Industrial medicine and surgery . reasts can be inspectedfor suspicious swellings and the girl questioned about these. Whenindicated the breasts should be thoroughly palpated—usually throughthe thin cape. While the nurse is standing over the girl she cancarefully inspect the hair and if signs of pediculosis are present 27 418 INDUSTRIAL MEDICINE AND SURGERY she will then thoroughly examine the employee. Many cases ofpediculosis have been discovered by this method. The doctor asks questions regarding abdominal and extremityconditions. If in the examination, history or the urinalysis showthe nee
Industrial medicine and surgery . reasts can be inspectedfor suspicious swellings and the girl questioned about these. Whenindicated the breasts should be thoroughly palpated—usually throughthe thin cape. While the nurse is standing over the girl she cancarefully inspect the hair and if signs of pediculosis are present 27 418 INDUSTRIAL MEDICINE AND SURGERY she will then thoroughly examine the employee. Many cases ofpediculosis have been discovered by this method. The doctor asks questions regarding abdominal and extremityconditions. If in the examination, history or the urinalysis showthe need of a more complete examination she is referred to the chiefnurse. In questionable cases the chief of staff is called into theexamining room at once for consultation. Many girls have an anemic appearance and these should always bereferred to the laboratory for a blood count. Those with bad teethare referred to the dentist. Defective vision cases are sent to the eyespecialist and proper glasses fitted or other corrections Fig. 58.—Examining a girl applicant for work. Note how cape covers the chest,also that nurse is present. In the routine examination room all that is needed is a stool forthe doctor, a piano stool for the girl being examined (this facilitatesher turning around quickly), a chair for the nurse, and a table bythe side of the doctor for his instruments, and for writing necessary appliances should be arranged close at hand for thedoctor, namely his stethoscope, wooden tongue depressors, which areused only once, the nasal speculum and the blood-pressure outfit. Many of these girls are found with conditions which need carefulstudy, or further examination. They are told to report for re-exami-nations and the time and type of examination needed is recorded ontheir cards. The record room keeps a tickler system on all suchcases and makes sure that they report. This same plan is used forthe men. When drugs are necessary to relieve symptoms or condit
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