Abstract
Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain relief are the most important tasks in ED. We describe a 32-year-old man who presented to ED with abdominal pain and vomiting which was unrelieved by usual doses of analgesic. Extensive investigations revealed no significant abnormalities. On further probing, he admitted taking traditional medications for infertility. The toxicological panel revealed a high blood lead level, leading to a diagnosis of acute lead toxicity. Chelation therapy with D-penicillamine was initiated and the patient's abdominal pain resolved within 4 days.
Keywords:
poisoning; resuscitation.
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MeSH terms
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Abdominal Pain / diagnosis*
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Abdominal Pain / drug therapy
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Abdominal Pain / etiology
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Acute Disease
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Adult
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Anemia / etiology
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Antiemetics / therapeutic use
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Chelating Agents / therapeutic use
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Chlordiazepoxide / therapeutic use
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Cholinergic Antagonists
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Constipation / etiology
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Counterfeit Drugs / adverse effects*
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Counterfeit Drugs / chemistry
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Drug Combinations
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Emergency Service, Hospital
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Humans
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Lead Poisoning / complications
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Lead Poisoning / diagnosis*
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Lead Poisoning / drug therapy
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Male
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Parasympatholytics / therapeutic use
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Penicillamine / therapeutic use
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Phenethylamines / therapeutic use
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Quackery*
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Quinuclidines / therapeutic use
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Tomography, X-Ray Computed
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Vomiting / diagnosis*
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Vomiting / drug therapy
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Vomiting / etiology
Substances
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Antiemetics
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Chelating Agents
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Cholinergic Antagonists
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Counterfeit Drugs
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Drug Combinations
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Parasympatholytics
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Phenethylamines
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Quinuclidines
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Chlordiazepoxide
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mebeverine
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chlordiazepoxide, clidinium drug combination
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Penicillamine