The theme for our tutorials this week was occupation related diease. I must say that I found this one of the most interestingsubjects we have done. Thank you to Dr Cameron for suggesting the subject. Perhaps everyone could post a one-liner about their particular subject, and advice on a source to read more, in the comments section? The prize this week toAC. I especially like the JAMA. 2006;296:1401-1404. I had rather mixed feelings about the paper. The discussion about the structure of an apology was perhaps useful but I was was a little concerned that an intervention such as this should be presented in such a positive way without the rigour (ie evidence for usefulness) usually attached to medical interventions. A ‘food for thought’; paper without doubt.
Next week we will address some practical problems faced by house officers. So two minutes please, concise and precise, on:
The confused patient (VJ)
Discharge against medical advice (AC)
The violent patient (DK)
‘The obs are fine but he’s just not right doctor’ (SS)
The paper for read and think is Mistakes. Ruth Lesnewski. JAMA. 2006;296:1327-1328.
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Interesting topics
Neurological problems due to B12 deficiency
MJM
2 comments:
Occupations can lead to CNS disease through trauma, infections, primary CNS tumours and toxins. My talk concentrated on toxins such as heavy metals and solvents, which can cause acute or chronic CNS illness through various mechanisms. An exhaustive database of toxins and the jobs they are encountered in can be found at http://hazmap.nlm.nih.gov/
Most occupational skin disease is contact dermatitis. 80% is irritant and 20% allergic. The allergic is type IV but latex often produces type I and may produce anaphylaxis if in contact with mucus membranes.
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