Occupational History and Examination H.R.Sarreshtahdar, MD Occupational Medicine Specialist.
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Transcript of Occupational History and Examination H.R.Sarreshtahdar, MD Occupational Medicine Specialist.
![Page 1: Occupational History and Examination H.R.Sarreshtahdar, MD Occupational Medicine Specialist.](https://reader036.fdocuments.in/reader036/viewer/2022082613/5697c0151a28abf838ccdfd7/html5/thumbnails/1.jpg)
Occupational History Occupational History and Examinationand Examination
H.R.Sarreshtahdar, H.R.Sarreshtahdar, MDMD
Occupational Medicine Occupational Medicine SpecialistSpecialist
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Occupational history Most important tool for the diagnosis
of occupational illness
Symptoms
Exposure
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Occupational history Problems:
Time constraints for workers and physicians
Enormous range of known and potential toxic exposures
Important issues: All jobs held and approximate date
of employment Job title is not sufficient Significant changes in job duties Second job
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Occupational history Exposure history
Have you ever worked with or been exposed to any of the following substances?
Environmental historyWater source, heating source, pets, proximity to industries, hobbies
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Health in Relation To Work
Relationship between symptoms and
time of work shifts or specific
exposures.
Similar complaints among coworkers.
Compensation
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Patient Management
The diagnostic period
Formulation of treatment plans
Communication
Follow up
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Types of examinations Pre-placement examinations Medical screening and surveillance
examinations Return to work assessment Exit examinations Evaluation for specific occupational
exposures or diseases Fitness for work assessment
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Pre-placement examinations
Most common and least specific. Assess a candidate’s suitability for a job. Need detailed description of the essential
functions of the job. Do not easily exclude a worker from a job. Exclusion of the worker if he can not
perform only essential functions of the job.
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Surveillance examinations
(Periodic) Screening tests are tools for secondary
prevention In occupational medicine may be a tool
for primary prevention Target-organ or substance-specific More focused than pre-placement
examination Detect early disease Medical screening is not a substitute for
hazard control
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Return to work examinations
Assess individuals before returning to work after a period of absence from: Occupational causes Non-occupational causes
Assess fitness for work Need detailed information about job
requirements An interaction between physician, industrial
hygienist, ergonomist, and engineer to safely return the worker to the work.
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Exit examinations Structure and content similar to
periodic examinations Target-organ or substance specific The least common occupational
examinations Shows any adverse occupational
health effects before leaving the work
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Any question?