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Occupational History Taking and Physical Examinations

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... Chronic Bronchitis Asthma Farmers lung (Hypersensitivity pneumonitis) Silo Fillers disease Skin diseases Dermatitis: - ACD, ICD - Due to: Sunlight, ... – PowerPoint PPT presentation

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Title: Occupational History Taking and Physical Examinations


1
Occupational History Taking and Physical
Examinations
  • A. H. Mehrparvar
  • Yazd University of medical sciences

2
Occupational History
  • Present job
  • Previous jobs
  • Duration of employment
  • Occupational exposures
  • Specific tasks
  • Non-occupational exposures
  • Personal factors

3
Occupational Examinations
  • Pre-placement
  • Fitness for work
  • Periodic
  • Return to work
  • Exit
  • Specific

4
Agricultural WorkOccupational Diseases
5
Introduction
  • Agricultural work seems a safe and healthy job
  • - weather
  • - less pollution
  • High incidence of morbidity and mortality
  • One of the most hazardous jobs

6
Introduction
  • A unique industry
  • - Workers in all ages
  • - Constant, seasonal and migrant
    workers
  • - Farm as worksite and home
  • - Working extra times

7
Occupational hazards
  • Physical
  • Chemical
  • Biologic
  • Ergonomic
  • Accidents

8
Physical hazards
  • Heat
  • - Heat stroke
  • Sunlight (UV)
  • - Dermatitis
  • - Cancer
  • Noise (equipment, Vehicles)

9
Chemical hazards
  • Pesticides
  • - Organophosphates
  • - Carbamates
  • - Organochlorines
  • Fertilizers
  • Nitrogen oxides

10
Biologic hazards
  • Infectious diseases (Zoonosis)
  • - Brucelosis
  • - Leptospirosis
  • - Anthrax
  • - Toxoplasmosis

11
Ergonomic hazards
  • Lifting
  • Bending and twisting of trunk
  • Repetitive work by hands (e.g. picking)
  • Awkward postures (Kneeling, Squatting, Overhead
    work, )

12
Accidents
  • A high frequency of accidents
  • - minor trauma (laceration, )
  • - Major trauma

13
Special diseases
  • Trauma
  • Respiratory diseases
  • Skin diseases
  • Cancers
  • Infections
  • Musculoskeletal diseases

14
Trauma
  • Equipments
  • Falling objects
  • Vehicles
  • Falling
  • Drowning
  • Animals

15
Respiratory diseases
  • Organic dust toxic syndrome (ODTS)
  • Chronic Bronchitis
  • Asthma
  • Farmers lung (Hypersensitivity pneumonitis)
  • Silo Fillers disease

16
Skin diseases
  • Dermatitis
  • - ACD, ICD
  • - Due to Sunlight, Pesticides, Corps,
    livestock, As
  • Cancers

17
Cancers
  • Causes
  • - UV
  • - Chemicals (pesticides, )
  • Types
  • - Skin (SCC, BCC, Melanoma)
  • - Lymphatic
  • - Hematopoietic
  • - Stomach, Brain, Prostate

18
MSDs
  • Low back pain
  • Repetitive strain injuries

19
Physical examination
  • Respiratory system
  • Musculoskeletal system
  • Skin
  • Nervous system

20
Carpet WeaversOccupational diseases
21
Introduction
  • A unique industry
  • - Workers in all ages
  • - Constant, seasonal and migrant
    workers
  • - Same worksite and home
  • - Working extra times

22
Occupational hazards
  • Chemical (organic dust)
  • Biologic (infectious agents)
  • Ergonomic (prolonged sitting, static work,
    awkward posture)

23
Specific diseases
  • Pulmonary (asthma, ODTS, )
  • Infectious (anthrax)
  • Skin (dermatitis)

24
Examinations
  • Musculoskeletal system
  • Eye
  • Skin
  • Respiratory system
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