Heavy Metal Toxicity Questions & Answers

Updated: Aug 24, 2018
  • Author: Adefris Adal, MD, MS; Chief Editor: Sage W Wiener, MD  more...
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Questions & Answers

Overview

What is heavy metal toxicity?

How does exposure to heavy metal occur?

What are the signs and symptoms of heavy metal toxicity?

What is the pathophysiology of heavy metal toxicity?

What is the prevalence of lead toxicity in the US?

What is the prevalence of arsenic toxicity in the US?

What is the prevalence of iron toxicity in the US?

What is the prevalence of mercury toxicity in the US?

What is the global prevalence of heavy metal toxicity?

What is the mortality and morbidity associated with heavy metal toxicity?

What are the racial predilections of heavy metal toxicity?

What are the sexual predilections of heavy metal toxicity?

How does the prevalence of heavy metal toxicity vary by age?

Presentation

Which clinical history findings suggest heavy metal toxicity?

Which physical findings are characteristic of heavy metal toxicity?

DDX

Which conditions should be included in the differential diagnoses of heavy metal toxicity?

What are the differential diagnoses for Heavy Metal Toxicity?

Workup

What is the role of lab testing in the diagnosis of heavy metal toxicity?

Which standard lab tests are performed in the workup of heavy metal toxicity?

What is the role of imaging studies in the workup of heavy metal toxicity?

What is the role of ECG in the workup of heavy metal toxicity?

Treatment

What is included in the emergency department (ED) treatment of heavy metal toxicity?

What is the role of chelation in the treatment of heavy metal toxicity?

What organization has published clinical treatment guidelines for heavy metal toxicity?

Which specialist consultations are beneficial to patients with heavy metal toxicity?

Medications

Which medications are indicated in the treatment of heavy metal toxicity?

Which medications in the drug class Chelators are used in the treatment of Heavy Metal Toxicity?

Which medications in the drug class Chelation agents are used in the treatment of Heavy Metal Toxicity?

Follow-up

How is asymptomatic heavy metal toxicity treated?

When should intentional poisoning or suicide be suspected in heavy metal toxicity?

What are the possible complications of heavy metal toxicity?