By Andrew Hoellein, Charles Griffith
The appropriate databank and toolset on your rotation FIRST publicity TO AMBULATORY medication complements your rotation with: A compelling profile of the perform of ambulatory medication simply the correct quantity of fabric in your 4-week clerkship o certain descriptions of approaches you'll discover and practice a spotlight on very important strategies you need to research - no longer memorization of proof How-to's for comparing the ambulatory sufferer The “Chief proceedings” commonly awarded in ambulatory departments “Don't omit Diagnoses” desk for every significant medical challenge Clinically correct element on circumstances you can see studying goals before everything of every bankruptcy
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Occupational and Environmental Lung Disease Occupational lung disease is one of the 10 leading causes of work-related health problems in the United States. Many acute and chronic pulmonary diseases are directly related to the inhalation of organic and inorganic dusts, irritant vapors and gases, and toxic fumes. These disorders can cause obstructive airway disease, interstitial lung disease, and lung cancer. OCCUPATIONAL ASTHMA Health care providers should suspect occupational etiologies in any working adult who develops new-onset asthma or chronic obstructive pulmonary disease (COPD).
Often the exact nature of the substances involved cannot be determined. However, many potential pulmonary carcinogens have been identiﬁed including asbestos, arsenic, radon gas, iron, chromium, nickel, coal tar fumes, talc, petroleum oil mists, and printing ink. In addition, cigarette smoking increases the risk of developing lung cancer with CHAPTER 3 / OCCUPATIONAL AND ENVIRONMENTAL HEALTH 21 these potential carcinogens, especially with asbestos and radon gas. Almost all histologic types of lung cancer have been associated with these agents.
In addition, both medical and psychosocial issues appear to be involved in workers with chronic low back pain and upper extremity overuse syndromes. The personality of the individual and their relationship to coworkers and management are important issues. Psychosocial factors such as the worker’s perceived lack of job control and fear of layoff, monotony and job dissatisfaction, unsatisfactory employee rating by a supervisor, dissatisfaction with coworkers or bosses, poor coping strategies, divorce, low income, less education, and low compensation beneﬁts have all been associated with persistence of work disability.