Situational task N 19

To the doctor of district policlinic a woman appealed with complaints about that after feeding of child 6 months by artificial suckling mixture at him is marked the excitation, cramps, vomiting and diarrhea. At the inspection at a child cyanosys of lips and fingers is exposed.

The increased indexes of met-haemoglobin are exposed in the blood test. It turned out at the question of mother, that for breeding of suckling mixture she used water from a well near home.

1. Diagnose disease. What could be reason of poisoning?

2. How to confirm a diagnosis?

3. What document is under an obligation to design doctor in this case?

4. What prophylactic measures are needed in this case?




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