A 1-Year-Old Boy Is Brought to the Office for a Routine

A 1-year-old boy is brought to the office for a routine visit.  The patient recently transitioned from breast milk to whole milk and enjoys various table foods, including fruits, vegetables, and grains.  The family is vegetarian and adds protein to his diet through beans and nut butters.  He says 2 words, recently started walking, and often chews on his toys and books.  The family lives in a house built in the 1940s that has no chipping paint and has recently been renovated, except for the basement and bedrooms.  Height, weight, and head circumference are at the 50th percentile for age.  Physical examination is normal.  Capillary blood test results are as follows: Which of the following is the most appropriate next step in management of this patient?

A) Apply wallpaper to lead-based-paint walls
B) Initiate calcium disodium edetate (EDTA)
C) Initiate dimercaprol (British anti-Lewisite)
D) Initiate dimercaptosuccinic acid (succimer)
E) Measure venous lead level
F) Perform abdominal x-ray
G) Prescribe oral ferrous sulfate

Correct Answer:

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