Differential Diagnoses: Could it be a pesticide?

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Differential DiagnosesCould it be a pesticide?
Pesticide Health Effects Medical Education
Database (PHEMED)
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The Great Decievers

• Syphilis
• Lupus
• AIDS
• Pesticide Poisonings

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Sometimes Easy-Sometimes Hard

• General Bad Feeling
• Nausea, weakness, fatigue, lightheadedness,
  headache, nausea
• Differential Diagnosis
• Viral illness
• Early onset diabetes
• Incipient malaria
• Dehydration
• Pesticide poisonings

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(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 OPs
• Methemoglobinemia (blue baby) sodium chlorate,
  creosote
• Skin burn paraquat

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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

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Manifest in Multiple Systems

• Nervous central peripheral
• Cardio-vascular
• Gastrointestinal Hepatic
• Skin
• Eye
• Hematopoietic
• Respiratory
• Renal