Rejected at: Nov, 01, 2023 4:36 a.m.
Author: fadiamk
Related Deck: 1659122273009
Rejected
Rationale for new note

signs and sympotoms of mercury toxicity; from Uworld Step 1 QID 107146

Rejection reason

combined with another suggestion and pushed manually - thank you!

Text
Which heavy metal poisoning presents with signs of catecholamine excess (diaphoresis, tachycardia, hypertension, and anxiety), neuropsuchiatric symptoms (insomnia, tremor and phptophpbia) and hypersensitivity or desquamating rash?

{{c1::Chronic Mercury Toxicity}}
Extra
- Exposure may be Incidental (eg, broken lightbulbs or thermometers) expecially in children, through Ingestion (eg, shark, swordfish) or Occupational (e.g. gold miner)

* Cardiovascular/sympathetic nervous system symptoms; because mercury inactivates catechol O-methyltransferase.
* Neuropsychiatric:  because mercury can cross the blood-brain barrier and deposit in the CNS.
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Tags
#AK_Step1_v12::#UWorld::107146