The document discusses iron toxicity and provides an overview of the key points to address for any heavy metal toxicity. These include an introduction to the heavy metal, sources of exposure, pathophysiological effects, toxic effects and symptoms, complications, laboratory diagnosis, treatment, and preventive measures. Specifically for iron, sources of excess iron include supplements and accidental ingestion of iron-containing objects. Toxic effects can include vomiting, diarrhea, shock, and organ damage. Laboratory tests to diagnose iron overload include serum ferritin levels and liver biopsy. Treatment involves gastric lavage, chelation therapy, and supportive care.

1. Department of Medical Laboratory Technology, UIAHS.
Course Code: 20MLB-308 Course Name:Advance Clinical Chemistry
Iron Toxicity
Name of the Faculty: Mr. Attuluri Vamsi Kumar E13404 Program Name: BSc. MLT Sem-5

2. Program Structure B.Sc MLT 2020 Sem-5
SN Code Title L T P S C CH
Pre-
requisite
Co-
requisites
1 20MLT-301 Clinical Microbiology- IV (Virology
and Mycology)
3 0 0 0 3 3 20MLT-204
20MLT-251
20MLP-
304
2 20MLT-302 Analytical Biochemistry-II 3 0 0 0 3 3 20MLT-152 20MLP-
305
3 20MLT-303 Cytotechnology 3 0 0 0 3 3 20MLT-203 20MLP-
306
4 20MLP-304 Clinical Microbiology- IV (Virology
and Mycology) Lab
0 0 2 0 1 2 -- 20MLT-301
5 20MLP-305 Analytical Biochemistry-II Lab 0 0 3 0 1.5 3 - 20MLT-302
6 20MLP-306 Cytotechnology Lab 0 0 3 0 1.5 3 - 20MLT-303
7 20MLA-307 Biomedical Engineering 2 0 0 0 2 2 - -
8 20MLB-308 Advance Clinical Chemistry 2 0 0 0 2 2 - -
9 20UCY-396 Life skill & Mentoring-V 0 1 0 0 1 1 - -
10 20MLY-309 Professional Training 2 0 2 2 - -
11 20MLY-BBB Emergency to First Aid 1 0 0 0 1 1 - -
12 20MLY-BBB Introduction to NABL 1 0 0 0 1 1 - -
13 20MLY-BBB Wellness Management 1 0 0 0 1 1 -
Total 24 28

3. Course Objectives
The Advance Clinical Chemistry
subject aims to augment students awareness toward the
New testing and their procedures by operating advanced
instruments
To enrich their knowledge about tests.
To build base for further by the knowledge of instruments

4. Course outcomes
Subject Outcome
1 The student would be able to produce
knowledge of testing procedure
2 Students would be able to reproduce
instrument knowledge.

5. Syllabus overview
Unit -1
Toxic effects of over exposure of metals – (Aluminum, antimony,
arsenic, beryllium, cadmium, chromium, cobalt, copper, iron, lead,
Manganese, Mercury, platinum, selenium, silver, thallium
.
Unit -2
Clinical biochemistry of cardiac bio markers, cardiac injury
biomarkers, renal insufficiency markers
Clinical biomarkers for diabetes insipidus, renal calculi laboratory
support for replace therapy

6. Reference material
Suggested Readings/ Books:
• S.C. Cobbold, “Transducers for Biomedical Instruments”, Prentice Hall.
• Carr & Brown, Introduction to Biomedical Equipment Technology PearsonEdn, Asia.
• Rao &Guha,”Principles of Medical Electronics & Biomedical Instrumentation”, University Press, India.
• R. S. Khandpur “Handbook of Bio-Medical Instrumentation”, 2nd Edition, Tata McGraw Hill.

7. Syllabus overview
Unit -1
Toxic effects of over exposure of metals – (Aluminum, antimony,
arsenic, beryllium, cadmium, chromium, cobalt, copper, iron, lead,
Manganese, Mercury, platinum, selenium, silver, thallium
.
Unit -2
Clinical biochemistry of cardiac bio markers, cardiac injury
biomarkers, renal insufficiency markers
Clinical biomarkers for diabetes insipidus, renal calculi laboratory
support for replace therapy

8. For any heavy metal toxicity the following
need to be addressed
1. Introduction/General
characteristic/properties of Heavy metal
2. Sources of heavy metal – Mode of intake
3. Patho physiological effects – mechanism
4. Toxic effects – signs and symptoms in the
person exposed
5. Lab Diagnosis of heavy metal exposed
person
6. Treatment
7. Preventive measures
1) Aluminum,
2) antimony,
3) arsenic,
4) beryllium,
5) cadmium,
6) chromium,
7) cobalt,
8) copper,
9) iron,
10) lead,
11) Manganese,
12) Mercury,
13) platinum,
14) selenium,
15) silver,
16) thallium

9. Iron poisoning

12. Iron
1.Intro/General
characteristics/
properties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

13. Iron
1.Intro/General
characteristics/
properties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

14. Iron
1.Intro/General
characteristics/
properties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

15. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

16. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

17. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

18. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

19. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

20. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

21. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

22. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in
the person
exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

23. Iron
1.Intro/General
characteristics/pro
perties of Heavy
metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis of
heavy metal
exposed person
7. Treatment
8. Preventive
measures

24. Iron
1.Intro/General
characteristics/pro
perties of Heavy
metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis of
heavy metal
exposed person
7. Treatment
8. Preventive
measures

25. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

26. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

27. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

28. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

29. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

30. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

31. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

32. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

33. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

34. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

35. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

36. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

37. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

38. Iron
1.Intro/General
characteristics/p
roperties of
Heavy metal
2. Sources of
heavy metal –
Mode of intake
3. Patho
physiological
effects –
mechanism
4. Toxic effects –
signs and
symptoms in the
person exposed
5. Complications
6. Lab Diagnosis
of heavy metal
exposed person
7. Treatment
8. Preventive
measures

39. Iron notes reference:
1. https://www.slideshare.net/drasimrana/iron-toxicity
2. https://www.slideshare.net/MohammedALZahrani29/iron-toxicity-
61259331
3. https://www.slideshare.net/Haris_Gujjar/iron-poisoning
4. https://www.slideshare.net/elham29/iron-poisoning-222956923
5. https://www.slideshare.net/SiddiquaParveen/presentation-on-iron-
poisoning
6. https://www.slideshare.net/wafierpnircs/acute-iron-toxicity
7. https://www.slideshare.net/IbrahimOsman5/iron-overload-78807088