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
|
|