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Samples of meat from the patient's freezer were analyzed by x-ray study to determine the presence of metal fragments. Two packages of ground deer meat (UL and UR) and one package of ground goat (LL) revealed a number of large metal fragments (black arrows) throughout the meat (Panel A). Each package of meat was approximately 1 kg. Upon further examination at higher resolution it became clear that there were smaller metal fragments throughout the samples (orange arrows). When selecting bullets, hunters have a choice of materials. Three of the common options are lead bullets, lead-core copper-jacketed bullets, or lead-free bullets (Panel B). All bullets shown are 165-grain, 30-caliber rifle bullets. Importantly, hunters may confuse the copper-jacketed lead bullets with bullets that are lead free, as they have a copper jacket covering most of the lead core.

Hidden Giant: Medium Vessel Vasculitis as a Cause for Unresolving Fever

The purpose of this article is to determine if conversion from eating wild game harvested with lead-based ammunition to nonlead-based ammunition results in lower blood lead levels. Supersonic injection of toxin-leeching frangible projectiles into food is intuitively bad. As much as 95% of the ~13.7 million hunters in the United States choose shrapnel-inducing lead bullets […]

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Examples of 0.30-caliber, 165-grain lead and lead-free rifle projectiles and illustrations of projectile cross-section. A typical solid-copper projectile (A) is longer than a copper-jacketed lead projectile (B) for the same caliber because of the greater density of lead than copper. Both projectiles are designed to expand on impact; however, the lead projectile typically disintegrates into hundreds of fragments while the copper projectile retains nearly all of its mass. These lead fragments are the source of lead ingested when eating wild game. Nearly all lead hunting projectiles have a copper jacket to reduce lead fouling of the firearm barrel, which occurs with pure lead projectiles.

Lead Exposure Through Eating Wild Game

People generally reject the idea of injecting toxic substances into food, except when it involves hunting wild game. Perhaps surprising to nonhunters, up to 95% of hunters use lead projectiles, despite nonlead projectiles offering a suitable alternative. The use of nonlead projectiles eliminates lead exposure experienced through eating wild game. Hunters are not averse to using lead-free […]

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Burton’s Line

Burton’s Line: A Tell Tale Sign A 39-year-old man with diabetes who had been taking ayurvedic medication for 2 years presented with loss of appetite of 2 months duration with vomiting and severe colicky abdominal pain of 1 week duration. On examination, pallor was present. Cardiovascular, respiratory, and abdominal examination results were within normal limits. […]

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Lead Poisoning & Ayurvedics

Ayurvedic Remedy for Diabetes as a Cause of Lead Poisoning: A Case Report The popularity of alternative or complementary medicine has dramatically increased over the years. These types of medicine are assumed by patients to be safe and free of side effects. A 56-year-old man presented to the emergency department with diffuse abdominal pain of […]

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Lead Intoxication Caused by Traditional Chinese Herbal Medicine

The total number of people using traditional Chinese herbal medicine is vast and steadily increasing in East Asian countries and Chinese society. The industrial output value of traditional Chinese herbal medicine has also continued to expand rapidly across the world since the year 2000.(1) Here we describe a case of lead intoxication following the use […]

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