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Clinical Case Study 3

Clinical Case Study in Occupational and Environmental Medicine 

A nurse with persistent cough and wheeze


[d]

    It turns out that two other nurses developed asthma whilst working in the endoscopy suite. 

The evidence for occupational asthma is beginning to mount. You might not be in a position to investigate the other nurses, but perhaps you should contact the occupational physician in the Occupational Health Service at your patient's workplace to see whether s/he is aware of the problem, to liaise with her/him to manage both your patient and the workplace and her colleagues.

A health surveillance strategy at the hospital should have begun to identify work-related symptoms.

What further investigations should you be carrying out on your patient?. What might you look for on physical examination?

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Acknowledgement:

The case description on which this educational resource is based is (c) copyright of the University of Manchester. It is temporarily housed on this website for technical and other reasons.