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  #1  
Old 09-30-2012
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Poison Lead Poisoning or CO Poisoning?

A 5-year old girl is brought to the emergency department in December by her mother, who complains that her daughter seems confused. The mother reports that her daughter has complained of intermittent headaches since the two of them moved into the first floor of an older apartment building 6 months ago. The mother has been at home with the daughter for the past 24 hours and the girl appears lethargic and is complaining of joint aches, nausea, and a headache. Her pulse is 120/min, blood pressure is 130/85 mm Hg, respiratory rate is 25/min, and oxygen saturation is 100% on room air. The girl’s mother also notes having a slight headache that started yesterday.

Which of the following diagnostic tests should be most rapidly pursued?

(A) Arterial blood gas
(B) CT scan of the head
(C) Direct laryngoscopy
(D) ECG
(E) Toxicology screen
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Old 09-30-2012
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Would go with E
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(A) Arterial blood gas for carbon monoxide poisoning
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Quote:
Originally Posted by Novobiocin View Post
(A) Arterial blood gas for carbon monoxide poisoning
What clue took u to think about CO poisoning ????
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Quote:
Originally Posted by K06100 View Post
What clue took u to think about CO poisoning ????
Headache .........

Quote:
The mother has been at home with the daughter
for the past 24 hours
and the girl appears lethargic
and is complaining of joint aches, nausea,
and a headache. Her pulse is 120/min,
blood pressure is 130/85 mm Hg, respiratory
rate is 25/min, and oxygen saturation is 100%
on room air. The girl’s mother also notes having
a slight headache that started yesterday.
Quote:
Blood gases may be used to assess the severity of respiratory compromise by observing the degree of
acidosis.
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Last edited by Novobiocin; 09-30-2012 at 03:51 PM.
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I think the case is lead poisoning from the clinical pic of the daughter and the mom, with the hx of old buliding
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Quote:
Originally Posted by Anders View Post
I think the case is lead poisoning from the clinical pic of the daughter and the mom, with the hx of old buliding
Old buildings also have faulty heaters.

CO poisoning


A family of 7 is rushed to the hospital after a possible carbon monoxide poisoning scare.



Moreover, Lead poisoning doesn't develop so acutely.

Quote:
A 5-year old girl is brought to the emergency department in December by her mother, who complains that her daughter seems confused.
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Last edited by Novobiocin; 09-30-2012 at 04:03 PM.
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Quote:
Originally Posted by Novobiocin View Post
Old buildings also have faulty heaters.

CO poisoning


A family of 7 is rushed to the hospital after a possible carbon monoxide poisoning scare.



Moreover, Lead poisoning doesn't develop so acutely.
It seems that misunderstood the Q
i thought the daughter start having headache after they move to the new apatment
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Correct Answer is A
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