SANDBLASTING OF JEANS AND SILICOSIS
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Transcript of SANDBLASTING OF JEANS AND SILICOSIS
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SANDBLASTING OF SANDBLASTING OF JEANS AND SILICOSISJEANS AND SILICOSIS
Serdar Onat Serdar Onat **Refik ÜlküRefik Ülkü** Alper Avcı Alper Avcı** Cemal ÖzçelikCemal Özçelik**
**Department Of Thoracic Surgery, Dicle Department Of Thoracic Surgery, Dicle University Faculty Of Medicine, University Faculty Of Medicine,
Diyarbakır,TurkeyDiyarbakır,Turkey
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• A 23 –yr- old man was admitted to A 23 –yr- old man was admitted to Thoracic Surgery Department for Thoracic Surgery Department for mediastinoscopy.mediastinoscopy.
• He had dyspnea and weaknessHe had dyspnea and weakness
• His fingers were cyanosisHis fingers were cyanosis
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• He had worked between 2001-2003 He had worked between 2001-2003 in different two workplaces of in different two workplaces of sandblasting of jeanssandblasting of jeans
• He had worked in İstanbulHe had worked in İstanbul
• There was no caution or measureThere was no caution or measure
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• There was no doctor in workplaceThere was no doctor in workplace
• A young man had been lost who had A young man had been lost who had worked in same place from same worked in same place from same village, because of respiratory village, because of respiratory insufficiency.insufficiency.
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• TA: 100/ 70 mm/Hg Pulse: TA: 100/ 70 mm/Hg Pulse: 106/minute 106/minute
• Fewer:37 CFewer:37 C
• Hbg: 10.6, WBC:8.67 Hbg: 10.6, WBC:8.67
• Arterial blood gas values: (Fio2:%21):Arterial blood gas values: (Fio2:%21):
• So2:82 PO2: 54 Co2:38 pH :7.41So2:82 PO2: 54 Co2:38 pH :7.41
• PFT:FEV1:(1.95)%54, FVC: (1.95)%45PFT:FEV1:(1.95)%54, FVC: (1.95)%45
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• He had misdiagnosed as Reynoud He had misdiagnosed as Reynoud and calcium channel blockers had and calcium channel blockers had been givenbeen given
• Tuberculosis treatment had been Tuberculosis treatment had been given without any bacteriologic proofgiven without any bacteriologic proof
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P-A:Bilateral reticulonodular infiltratesP-A:Bilateral reticulonodular infiltrates
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CT:Paratracheal,hiler, CT:Paratracheal,hiler, subcarinal lymphadenopathysubcarinal lymphadenopathy
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İntense micronodulesİntense micronodules
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MEDİASTİNOSCOPY:Collection of MEDİASTİNOSCOPY:Collection of Intense pigment, mikst reactive Intense pigment, mikst reactive hyperplasiahyperplasia
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VATS:Alveolar thickened and hemorrhageVATS:Alveolar thickened and hemorrhage
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• Profikaksi of İNH was given.Profikaksi of İNH was given.
• Stopped smokingStopped smoking
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THANK YOU FOR YOUR THANK YOU FOR YOUR ATTENTİONATTENTİON