The evaluation of lead poisoning begins with a history and physical examination.

Physical findings in someone with severe lead poisoning may include:

• Abdominal tenderness
• Darkened areas of the gums
• Muscle weakness
• Pale skin
• Weakness and fatigue
• Confusion
• Coma

Testing is necessary to confirm the diagnosis of lead poisoning.

Tests that may be used to evaluate lead poisoning include:

• Blood lead levels:
• The best test for chronic poisoning
• Abdominal x-rays:
• May show lead particles in after ingestion
• Bone x-rays: