| Lead Poisoning presenting as acute severe myalgia: Why was the diagnosis delayed and what lessons can we learn as acute physicians? | |
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MedLine Citation:
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PMID: 21597564 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Patients presenting to the "front door" with acute neuromuscular symptoms are challenging. Toxins need consideration as possible causative agents if there is the possibility of relevant exposure. This requires a thorough history1 and an awareness of local ethnic, social and industrial cultures within the practice locality. We describe a case of lead poisoning in a 35 year old man who presented with severe, progressive, myalgia. We consider that basic errors in clinical processing delayed a potentially difficult and serious diagnosis and these are discussed. The importance of maintaining a thorough initial clerking process within the Acute Medical Unit is highlighted. This should include a comprehensive occupational history. Acute physicians should familiarize themselves with local industry and the toxic syndromes they can produce. |
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Authors:
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T Petterson; Jm McLaren; Dcr McGouran |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acute medicine Volume: 9 ISSN: 1747-4892 ISO Abbreviation: Acute Med Publication Date: 2010 |
Date Detail:
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Created Date: 2011-05-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101553725 Medline TA: Acute Med Country: England |
Other Details:
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Languages: eng Pagination: 24-6 Citation Subset: - |
Affiliation:
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Hutt Valley District Health Board, Hutt Hospital, High Street, Lower Hutt, Private Bag 31-907 Lower Hutt, 5040 New Zealand; |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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