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19 Cards in this Set
- Front
- Back
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Medical conditions that may be related to ionizing radiation exposure that are emphasized during the RME
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Aug 2001- Determine the existence of malignant and premalignant lesions.
Feb 2011- Establish whether or not cancer is present |
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Define Cancer
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Abnormal cells divide without control and aggressively migrate or are transported to other organs in the host
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Define Hematuria
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The presence of red blood cells or blood in the urine above specified laboratory vaules that persist upon repeat testing
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Tumor
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Abnormal mass of tissue that results when cells divide more than they should or do not die when they should
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Malignant
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Cancerous. Malignant tumors can invade and destroy nearby tissue and spread to other parts of the body
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Benign
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Not cancerous. May grow large, but do not spread to other parts of the body. They can cause damage and/ or death for the host.
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Hyperplasia
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Abnormal increase in the number of cells in an organ or tissue.
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Neoplasia
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Abnormal and uncontrolled cell growth that alters normal functions of host tissue, physiology, or function. May be benign or malignant
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Hematuria
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Presence of red blood cells or blood in the urine above specified lab values that persist upon repeat testing
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Anemia
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The body does not have enough healthy red blood cells
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Clinical Terminology
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Complete Blood Cell Count- CBC
White blood cell count- WBC Hematocrit- HCT, % of volume that is RBC Urinalysis-UA, only looking for RBC. Radiobioassay- amount of radionuclide material in the body. |
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Minimum components of RME
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-Medical History
-Physical Examination -Special Studies |
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Medical conditions that may be cause for rejection/ disqualification
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-Hx of cancer or cancer therapy
-Hx of radiation therapy -Hx of polycythemia vera -Hx of leukemia -Persisting abnormal HCT, WBC & UA that could be related to cancer -Open lesions or wounds -Internally deposited radioneuclides >50% of ALI |
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Standards for lab values
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WBC, HCT- local lab values
UA >=3 RBC/HPF 2001- UA <5 |
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Importance of RME
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Aug 2001- Establish baseline results, Evaluate disease states which may medically disqualify a person from receiving occupational radiation exposure.
Feb 2011- Establish presence of absence of cancer |
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Pre-placement Exam (PE)
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Before first assignment to occupational exposure
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Reexamination (RE)
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For personnel who are to be continued in routine duties as radiation worker
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Situational Exam (SE)
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-If any personnel has exceeded the radiation workers as stated
-When worker has ingested or inhaled a quantity of radioactive material exceeding 50% ALI -When deemed necessary by responsible attending physician -All SE's |
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Termination Exam (TE)
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-Within 6 months of EAOS
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