Document 0rDRRwzEQx8L79R2LZbpgk2m

484 CAREY P. MC CORD HI. Marks from Work and Work Diseases Manifestly, occupational markings on the body are not the stigfg degeneration in the above sense. Almost equally manifest is the fact Ilf signs are directly acquired and are not congenital; yet this statement iff'? cisely true, since some occupational affections of one or both parents may s influence the offspring. Hence, some children may present stigmata of d> _ when one or the other of the parents has suffered from such affliction^ radium, or phosphorus poisoning. These and other materials constitute i ing and may, in fact, contribute to the degeneration of offspring. As under foregoing circumstances, work marks, as observed in thosb! of the body of an attired person that may be seen with the eye, may inyo external portion of the body, such as the skin and its appendages, the 'i'" nose, teeth, lips, limbs, and bones. Other signs may derive from pos mannerisms, of facial expressions. A number of more common ones such al challenge the attention of nonmedical persons are listed on pages 486-SI the purpose of differentiation between occupational and nonoccupationa tions, some nonoccupational affection signs are included. R, M. I.1'" "Recommended Medical Investigation." IV. Summary In cursory fashion, numerous signs of disease and near-disease statesfej or .indirectlyrelated. .to_..work,,are..presented Jn_.terms--designed-4ei^iioiini personnel.1 Never will any listing of occupational and disease'stign 'TM complete. New items continually are appearing. By iteration it is ob'seryg the objective here is to take notice of physical peculiarities that readily the curiosity of the layman and at times provoke apprehension des't?i he some state of communicability. Conversely, the point of view is not^llal physician making more nearly exact observations, interpretation;'ahif" diagnoses^ Most occupational dermatoses and callosities are far from chari of any one or few trades and thus are not revealing. However, a- cafl^^ example) that characteristically appears on just one or two fingers wouidljposS identifying values and thereby justify inclusion here. Always on the stri.king..as observable thraugh.-the..eyes-of-i.hp.Jayman^JlKgiw beentwofold^(l?). the^-hope -of piquing the interest of nonmediS medical matters;'and (2) the hope of bringing to the'attenti6n?ofSphTO larger numbers-of persons at workplaces genuinely in need of medical -uifi In a measure all of this material fits into the precepts ofcthHjcma' 1 For more extensive and technical medical data, reference is made to: Robertson, Diagnostic Signs, Reflexes and Syndromes. 2nd rev. ed., Davis, Pjiilaci W. M. Barton and W, M. Yater, Symptom Diagnosis. 4th ed., Appleton-Geiitiiryj 1942. F. Ronchese, Occupational Marks and Other Physical Signs, Grune ahfd ''^t York, 1948. VISIBLE MARKS OF OCCUPATIONAL DISEASES 485 |ll who wrote: "Nearly every handicraft writes its sign-manual on e scars of the miner differ from those of the quarryman. The arfosities are not those_ of the mason. . . . The soldier and sailor Accent helps you to district and, to an educated ear, almost to ith a woman, especially, the observant doctor can often tell what Sy she is going to talk about."