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C: Case Studies in Environmental Medicine
Pages 121-138

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From page 121...
... Creative teachers and students, however, may find these case studies helpful in other educational settings and courses/clerkships as well. Index 3 presents the case studies in terms of sentinel pathophysiological conditions, and Index 4 presents the case studies according to common clinical signs, symptoms, and presenting complaints.
From page 122...
... Toxicity 14 Glyco! Forrnalin Formalin Asthma in Hospital Staff 15 Gasoline Gasoline Toxicity 16 Hantavirus Hantavirus Pulmonary Syndrome: A Clinical 17 Description of ~ 7 Patients with a Newly Recognized Disease Lead L'eadt Poisoning from Mobilization of Bone Stores IS During Thyrotoxicosis Lead Toxicity 19 LegionelIa Legionnaires ' Disease: Description of an 20 Epidemic of Pneumonia
From page 123...
... Zamine Mercury Toxicity 22 Methanol Methanol Toxicity 23 Methylene Chloride Methylene Chloride Toxicity 24 Paint Remover Hazard 25 Nitrates/Nitrites Fatal Outcome of Methemogiobinemia in an 26 Infant Nitrate/Nitrite Toxicity 27 Nitrogen Dioxide An Outbreak of Nitrogen Dioxide-Induced 28 Respiratory oiliness Among Ice Hockey Players PentachIoropheno] Pentachiorophenol Toxicity 29 Pesticides Aldicarb Poisoning: A Case Report with 30 Prolonged Cholinesterase Inhibition and Improvement After PraZidoxime Therapy Cholinesterase-Inhibiting Pesticide Toxicity Infertility in Male Pesticide Workers Pesticide Food Poisoning from Contaminated Watermelons in California, 1985 Poisoning of an Urban Family Due to Misapplication of Household Organophosphate and Carbamate Pesticides 31 32 33 34 Polynuclear Aromatic Polynuclear Aromatic Hydrocarbon (PAHJ 35 Hydrocarbon (PAM)
From page 124...
... Chloride Toxicity 47 Case Study Condition Case Study Title No. Carpel Tunnel Work-ReZated Disorders of the Neck and Upper 48 Syndrome Extremity Dermatitis Contact Dermatitis in Surgeons from 49 Methy~methacrylate Bone Cement Skin Lesions and Environmental Exposures: Rash Decisions 50 Hearing Loss Acoustic Trauma Caused by the Telephone: A 51 Report of Two Cases Behavioral and Audiologic Manifestations of Noise-Induced Hearing Loss 52
From page 125...
... APPENDIX C INDEX 1: Continued 125 Condition Case Study Title Case Study No. Reproductive and Developmental Effects Respiratory Conditions Reproductive and Developmental Hazards See also Lead, Pesticides, and Radiation Childhood Asthma and Indoor Environmental Risk Factors Populations at Risk From Particulate Air Pollution United States, 1992 See also Chlorine Gas, Formalin, Hantavirus LegionelIa, Soybean Dust, and Toluene Diisocyanate 53 18, 19, 32, 37 54 55 10, 15, 17, 20, 40, 43 Appendix C continues
From page 126...
... 126 CASE STUDIES IN ENVIRONMENTAL MEDICINE INDEX 2: Selected Case Studies Related to Common Medical School Courses and Clerkships/Clin~cal Rotations Selected Courses Selected Case Studies Biochemistry and Physiology Community Medicine/Public Health Epidemiology and Biostatistics Genetics Introduction to Clinical Medicine Microbiology Neuroscience Nutrition Pathology Pharmacology 7, 12, 18, 19,24,25,26,27,29,35,36 17,20,30,31,32,33,34,38,39,40,54,55 17,20,31,32,33,38,39,40,54,55 29, 37, 38 See Appendix A 17, 20 1,2,8,9, 18, 19, 21,22,23,24, 30, 31, 33, 34, 41, 42, 45, 48 2,6, 18,33 3, 4, 8, 37, 38 4,7,8, 12, 16, 18, 19,26,27,28,30, 31, 33, 34 Selected Clerkships/Clin~cal Rotations Selected Case Studies Cardiovascular Medicine Dermatology Emergency Medicine Endocrinology Family Medicine Gastrointestinal Disease Hematology/Oncology Infectious Disease Internal Medicinea 7, 12, 19,23,24,25,26,27,29,30, 31, 33, 34 1,2, 11, 13,21,22,29,36,49,50 2, 7, 10, 12, 30, 31, 33, 34 18, 32 1, 2, 3, 4, 5, 8, 11, 13, 14, 15, 17, 18, 19, 20,21,22,24,26,27,28,30,31,32,33,34, 42, 43, 48, 54 8, 11, 18,27,30,31,33,34,36,47 3, 4, 11, 13, 18, 19, 26, 35, 37, 38, 39, 46, 47 17, 20 1,2,4,8, 11, 14, 15, 17, 18,20,24,30, 31,32,33,34,42,43,48
From page 127...
... Additional information on curriculum content in pediatrics can be found in the Children's Environmental Health Network manual entitled Kids aM Be Environment: Toxic Hazards—A Course on Pediatric Environmental Health. For more information, contact the California Public Health Foundation, Rod Armstrong, The Children's Environmental Health Network, 5900 Hollis Street, Suite E, Eme~yville, CA 94608, Telephone (510)
From page 128...
... Chloride 47 Lung Cancer Asbestos 3 Lung Cancer Polynuclear Aromatic 35 Hydrocarbon (PAM) Lung Cancer Radon 39
From page 129...
... Dysarthria Mercury 21 Encephalopathy Trimethyltin 45 Headache Carbon Tetrachloride Headache Methanol 23 Headache Methylene 24 Chloride Headache Tetrachloroethylene 41 Headache Toluene 42 Hearing Loss Lead 19 Hyperactive Lead 19 Peripheral Arsenic I, 2 Neuropathy Tremor Mercury 21 Appendix C continues
From page 130...
... RENAL Acute Renal Carbon TetrachIoride Failure Acute Renal Ethylene/Propylene 14 Failure Glyco! Acute Renal Methanol 23 Failure Chronic Renal Cadmium 6 Failure Chronic Renal Mercury 2l, 22 Failure Chronic Renal Lead IS, 19 Failure REPRODUCTIVE AND ~ DEVELOPMENTAL Birth Defects Various 53 Birth Defects Mercury 22 Birth Defects Radiation 37 Developmental Polychiorinated Bipheny!
From page 131...
... 1992. Sentinel pathophysiologic conditions: An adjunct to teaching occupational and environmental disease recognition and history-taking.
From page 132...
... Chloride 47 ATAXIA Mercury 21 Methanol 23 BIRTH DEFECTS Reproductive and 53 Developmental Hazards I, I , 1-TrichIoroethane 44 BRADYCARDIA Pesticides 30, 31, 33, 34 CHEST PAIN Asbestos 3
From page 133...
... 43 CONFUSION Carbon Tetrachloride 8 Gasoline 16 Lead Methylene Chloride COUGH 18, 19 24 Pesticides Beryllium Hantavirus Indoor Environment LegionelIa Nitrogen Dioxide Radon Toluene 30, 31, 33, 34 s 17 54 20 28 39 42 CYANOSIS Nitrates 27 DELIRIUM Arsenic 1, 2 Chromium 11 Dioxin Gasoline Mercury Methy~methacrylate Trimethy~tin 13 16 21, 22 49 45 DIFFICULTY CONCENTRATING Lead 18 Tetrachloroethylene (TCE) 41 Appendix C continues
From page 134...
... 29 Pesticides Polynuclear Aromatic Hydrocarbon (PAM) Toluene 30, 31, 33, 34 35 42 Toluene Diisocyanate (TDI)
From page 135...
... APPENDIX C INDEX 4: Continued 135 Clinical signs, Symptom, and Agent or Exposure Selected Case Presenting Conditions Discussed Studies FATIGUE Pesticides 30, 31, 33, 34 Vinyl Chloride 47 FEVER Hantavirus 17 Legionella 20 Pentachioropheno} 29 HEADACHE Arsenic 2 Carbon Tetrachioride ~ ChIordane 9 Gasoline Methanol Methylene Chloride Nitrogen Dioxide Pesticides Tetrachioroethylene (TCE) Toluene 16 23 24 28 30, 31, 33, 34 41 42 HEARING LOSS I-ead 19 Occupational Noise 51, 52 HEMOPTYSIS Nitrogen Dioxide 28 HEPATITIS Carbon Tetrachioride Chromium 11 Polychlorinated 36 Bipheny!
From page 136...
... 41 LACRIMATION Pesticides 30, 31, 33, 34 LOW BACK PAIN Cadmium 6 MUSCLE TWITCHING Arsenic 2 Pesticides 30, 31, 33, 34 MYALGIA Cadmium 6 Lead 18 NASAL IRRITATION WITH Chromium 11 RHINORRHEA NAUSEA Carbon TetrachIoride ~ ChIordane 9 Methanol Pesticides 23 30, 31, 33, 34 PERIPHERAL NEUROPATHY Arsenic 1, 2 Repetitive Motion 48 PROTEINURIA Cadmium 6 Carbon Tetrachioride ~ Chromium 11
From page 137...
... SEIZURES Arsenic 2 Pesticides 30, 3l, 33, 34 Trimethy~tin 45 TACHYCARDIA Cyanide 12 Hantavirus 17 Methanol 23 Methylene Chloride 24 Nitrates Pentachioropheno! 26, 27 29 TACHYPNEA Cyanide 12 Ethylene/Propylene Glycol 14 Hantavirus 17 Nitrates 26, 27 Appendix C continues
From page 138...
... Radon Vinyl Chloride 11 29 35 38, 39 47 WHEEZING Formalin 15 Indoor Environment Pesticides Soybean Dust 54 30, 31, 33, 34 40 Toluene Diisocyanate (TDI)


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