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. 2025 Feb 14;11(4):e42696. doi: 10.1016/j.heliyon.2025.e42696

Table 2.

Clinical evaluating tools to diagnose and determine intoxication by THM.

Medical history and physical examination Ask about symptoms, occupational and other exposures, do a physical examination
Hematological and biochemical lab tests Finding abnormal biochemical and hematological indices related to THM toxicity
THM blood and serum test Measurement of THM level in whole blood or in serum
Complete blood count (CBC) Finding abnormal blood indices related to THM toxicity
U/A Urine evaluation for detection or quantification of THM
Hair, nail and saliva level of THM Tissue evaluation for detection or quantification of THM
Electrocardiogram ECG abnormalities may be observed hours to days after exposure
X-ray and CT scan imaging tests Provide data of occurrence and location of abnormalities related to THM toxicity