Document YGVK8goarr9roXVQZ9G69759k

^Uv-. // i LEAD POISONING A. Diagnosis of Lead Poisoning 1. significant exposure to lead compounds by Inhalation, ingestion, or skin contact (fat soluble liquid compounds) Whether from knowledge of environmental conditions or inferred from, history of employment Type of information that justifies such inference Assumption not justifiable 2. Clinical picture compatible with known effects of lead absorption - tissues and organs involved (a) Subjective vs objective (b) Clinical types 1) Gastro-enteric 2) Neuro-muscular 13) Encephalopathic 4) Mixed types 5) Bizarre effects and their interpretation (c) Onset, course, and result 3. Laboratory results, concerned primarily with evaluation of the exposure (a) X-Ray evidences of lead absorption (b) Hematologic evidence of lead absorption (c) Analytical evidences of bad absorption 1) Lead in feces 2) Lead in cerebro-spinal fluid 1B. Prevention of Lead Poisoning *C%\27 1. Limitation3o) fLeleaaddinexbploosoudre by engineering means 4) Lead in urine 2. Limitation5o) fLeleaaddinextpisosuureesby controlling duration of exposure 3* Limitation of lead exposure by personal hygiene (a) Instruction of workmen (b) Regulation of workmen \_ * r- , . f ' . ,v (c) Supervision of worlpen 1S9796 K 00 OS 2 Limitation of worst effects of toxic absorption (a) By elimination of diseased persons vita. increased susceptibility (b) By selection of mature sale workmen (c) By prevention of intercurrent disease, underautritlon and fatigue (a) By early recognition of incipient toxic effects C. Management and treatment of lead poisoning (a) During acute episode (b) During convalescent period {c) Subsequent disposition 00037&3'