Question

The findings in the image are suggestive of which poisoning?

• A. OPC (Organophosphorus Compounds)
• B. Arsenic
• C. Lead
• D. Mercury

Hint:

Arsenic poisoning typically presents with gastrointestinal symptoms, skin changes, and sometimes neurological symptoms.

Answer 1

The Correct Option is B

Solution: The findings in the image are indicative of Arsenic poisoning. Arsenic poisoning is typified by clinical presentations such as gastrointestinal distress, skin manifestations like hyperkeratosis or the formation of hyperpigmented spots commonly known as "raindrop pigmentation," as well as systemic effects. Understanding the symptomatology and the typical signs of arsenic exposure are key to identifying this type of poisoning.  Explanation of Options: OPC (Organophosphorus Compounds): Typically presents with symptoms of cholinergic excess, such as salivation, lacrimation, urination, diarrhea, gastrointestinal distress, emesis (SLUDGE), and muscle twitching. Arsenic: Symptoms include abdominal pain, diarrhea, hypotension, skin changes like 'Mees' lines on nails, peripheral neuropathy, and characteristic skin lesions. Lead: Associated with pallor due to anemia, peripheral neuropathy with wrist drop, gastrointestinal symptoms, and the presence of 'lead lines' on gums. Mercury: Can cause a triad of tremor, gingivitis, and erethism (a neurological disorder characterized by irritability). The diverse symptom profiles and pathognomonic signs for each type of poisoning serve as a diagnostic aid. In this scenario, the symptoms align most closely with those caused by Arsenic exposure.