|
Annual medical check examination sheet of Yusho patients |
| (1). Laboratory examination |
| Blood concentrations of PCB- and dioxin-related compounds |
| Total PCB, Peak 1, Peak 2, Peak 3, PCB pattern, CB ratio, Total PCQ, Dioxin-related compounds |
| Urinalysis (Protein, Sugar, Occult blood, Urobilinogen, pH) |
| Hematological examination |
| ESR (1-hour), ESR (2-hour), WBC, RBC, Hb, Ht, MCV, MCH, MCHC, PLT |
| Blood chemistry |
| T-Bil, D-Bil, GOT, GPT, TP, Alb, albumin/globulin(A/G) ratio, ZTT, TTT, ALP, LAP, γ-GTP, ChE, LDH, |
| CPK, TC, HDL-chol, TG, β-lip, BUN, Cre, Na, K, Ca, P, Amy, blood sugar level |
| Immunological examination (HBs antigen, α-fetoprotein) |
| (2). Interview and physical examination |
| Life history (Alcohol, Smoking) |
| Chief complaint |
| Past history(Before the incident, After the incident) |
| Subjective symptoms |
| General fatigue, Headache, Cough, Sputum, Abdominal pain, Diarrhea, Constipation |
| Numbness, Arthralgia, menstruation disorders |
| Physical examination |
| Body height, Body weight, Heart rate, Blood pressure, Nutrition, Heart sounds, Respiratory sounds, |
| Chest radiography, ECG, Abdominal ultrasonography, |
| Hepatomegaly, Splenomegaly, Edema, Lymphadenopathy, Tendon reflex, Sensory examination, |
| (3). Dermatological examination |
| Interview |
| Recent tendency to purulent skin eruptions, Recent recurrence of cystic lesions, |
| Past history of acneform eruptions, Past history of pigmentation, |
| Physical examination (severity and sites) |
| Black comedones, Acneform eruptions, Scar formation, Pigmentation, Nail deformity, |
| (4). Dental examination |
| Chief complaint |
| Toothache, Gingival bleeding, Pus discharge, Gingival swelling, Feeling of tooth extrusion, Pigmentation |
| Items for oral examination (No/Yes, site) |
| Gingivitis, Marginal periodontitis, Retarded eruptions of permanent teeth, |
| Tooth pigmentation, Odontogenesis imperfecta, Abnormal occlusion, Other findings, |
| Mucosal pigmentation (severity, site, *pattern, **color) |
| Upper gingivae, Lower gingivae, Rt. buccal mucosa, Lt. buccal mucosa, Palate, |
| Upper lip, Lower lip |
| Teeth radiograph (No/Yes) |
| *Selection items for pattern (Diffuse, Spotted, Band-like, Linear, Faint, Scattered) |
| **Selection items for color (Black, Brownish, Dark-brownish) |
| (5). Ophthalmological examination |
| Subjective symptoms (Abnormal discharge from the eyes) |
| Objective symptoms |
| Edema of the eyelid, Conjunctival pigmentation, Cysts of meibomian glands, |
| Cheesy secretion from meibomian glands, |
Kanagawa et al. Environmental Health 2008 7:47 doi:10.1186/1476-069X-7-47 |