Document Ra5b8Dy9Z39znean72382mx6z

V Aget iti| vNovember 29# 1932 C.C* Lead Poisoning P.I. February 1952 started work on molten lead spraying operation which consisted of sty-acetylene torch through which was fed a lead wire under pressure so that the torch would project a spray of finely divided molten lead on objects to be coated. Viark was done in booth and patient ware a cons respirator the sponge of : which was changed twine daily* Great care wao exorcised in point j ' of cleanliness changes clothes and washed before eating or leaving work - did not cat or chew tobacco while at work. The booth 15x2x5 ft) was equipped with a fan which was in constant operation during tho working hours and was considered adequate for! air changing in booth. Such amounts of S O g a n d IECL(solderinrj as escaped into the air of the-' main room would be sucked out throu/j the main ventilating apparatus as well as through the patient's hood and 3 others which were in operatinn in this area* Enclosed area (mein room.) is situated in the corner of tho building and comprises an area of approximately 5$ ^ yO feat * On an average, once per week, escaping rps wan sufficiently concentrated to drive a 1.1 12 nen out of the area. ' Patient worked under these conditions for about 3 months till May 1932. Miring which vino his health gradually became poor. A sweetish metallic taste was constant after tho first week of work and has persisted to date - somewhat better last "-tonthor two. After $-lj. weeks there began nervousness with restless sleep - frequent waking - ' following involuntary jerking movements of sraa and legs during sleep - no bad dfsicss -- po insomnia. At times dccing &hy wro'olcl have to stop operation because of tremors and shaking involving entire muscular apparatus - no chill - ' May 1952 * after bad spoil of trembling - went to hospital where he was told he had a foyer and. was sent hejme where ho remained in bed for If days - returned to.work - worked l/2 <lftj - went home * ntoyed one week. Taken off operation and pu\; on tenting operation (no exposure) About 2 weeks work ih 2 months'. Has had no work since July 1932* Since July hr-3 had no improvement - taste in mouth persists - has periods of lassitude end nervousness - has generalized tremors* Appetite has been good - eats little lunch - no constipation at any time - occasional headaches. Ho unusual indigestion - no cramps or colic* Weakness and taste in mouth have been principal annoyances to. date. Mouth felt very dry for first few months - at.present has salivation especially noticeable on going cut into air. Ho cough - no chills - no fever- (usual T.98 .5-0 ) Weight loss 8-9 lbs last 9 months* . I. II* School till 21, Salesman 18 years (oxy-acetylene welding apparatus) Frigidaire past 5 years* Welder 9 months - foreman welder 3 years Silver soldered 2 months - fchep on present operation, Pb, H. Only on present spray operation. No Kg exposure, F. K. Born Philadelphia - 2 years - Eupope till 1908 - U. S* A. sinceTraveled considerably as salesmen - never in Tropics* F* li. . Father died at 58 - d'p.befces. Mother died 80 years - 2 sisters. living and well* V.'ii'e living and well* .2 children lining and well Ko miscarriages. E. X, Influenza 1951 ** 2 weeks questi enable illness 1922 - bed X month C. B, Byspnoeo on exert?on past .) nor.the* 2 Attacks severe astiatici, at night April 19 52 * tJheosed most of nirht - whitish sputum. e 1 . Eemorrhoi&s syisptornisse. 0 * 1 . Negative . K..E* Occasional headaches ~ after nervous spells has cold sensation' in hands no nurabnecs * tingling or formication. Best weight I65 (19ll{.> ** lowest 158 (1951) - present ikt, Habits Averages' 8.9 hours sleep ~ no alcohol pact ? pears. Little tobacco. Cental Increased irritability - seesory recent events somewhat poor* Koticeable impairment eyesight past year*- Head Ears Eyes iose tioufch Keck Ches t ' PHYfZCAT, ' Dark ccssplexioned spare bui.lt wh.tte rvnn about h o ponrs old - not acutely 111. Anxious expression - alert - cooperative ~ judgment good. Tt 98.2 ?: 72 Hi 20 B,P* 121/80 negative . . negative RL m d . regular-, Eeflexes D.O.h, 0?.. convergence good. Staal' arraunt iaucoid discharge on left. 8 snags 3 bad. - 1 crown Gums good - no line. ' Tongue coated* Mucous membrane clear Tonsils very small - scarred - reddened - anterior pillars Injected, negative h ns.c0 Lt.9.0 -h Hi, ^|norma2. cosi tiors Et. ;i.p r . >-* 70 F.C.b. 2 ,9 X II.5 Some increased normal diffrence in percuss? or note two .sidee especially right apex anteriorly. Expansion not greatly impaired. Tactile fremitus normal - whispered vole and breath aouns normal Spoken t*oice increased right apex - Chest essentially negative. Heart tones clear regular - apex rate 70 . Fonction rood. Skin Belly Clear fchlr. - pale. Slight cutaneous e&eraa healthy otherwise, Bilrfcerol palmar e,caerate scaphold resp* excursions free. Muscle lax. There In an indefinite maos 2n H.L, C. 1?-area of diadem tender on deep palpation or forceful percussion. bodes at Ponpnrt log ere large as are inguinal nodes most marked on right where they are tender. \ Liver and spleen srofc palpable Left Kidney not palpable* Bodes Other than inguinal and lilac arc not palpable Reflexes Koraal +* K.K. +-$-*> - cuporficial normal - noderufo iayotuctic irrifcftoUlf-y. Sansor-Vaa aornai ueutu. Pelvis Large sae with impulse on right - rings lux Rectal .Several tags externalhemorrhoids - also few internal - Prostate large - fir:-: especially left lobe which with trie median is cuite tender. LABORATORY YBC - ve3l>G KBO ~ 5,290,000 8tin sling - 0 Eb- ~ 15 B.K, Dlff. Poly o2.t - L. 3 1 , 5 M and ?: 1- B e 5 Urine ~ Acid tl.K. - Alb. negative Sugar nog Stool IMPF-KiniOY 1 . Bo evidence Plujnbism 2. Dental caries and infection 5* Chronic tonsillitis h. Prostatitis 5 * Unexplained tumor in abdominal cavity. on Sample urine end faeces for lead Surgical consultaticn abdomen after B*K* Leital X-rf'7 certain extraction snags* G* Tiv .esaminati on ,, I: and r.;,, consult at Ion* Willard P. .fcaehle, P.D. K 0016932