Document Zn9LaR3XYqjkzn8pNV7GEDkZL

ationaX Lead Company <r s H i 001848a tr~vo On r-i .5 i./ Sources Material: Submitted! Required: Employees of National Lead Company, 2607 East Cumberland St., Philadelphia 25, Penn. Urine and Blood 5-26-52 by Dr. L. H. Hergesheimer, Plant Physician . Lead Analyses . Name ------------- fr--------------URINE BLOOD Analysis Number 52A-38U8 52A-3850 52A-3852 Volume Mg. Pb/ ml. Liter Analysis Number Spectrographic Weight Mg. Pb/ Grams 100 g. 82 0.17 52A-38k9 * 20.6 0.05 100 0-.23 ....52A-3851... l8.k 0.05 108 . 0.25 ... 52A-353 11.0 _ 0.07 52A-385k lli6 0.0k 52A-355 21.0 0.05 Dlthizone Weight Mg. Pb/ Grams 100 g. 21.5 18.8 13.3 0.06 0.07 0.09 21*9 0.05 Samples Collected: 5-21-52 Samples Received: 5-26-52 Samples Reported: 6-2-52 05 00 00 .--1 o o hj If, h o o v e r , he ixad not been working for a such longer time I.c.t for a y ; or sos^vhat more or less - hia exposure may have been Quita severe* Only on the basis of a knowledge of tlieou fncLi' con *bo ?*reasel result be interpreted* . rxriuiv v-h r/ cal data on each of the other men ha provided some evidence of unusual exposure to lead, the severity of which decicicec i.i chc order In which they are named. _____bean subjected recently to an hazardous type of exposure, as shown by the fact, that the concentration of lead in hia blood lir in the dengerotr? range a<?delated frequently with the ynptornatc-logy of lead poisoning* Hie urinary lead level is elevared but nit to quite a corresponding extent. This man should be removed from further significant exposure promptly and should not os returned tr. work involving further exposure until the lead levels have dropped to normal or near normal. has been subjected to exposure to lead, but at pretint lias not reached a dangerous level of lead absorption. Whether or not lie Is likely to reach a dangerous state in the near future car. be determined only by consideration of the detail? of his recent employment. He would not be expected to develop symptoms without further significant exposure. H H H H I H P gives no evidence of dangerous absorption of lead. The urinary lead concentration la elevated but little beyond the extreme upper notsuU limit (for a sample of this volume), while the blood lead concentration is at the upper normal level* 'Ihese results point to recent exposure, but the absorption up to the present has not exceeded the limits of safety. ilgnod: K E 00184S.0 Dr. L. H. Hergesheimer Plant Physician National Lead Company 2607 E. Cumberland Street Philadelphia 2 5, Pennsylvania Deal* Doctor Hergesheimer: I am sending you herewith, the result.3 on the blood and urine cf the following patients, together with an interpretation of the results and an invoice covering the cost of analysis: Very truly yours, E. R. Fortlage, Secretary to Dr. Kehoe ei Enc Kg 0018491 N19677.02 Physical Negative. Laboratory January 1952, hemoglobin 80%". April 1952 " 85$. 22 stippled cells in 30 fields, 50 " 30 Impression Chronic lead absorbtion. * , Treatment None Studies Desired Blood and urine lead leyels. 00184'2 N19677.03 Physical Negative. ' Laboratory April 1952, hemoglobin 75#. May 1952 '* 80^. ' 19 stippled cells in 30 fields. 49 ti 30 it Impression Chronic lead absorbtion. Treatment None. Studies Desired Blood and urine lead levels. K 0 0 1S 4 3 physical Negative except for hypertension. Blood pressure 172/100. Laboratory January 1952, hemoglobin & o % . March 1952 7 &% April 1952 it 22 stippled cells in 30 7 it it u 30 50 11 !! It 30 X-ray shows probable pneumoconiosis. Impression Chronic lead Ingestion. Treatment None Studies Desired Blood and urine lead levels. ^ 0018494 Physical Confused, mentally sluggish, B. P. 200/100. Enlarged heart. murmur. Enlarged liver. Neurological examination: Systolic mitral 1. Quantitative intellectual deficit with dulling. 2. A left hemiparesis, 3 . Harked hyperactivity of the tendon reflexes in both lower extremities and diminution of position sensation. 4. Slow measured gait with some unsteadiness on turning & mildly positive Rhom Laboratory berg Hemoglobin 8.4 gm. RBC 2.7 mill ion, "I3C 5,100. Bone marrow shows many stippled cells and over active granulocytes. Blood sugar 87, urea 70, CO2 45$, chlorides 594, protein 6, serum albumen 3 .2, serum globulin 2.8, blood cal cium 7, blood lead level 0.201 mgm. per 100 gm. of blood. Gastric analysis: Low total acid with no free HCL, x-ray of intestines, chest and skull, negative Impression 1. Chronic lead poisoning. ' 2. Nephritic, chronic, glomerular. 3. Hypertensive cardio-vascular disease. 4. Anemia, severe. Secondary to No. 1 and No. 2. Treatment Digitalis, Unicaps, feo'sol. Studies Desired Blood and urine lead levels. KB 0018435