Arsenic

Risk Factors

  • Ingestion of contaminated water→ e.g. India or areas where water sources less monitored
  • Intentional poisoning

Symptoms

  • Confusion
  • Nausea, vomiting, diarrhea, abd pain
  • Painful neuropathy; can involve motor function as well
  • Can cause target organ damage, including: bone marrow suppression, acute kidney injury, hepatitis

Physical Exam Findings

  • Can be ill appearing
  • Peripheral neuropathy; sensory and sometimes motor impairment
  • Sometimes mee's lines on nails (white, horizontal lines)

Tests