A study of chronic mercurialism in the hatters' fur-cutting industry / From the Division of Industrial Hygiene, Senior Surgeon R.R. Sayers, medical officer in charge. Medical studies by: Paul A. Neal, P.A. surgeon, Roy R. Jones, P.A. surgeon. Engineering studies by: J.J. Bloomfield, P.A. sanitary engineer, J.M. Dallaville, P.A. sanitary engineer. Statistical analysis by: Thomas I. Edwards, technical editor. Prepared by direction of the Surgeon General.

  • United States. Public Health Service.
Date:
1937
Catalogue details

Licence: Public Domain Mark

Credit: A study of chronic mercurialism in the hatters' fur-cutting industry / From the Division of Industrial Hygiene, Senior Surgeon R.R. Sayers, medical officer in charge. Medical studies by: Paul A. Neal, P.A. surgeon, Roy R. Jones, P.A. surgeon. Engineering studies by: J.J. Bloomfield, P.A. sanitary engineer, J.M. Dallaville, P.A. sanitary engineer. Statistical analysis by: Thomas I. Edwards, technical editor. Prepared by direction of the Surgeon General. Source: Wellcome Collection.

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    PAST MEDICAL HISTORY During the physical examination each person was asked whether or not he had ever had certain diseases or defects which other investigators have reported to be associated with chronic mercurialism. As far as Physical Examination Blushes easily; General Appearance: Trem bles. Height 64% ins. Present wt. 135 Usual (YO . Scleral Vessels Eyes: Conjunctiva injected Pulillary react. RNorm.[, NemMisc. R Normal Vision R -204;,L ROfso Tremor of Lids, RNemLNermSigns, L Nermal Cerumen accumulation Ears: Est. canal R ~ L a Drum membranes R L Not visible Hearing, (whispered voice), R ~2Y,, L ~20/, = Nose: Mucus Mem.Norm. perforated Sept.No Sept. dev. Re. No Le No Mouthbreather No Throat: Tonsils ~tesent-Norm.Diseased RNeL No Tongue No tremor Gums: Inflam. Ne Mercury line Blue line on gin ival mergins Mucus mem. mouth Discoloration No Inflam~ No Teeth: O, indicates absent., X, decayed (U) 8-7-6-5-4-3-2-1--1-2-3-4-5-6-7-8 ve yrepaired., —, black (L), 8-7-6-5-4-3-2€1—) 2-3-4-5-6D-8 Glands: Thyroid Net palpable Parotids Normal Of neck Cervical Normal Sub-ling. Normal Sub-max. Normal Epitroch Normal Axillary Normal Inguinal Normal Blood Pressure: Syst. 126 Diast.%O Pulse press 36 Trembles so much it is difficult to take pulse Pulse: Quality Norm. Before exer. <4 After exer. After 2 min. rest ; i Not excercise because of tremor Respiration: Before exer. '€ after exer. After 2 min. rest Chest: : Head shakes when standing in Rhomberg inspection Normal position. Unable to light ctparette because of tremor of hends. Lips tremble when é he attempts to Inght cigarette but do not Bepeneetee 7. Seceel tremble when no attempt is made to Auscultation Normat light it, Unable to pick 1 savette from floor due to tremor. Trembles more when aoe Normal he laughs or is annoyed, ov when a stranger Churse) approaches, Palpation Norma! Abdomen: Normal Extremities: Severe intention tremor of fingers, forearms, and arms, Skins: Large scar on scalp from lacerated wound , We oars ago. Nervous Reactions: ? : ~~ Psychogenic Timid to pommt, of Wincing. Extremely apprehensive ; is @asily angered and ead depressed, Vegetative Blushes dee ] 3 ers pives f ree | Moderate bilateral cyxag fedation Peripherals Knee jerks R L nhowtse Tremor A Speech Hesifancy 5 blurring of words g Normal Paralysis No, Remarks: tremor. Signature Could not write because of 5 Examined by R. R. J. and PA. N. FIGURE 26. past medical history is concerned there was little to distinguish these fur cutters from other industrial workers. Although stomatitis has fre- quently been observed and reported by physicians who have made physi- cal examinations on hatters and hatters’ fur cutters, only five persons were found who were able to recall attacks of ulcerative inflammation of the mouth, and none of these five was in the mercury-affected group.