An electronics worker identified at health surveillance at work
A fifty year old lady was referred by her occupational physician because of
declining lung function found on routine works surveillance. She worked as a
solderer of printed circuit boards doing repair work by hand, latterly
inspecting the results of others repair work. She had a history of asthma
starting at the age of 20 or 21 when working for a different company as a hand
solderer. The letter from her occupational lung physician gives the following
lung function.
|
Predicted |
Observed |
% Predicted |
FEV1 |
2.06 |
1.84 |
89 |
FVC |
2.43 |
2.88 |
118 |
FEV1/FVC |
80% |
64% |
|
You take a history of disability and find if she has occasional wheezing
evoked by: paint fumes; being upset; respiratory infections; cold air and fog.
She isn't waking up short of breath at night, but has had 3 weeks off work in
the last year with exacerbations of her asthma. Her inhaler technique is good
and she is taking Becloforte 500 mcg twice daily, Salbutamol 200 mcg as required
and she has had 4 courses of Prednisolone in the last year. She also takes
Amlodipine 5 mg daily for hypertension.
Her occupational physician wants to know whether she is to continue her work
with either direct or indirect exposure to soldering fumes. Click the links
below to view further information and tests. You will sometimes be asked a
question about the information which you may leave blank if you desire. Any
answer you do give will be available to others. Upon answering the question you
will see answers entered by others and the opinion of this website. None of
these are necessarily correct. Once you have looked at all the information you
want please fill in the question at the bottom of the page.
Please answer the following question(s). Any answer you give will be available to others. Upon submitting your answers you will see others' replies and the opinion of this website. None of these are necessarily correct.
Why is the patients lung function below predicted, and can she return to work with either direct or indirect exposure to soldering fumes?
Please
Log in / Register to add your opinions.
View Opinions
In working through this case history you will already have seen the opinions of this website and of other users. To look at these again or to review them again at a later date use the link below. The types of test requested by others are also shown.
View opinions and requested tests.