Medicine an Surgery notes

Apr 25th, 2015
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POISONING INCHILDRENDr kibaruintroductionAccidental poisoning is an important cause ofmorbidity and mortality in childrenPattern and magnitude depend with areasepidemiologyUsually unintentional in under 5 yearsPeak occurrence 18 months to 3 years dueto their exploratory behaviour Inability to discriminate safe versus unsafe Poor storage of household medicines and toxicsubstancesCommon in girls than boys in over 5 yearsIntentional and purposefulCould be due to multiple agentsChildren are uniquely vulnerable to chemicalpollutants for several reasons:1. Children have proportionally greaterexposures to many environmental pollutantsthan adultsBecause they drink more water eat more food breathe more air per kg of body weightchildren are more heavily exposed topollutants in water, food, and air.Children's hand-to-mouth behaviorchildren play close to the ground further magnify their exposures2. Children's metabolic pathways, especially inthe first months after birth, are immature. Ableto cope with environmental toxicants becausethey are unable to metabolize them to their active form childrenare frequently less able to detoxify andexcrete chemical pollutants.3. Infants and children are growing anddeveloping, and their developmentalprocesses are uniquely sensitive to disruptionby chemical pollutants. Thedisability resulting from exposures to chemic

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