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Forensic Medicine General ca03aa34

Basophilic stippling is seen in poisoning with ?

A
Lead
B
Arsenic
C
Copper
D
Phosphorous
High-Yield Explanation
Ans. is `a' i.e., Lead Chronic lead poisoning (plurnhism or saturnism) It is characterized by ? Facial pallor paicularly around the mouth is one of the earliest and most consistent features. Anemia with punctate basophilia (basophilic stippling) is also an early feature. There is reticulocytosis, poikilocytosis, anisocytosis, sideroblasts and eosinophilia. Buonian line (stippled blue line) is seen on the gums on upper jaw. Colic abdominal pain and constipation (dry belly ache) : is a late manifestation. Encephalopathy is more in children and in poisoning with tetraethyl lead. Paralysis in the form of wrist and foot drop is a late manifestation, called lead palsy and is due to peripheral neuropathy. It occurs only in less than 10% of cases. Renovascular manifestations (nephropathy) : Hypeension, aeriolar degeneration and aeriosclerotic nephritis may occur. Rarely, lead poisoning may cause proximal tubular necrosis. Other features include optic atrophy, CVS and reproductive anomalies.

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