Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database...
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Transcript of Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database...
![Page 1: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/1.jpg)
Differential Diagnoses:Could it be a pesticide?
Pesticide Health Effects Medical Education Database (PHEMED)
![Page 2: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/2.jpg)
The Great Decievers
• Syphilis
• Lupus
• AIDS
• Pesticide Poisonings
![Page 3: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/3.jpg)
Sometimes Easy-Sometimes Hard
• General Bad Feeling– Nausea, weakness, fatigue,
lightheadedness, headache, nausea– Differential Diagnosis
1. Viral illness2. Early onset diabetes3. Incipient malaria4. Dehydration5. Pesticide poisonings
S. Holland ‘07
![Page 4: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/4.jpg)
(Semi) Unique Signs-Symptoms
• Miosis: cholinesterase inhibitors• Mydriasis: cyanide/flouride• Acral and perioral parasthesias: pyrethroids• Yellow skin color: nitrophenols• Hair loss: thallium • Peripheral Neuropathy: arsenic & OP’s• Methemoglobinemia (blue baby): sodium
chlorate, creosote• Skin burn: paraquat
![Page 5: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/5.jpg)
Other Manifestations
• Seizures– Organochlorine insecticides
may cause isolated grand mal seizures
– Late stage organophosphates
– Fipronil• Metabolic Acidosis
– Boric Acid ingestion (scalded baby syndrome)
– Herbicides (glyphosate)• Cardiac Arrythmias
– Organophosphates and Torsade de pontes and bradycardia
• Bloody diarrhea– arsenic-thallium
• Pulmonary edema– organophosphates and
carbamates• Altered mental status
– Several pesticides• Hypermetabolism
– Dinoseb– Pentachlorophenol
![Page 6: Differential Diagnoses: Could it be a pesticide? Pesticide Health Effects Medical Education Database (PHEMED)](https://reader036.fdocuments.in/reader036/viewer/2022082517/56649edf5503460f94bef2f7/html5/thumbnails/6.jpg)
Manifest in Multiple Systems
• Nervous – central & peripheral• Cardio-vascular• Gastrointestinal & Hepatic• Skin• Eye• Hematopoietic• Respiratory • Renal