<prompt> Hatters shakes are seen in poisoning with?ArsenicCadmiumMercuryLead  <response>: Ans. c Mercury. Ref. Parikh, FMT, 5th ed., 736POISONINGSPoisoningFeaturesMercury Characteristic colonic especially ascending and transverse colon thickening with Diphtheric colitis like changes. Q Glass blowershatters shake Shaking palsy. Q Mercural erythism. Q Acrodynia pink disease. Q Minimota disease. Q Maternal intake results cerebral palsy in the baby. Chelating agent of choice is BAL. Q It acts on PCT and is nephrotoxic like all heavy metals. QArsenic Most popular homicidal poison Q Marsh and Reinsh test Q Mees lines Q Hyperkeratosis of palms and soles Cholera like diarrhea Q. Measles like fading, rain drop pigmentation Q Poison mostly excreted in hair, also in nails, bones Red velvetty gastric mucosa Subendothelial peticheal hemorrhage of ventricles Acute yellow fatty liver Q ANTIDOTE: precipitated hydrated Ferrous oxideLead Burtonian lines Blue lines on gums Q Encephalopathy in adults but rare in children Lead palsy common in adults rare in children Facial pallor is earliest and most consistent sign Q Punctate basophilia of RBCs Q Sclerotic metaphyseal bands QZinc General: Reduced copper absorption, gastritis, sweating, fever, nausea, vomiting. Occupational: Respiratory distress, pulmonary fibrosis Q Metal fume fever. Q 