Management by Objectives, Obj. should be SMART
S-Specific,
M-Measurable,
A-Attainable,
R-Result oriented,
T-Time limited
Features of chronic lead poisoning
(ABCDEFGHI)
Anaemia/ Anorexia/ Arthralgia/ Abortion/ Atrophy of optic nerve
Burtonian line over gums/ Basophilic stippling of RBC (punctate basophilia)
Constipation/ Colic/ Coprophyrin excess in urine/ Cerebral oedema
Drop (foot and wrist)
Emaciation/ Encephalopathy
Failure of kidneys /Foul smell of breath/ / Fanconi syndrome
Gonadal dysfunction
Headache/ Hallucination /Hypertension/ Hyperaesthesia
Irritability/ Impotence/ Insomnia
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