|
History
|
| The presence of symptoms: |
| Lethargy |
| Decreased appetite |
| Intermittent abdominal pain |
| Vomiting |
| Pica |
| Nutritional status (particularly iron and calcium) |
| Family history of lead poisoning |
| History of lead poisoning in playmates |
| Foreign birthplace or recent foreign residence |
|
Physical examination
|
| Growth parameters |
| Blood pressure |
| Neurologic assessment |
| Neurobehavioral assessment |
| Language development |
| Abdominal tenderness |
|
Radiographic evaluation
|
| For children with symptoms, pica, or acute ingestion of lead containing objects: |
| Abdominal radiograph |
|
|
Environmental history
|
| Age of housing |
| Home renovations |
| Work history of parents |
| Hobbies of all family members |
| Water source |
| Play areas |
| Daycare |
|
Laboratory evaluation
|
| Repeat (confirm) venous lead level |
| Venous lead level in siblings |
| CBC, reticulocyte count, serum iron, iron binding capacity, and ferritin |
|
Pre-treatment evaluation
|
|
Serum electrolytes
|
|
BUN, creatinine
|
|
Calcium, magnesium
|
|
AST/ALT, alkaline phosphatase,
|
|
Urinalysis
|
|
