A 43-year-old woman working in artisanal gold extraction presents with tremor, gingival inflammation, and mood changes. Vital signs show BP 128/82 mmHg, HR 92/min, RR 16/min, temp 37.2°C. She denies recent headaches or vision changes. Serum creatinine is normal. A 24-hour urine collection reveals elevated levels of the toxic metal. Which agent effectively chelates the metal causing her neuropsychiatric and oral manifestations?
- A)Fomepizole
- B)DimercaprolGABARITO
- C)Phytonadione
- D)Protamine
- E)Atropine
Explicação
Mercury poisoning can produce neuropsychiatric symptoms, tremor, and gingivostomatitis. Dimercaprol is a classic chelator for mercury and arsenic exposure. Ver explicação completa e trilha adaptativa →