Module 3: Health and Safety - IAFF

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IAFF Training for Hazardous Materials: Technician© Student Text 18. Musculoskeletal The range of spine motion, leg alignment, and feet are evaluated. If there is evidence of arthritis or scoliosis (spine curvature), an evaluation of each joint may be done. 19. Neurological Exam The mental status, cranial nerves, motor system, sensory system, and reflexes are examined. Many parts of the neurological examination may be incorporated into other parts of the physical examination. You may expect to stick out your tongue, shrug your shoulder, demonstrate eyehand coordination, walk on your toes, or walk the line. A more detailed exam will be done, if there is any question or abnormality. 20. Flexible Sigmoidoscopic Exam In the proctoscopic examination, your doctor looks into the lower rectum and colon area with a flexible scope. This can detect ulcers, hemorrhoids, and silent cancer of the lower colon, which is common in men and women over the age of 40. This examination is uncomfortable and not too popular, but is very effective in detecting cancer. 3-124 Module 3: Health and Safety
Student Text IAFF Training for Hazardous Materials: Technician© Laboratory and Other Medical Tests In addition to the physical examination, various medical tests will be completed as described below: 21. Audiometry The hearing test (in a testing booth) will check for any abnormal hearing losses, such as high-end frequency loss from nerve damage to the ear. In the testing booth, the hearing for each ear is measured from 125 to 8,000 Hz by air conduction (using earphones). Hearing loss is measured in decibels. Test results are run through some formulas and plotted on a graph. The results are explained by the doctor. 22. Urinalysis A urinalysis is a common test that gives evidence of kidney and other internal abnormalities. Urinalysis is usually routine and done with all periodic health examinations. The first part is the specific gravity, which is the ability of the kidneys to concentrate urine allowing the kidneys to hold water inside the body. The other part of the test is the microscopic examination of the urine, checking for white blood cells, which would be indicative of an infection in the urinary tract system, the bladder, or the kidneys. Under microscope, the urine is evaluated for crystals that would be indicative of gout or other abnormalities. The urinalysis can also show tumors or kidney stones. 23. Electrocardiogram The electrocardiogram checks the electrical activity of the heart. Numerous leads are placed on your body to measure the electrical activity from different planes. This test can show evidence or suspicion of abnormalities in the coronary arteries, and hardening or thickening of the heart muscle. In the treadmill stress test, a continuous electrocardiogram is taken. The treadmill stress test may show abnormalities of the heart that a resting EKG might not show. In fact, the treadmill stress test is normally done when the resting EKG test appears normal but you have been experiencing pain. With the EKG leads in place, you walk on a treadmill at a set speed and incline. Normally no EKG change is observed other than a heart rate increase. But if the extra physical activity cuts down the amount of oxygen reaching the heart muscle, it may show up on the EKG. If this occurs, the treadmill stress is stopped immediately and your heart will be evaluated for clogged arteries, etc. through additional specialized tests. These additional specialized tests are not part of your routine medical exam at the Health Center but rather referred to your primary care physician. Module 3: Health and Safety 3-125
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Module 3: Health and Safety - IAFF

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