Identifying and managing adverse environmental health effects: 1. Taking an exposure history
Public concern and awareness are growing about adverse health effects of exposure to environmental contaminants. Frequently patients present to their physicians with questions or concerns about exposures to such substances as lead, air pollutants and pesticides. Most primary care physicians lack tra...
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| Veröffentlicht in: | Canadian Medical Association journal 2002-04, Vol.166 (8), p.1049-1055 |
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| container_title | Canadian Medical Association journal |
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| creator | Marshall, Lynn Weir, Erica Abelsohn, Alan Sanborn, Margaret D |
| description | Public concern and awareness are growing about adverse health effects of exposure to environmental contaminants. Frequently patients present to their physicians with questions or concerns about exposures to such substances as lead, air pollutants and pesticides. Most primary care physicians lack training in and knowledge of the clinical recognition, management and avoidance of such exposures. We have found that it can be helpful to use the CH2OPD2 mnemonic (Community, Home, Hobbies, Occupation, Personal habits, Diet and Drugs) as a tool to identify a patient's history of exposures to potentially toxic environmental contaminants. In this article we discuss why it is important to take a patient's environmental exposure history, when and how to take the history, and how to interpret the findings. Possible routes of exposure and common sources of potentially toxic biological, physical and chemical substances are identified. A case of sick-building syndrome is used to illustrate the use of the mnemonic. |
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We have found that it can be helpful to use the CH2OPD2 mnemonic (Community, Home, Hobbies, Occupation, Personal habits, Diet and Drugs) as a tool to identify a patient's history of exposures to potentially toxic environmental contaminants. In this article we discuss why it is important to take a patient's environmental exposure history, when and how to take the history, and how to interpret the findings. Possible routes of exposure and common sources of potentially toxic biological, physical and chemical substances are identified. 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Possible routes of exposure and common sources of potentially toxic biological, physical and chemical substances are identified. 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| ispartof | Canadian Medical Association journal, 2002-04, Vol.166 (8), p.1049-1055 |
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| source | Directory of Open Access Journals (DOAJ); MEDLINE; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Adult Canada Environmental Health Environmental Pollutants - adverse effects Female Headache - chemically induced Headache - therapy Humans Indoor air quality Male Medical diagnosis Medical History Taking - methods Occupational Exposure Physician patient relationships Review Sick Building Syndrome - diagnosis Sick Building Syndrome - physiopathology |
| title | Identifying and managing adverse environmental health effects: 1. Taking an exposure history |
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