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Christopher R. Brigham
,
Stephen L. Demeter
, and
E. Ranolph Soo Hoo

that certain exposures, particularly tobacco, may contribute to other problems (eg, tobacco use increases the risk of musculoskeletal issues). The Agency for Toxic Substances and Disease Registry 1 provides an excellent and up-to-date summary of what should be included in conducting an appropriate exposure history (see Box 1 ). Box 1. What Should an Exposure History Be Composed of? An exposure history has three components: Exposure Survey Work History Environmental History The main aspects of an exposure history will be elicited through the

in AMA Guides® Newsletter

This is a current compilation of Web addresses on aspects of impairment and disability. As you browse the sites, be sure to bookmark your favorites. Many of these sites will have links to other addresses. Please let us know if you find other interesting sites. E-mail us at question@impairment.com . You may also connect to these sties via www.impairment.com/links.htm . Acute Low Back Problems in Adults: Assessment and Treatment www.vh.org/Providers/ClinGuide/BackPhysician/BackPhysician.html Agency for Toxic Substances and Disease

in AMA Guides® Newsletter
Christopher R. Brigham

dictionary www.medterms.com National Library of Medicine Medical literature resource www.nlm.nih.gov Physicians Online Information resources for physicians www.pol.com Virtual Hospital University of Iowa health information resource www.vh.org Search Medmatrix Free directory of selected medical sites www.medmatrix.org Toxicology Agency for Toxic Substances and Disease Registry Federal organization providing information on toxic agents and occupational disease www.atsdr.cdc.gov References 1

in AMA Guides® Newsletter
Mohammed I. Ranavaya

1. Ducatman AM . Multiple chemical sensitivity. In: Rom WN , ed. Environmental & Occupational Medicine . 3rd ed . Philadelphia : Lippincott-Raven ; 1998 . 2. Predecisional draft, Executive summary of inter agency report. A report on multiple chemical sensitivity . Agency for Toxic Substance and Disease Registry , Atlanta, Ga ; May 1999 . 3. Cullen , MR . The worker with multiple chemical sensitivities: An overview. Occu Med State Art Rev . 1987 ; 2 : 655 – 661 . 4. Sparks PJ , Daniell W , Black DW , Kipen HM

in AMA Guides® Newsletter
Christopher R. Brigham
and
Jenny Walker

://educwebilitymd/wf/wfdr-join.tcl Education CME Web http://wwwcmeweb.com Doctors Guide Medical Meetings http://wwwdocguide.com Education Resources Information Center http://wwwericed.gov Medical Conferences http://wwwmedicalconferences.com Physician's Guide to the Internet, Meetings and Conferences http://wwwphysiciansguide.com/meetings.html Governmental Agency for Toxic Substances and Disease Registry http://wwwatsdrcdc.gov Bureau of Labor Statistics http://statsbls.gov California Department of Industrial Relations http

in AMA Guides® Newsletter
Christopher R. Brigham
,
Steven Feinberg
, and
Waqas A. Buttar

for Toxic Substances and Disease Registry of the Centers for Disease Control and Prevention is a useful tool for this task. 8 The history needs to include a detailed exposure survey, work history (occupational profile and occupational exposure inventory), and environmental history. Pre-Existing Status Document pre-existing status, ie, whether the patient described being in good health without ongoing disability prior to some identified point in time or the patient had a pre-injury (or illness) history of pertinence. Also, describe any relevant history of

in AMA Guides® Newsletter