Routes of exposure:
(1) inhalation
(2) ingestion
(3) transdermal
Systemic findings
(1) fever
(2) shock
Neurologic findings:
(1) tremor
(2) convulsions
(3) coma
Gastrointestinal findings:
(1) abdominal pain
(2) nausea and vomiting
(3) dysphagia
(4) diarrhea, bloody or watery or black (if lead arsenate ingested)
(5) irritation to mucous membranes from contact
(6) metallic taste
Renal findings:
(1) acute renal failure with oliguria and uremia
Respiratory tract (following inhalation):
(1) pharyngitis
(2) acute respiratory failure
Ocular changes (from gas or contact):
(1) irritation with conjunctivitis
Cardiac findings:
(1) abnormal ST-T waves
(2) prolonged QT interval
(3) ventricular fibrillation
(4) atypical ventricular tachycardia
Dermatologic findings:
(1) irritation if skin contact
(2) loss of hair (delayed)
(3) A Mees's line (whitish band) may occur 2-3 weeks post-ingestion. Multiple lines would suggest repeated exposures.
