_Acute_Intoxication_Chlororganic_Substances_

_Acute_Intoxication_Chlororganic_Substances_

1. Acute Intoxication by Chlororganic Substances (Mild Form) Presented by: MITTAL PULKIT

2. Passport Part of the Patient Patient's Initials: A.B. Age: 40 years Gender: Male Occupation: Chemical Plant Worke r

3. Complaints of the Patient Primary Complaints: - Dizziness - Nausea - Mild headache - Fatigue - Slight skin irritation

4. Professional Anamnesis of the Disease Onset of Symptoms: - First noticed symptoms 2 months ago. - Symptoms worsened with exposure to chemicals at work. Connection with Profession: - Occurs during shifts involving chlororganic substances. - Symptoms intensified with prolonged exposure.

5. Professional Route Work History: - Began work at the chemical plant 10 years ago. - Direct exposure to chlororganic substances for 5 years. - Works 8-hour shifts, confined space, limited ventilation. - Handles organochlorines without adequate protective gear.

6. Anamnesis of Life General Health: - No significant medical history. - Non-smoker, occasional alcohol use. - No chronic diseases.

7. Objective Examination Key Findings: - Skin: Mild erythema, irritation on hands. - Neurological: Slight dizziness, balance unaffected. - Respiratory: Slight wheezing, mild irritation of mucous membranes. - Cardiovascular: Normal heart rate.

8. Previous Diagnosis Mild Intoxication by Chlororganic Substances Main Syndromes: - Mild neurotoxicity - Respiratory irritation - Cutaneous reactions

9. Laboratory and Instrumental Methods of Examination Tests Ordered: - Blood Tests: Slight increase in liver enzymes. - Urinalysis: Normal. - Lung Function Test: Slight reduction in peak flow. - Skin Patch Test: Positive for chlororganic chemicals.

10. Differential Diagnosis Considerations: - Occupational intoxication vs. non-occupational allergies. - Ruled out chemical dermatitis unrelated to work. - Excluded viral or bacterial respiratory illnesses.

11. Clinical Diagnosis Mild chlororganic substance intoxication with skin, respiratory, and mild neurotoxic symptoms. Diagnosis based on clinical symptoms, professional exposure, and laboratory confirmation.

12. Treatment of the Patient 1. Removal from exposure to chlororganic substances. 2. Medicinal Treatment: - Antihistamines: Cetirizine 10 mg once daily for skin irritation. - Bronchodilators: Salbutamol inhaler 2 puffs as needed for respiratory symptoms. - Skin creams: Hydrocortisone 1% applied twice daily for skin erythema. 3. Hydration and rest. 4. Follow-up in 1 week for re-evaluation.

13. Prophylaxis, Prognosis, and Work Capacity Prophylaxis: - Improve protective measures at work (ventilation, PPE). - Regular health screenings for workers exposed to chemicals. Prognosis: - Good with removal from exposure and proper treatment. Work Capacity: - Temporary incapacity for work until symptoms resolve.

14. Conclusion - Diagnosis: Mild intoxication by chlororganic substances. - Occupational hazards are a significant risk factor. - Preventive measures and early treatment can improve prognosis.