Presentation
History
Clinicians should attempt to elicit an accurate history to involve the setting of exposure. This may occur as an occupational exposure, as an intentional and unintentional industrial release, or as a terrorist attack.
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Physical
Physical manifestations depend on the route of exposure.
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Skin - Evidence of chemical burns or dermatitis manifested by red, cracked, irritated, or bluish skin
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Eyes - Pain, redness, and tearing
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Respiratory - Coughing, labored breathing, rales, and rhonchi
In the large-scale exposure that occurred in Kern County, California, exposed persons reported the following signs and symptoms [4] :
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Eye pain, burning, or lacrimation (in 99% of cases)
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Respiratory symptoms, including cough, dyspnea, or upper respiratory irritation (51%)
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Gastrointestinal complaints such as nausea, vomiting, abdominal pain, or diarrhea (47%)
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Headache (25%)
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Media Gallery
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Chemical structure of chloropicrin.
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Level A suit (DuPont Tychem 10,000).
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