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DAILY FREE MCQ CHALLENGE for Medical PG Preparation
Question
“Hatter’s shakes” are seen in poisoning due to:
A. Copper
B. Lead
C. Mercury
D. Arsenic
TIPSImportant Question from JIPMER 2010
See Answer Here
C. Mercury
See Explanation Here
Trimers (sometimes called
Danbury trimers) occur
first in the hands, then progress to
lips and tongue and finally involve arms and legs. The trimer is moderately
coarse and is interspersed by
jerky movements. The advanced condition is called
hatter’s shake or glass bower’s shake, because the are common in persons working in glass-blowing and hat industries.
- The patient then becomes unable to dress himself.
- Write legibly or walk properly.
- The most severe form is known as concussion mercularis, in which no activity is possible.
- Mercurial Erethism is seen in persons working with mercury in mirror manufacturing firms. This term is used to refer the physiological effects of Mercury toxicity. These include anxiety, depression, shyness, timidity,irritability, loss of confidence, mental depression, delusion and hallucinations, emotional instability, loss of memory and insomnia
- Mercurial Entis is a peculiar eye change due to exposure to the vapour of mercury. It is due to the brownish deposits of mercury through the cornea and anterior lens capsule.
- Renal damage results in membranous glomerulonephritis with hyaline casts and fatty casts in the urine
- Kidney is the primary target
References
Page no: 486 Chapter 27 Metallic Poisoning In:
The essentials of forensic medicine and toxicology by Narayan Reddy/29e.
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