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IMF-060-01-0001-en	Why can the same symptom carry a different differential diagnosis in different patients?	Exposure links the patient to environments, vectors, animals, water, chemicals, tasks and social conditions, so healthcare work, mining, farming, displacement, a long flight, freshwater contact or malaria-region travel each reshape it.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0002-en	Beyond protecting the individual patient, what must exposure assessment also recognise, and why?	It must recognise clusters of illness, because they may require workplace control or public-health notification.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0003-en	Why is a job title insufficient in an occupational history, and what should be established instead?	The hazard lies in actual tasks, materials and exposures, so the history establishes their intensity, frequency, duration, latency, and relation to work or leave.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0004-en	Why must occupational findings be documented objectively, and when is consent needed before contacting an employer?	Findings may affect income, compensation, workplace relationships and other workers; consent is sought before employer contact unless law requires notification.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0005-en	Why do elimination and substitution outrank personal protective equipment in hazard control?	Removing a hazard is more effective than relying on individual behaviour, so elimination and substitution sit above engineering controls, administrative controls and personal protective equipment.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0006-en	How is a link between asthma and work established, and why does early recognition matter?	Improvement away from work supports it, and serial peak flow at work and away, spirometry, bronchial testing and exposure assessment establish it; early sensitiser removal improves prognosis.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0007-en	Beyond nodular fibrosis, what additional risks does occupational silica exposure carry?	Accelerated disease, autoimmune risk, cancer and susceptibility to tuberculosis, arising in mining, engineered-stone cutting, construction and sandblasting.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0008-en	How does smoking alter the lung-cancer risk from asbestos, and when does asbestos disease appear?	Smoking strongly multiplies lung-cancer risk, and interstitial fibrosis, pleural plaques, lung cancer and mesothelioma appear after long latency.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0009-en	Why does control of pneumoconiosis depend on exposure control and surveillance?	Fibrosis from inhaled and retained mineral dust is generally irreversible, so disease must be prevented rather than reversed.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0010-en	What is hypersensitivity pneumonitis, and why is antigen avoidance central to its management?	It is an immune response to inhaled antigens from moulds, birds, farming, water or industry, and its fever, cough and breathlessness can evolve into fibrosis.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0011-en	What distinguishes irritant from allergic contact dermatitis, and what guides patch testing?	Irritant dermatitis results from cumulative barrier injury, whereas allergic dermatitis is delayed hypersensitivity to a specific agent; distribution and timing guide patch testing.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0012-en	Why is prolonged complete rest discouraged in work-related musculoskeletal disease, and what supports sustained work instead?	Prolonged complete rest often worsens recovery; early activity modification, ergonomic redesign, graded rehabilitation and communication support sustained work.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0013-en	Why must occupational noise be controlled at source and by surveillance rather than managed after injury?	Noise causes irreversible cochlear injury, typically high-frequency hearing loss and tinnitus, so exposure must be prevented.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0014-en	What are the immediate steps after a sharps or mucosal exposure, and what should be avoided?	Wash skin with soap and water, irrigate mucosa and report urgently; do not squeeze the wound or use caustic agents.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0015-en	Why is human immunodeficiency virus post-exposure prophylaxis not delayed for all results after a significant exposure?	It is most effective when started promptly, so it begins early and is then continued or stopped after expert risk reassessment.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0016-en	With no hepatitis C post-exposure prophylaxis, what is the purpose of baseline and follow-up testing?	Testing seeks early infection so that curative treatment can be given.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0017-en	What vaccine concerns arise for travellers who are pregnant or immune suppressed?	Live vaccines may be unsafe in pregnancy or immune suppression, and inactivated vaccines may be less immunogenic.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0018-en	Why is fever during or after travel to a malaria area an emergency even when chemoprophylaxis was taken?	No regimen is completely protective, so fever remains an emergency until malaria is excluded with appropriately repeated testing.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0019-en	When does dengue become most dangerous, and why are non-steroidal drugs avoided until it is excluded?	Plasma leak, bleeding and shock can develop around defervescence, and non-steroidal drugs may raise bleeding risk.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0020-en	Which features separate cerebral and pulmonary oedema from acute mountain sickness, and what are the priorities?	Headache with nausea or poor sleep suggests acute mountain sickness; ataxia or confusion indicates cerebral oedema and breathlessness at rest pulmonary oedema. Descent and oxygen are definitive priorities.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0021-en	What is the primary treatment of travellers' diarrhoea, and when are antimotility drugs avoided?	Oral rehydration is the primary treatment; antimotility drugs are avoided with invasive dysentery or severe colitis.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0022-en	Why does the absence of eosinophilia not exclude helminth infection in a returned traveller?	Eosinophilia suggests some helminths but may be absent early or in severe disease.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0023-en	Why is country of origin not a biological diagnosis, and how should screening of migrants be chosen?	Risk reflects prevalence, journey, living conditions, trauma, vaccination, nutrition, work and healthcare exclusion, so screening follows individual risk while preserving consent.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending
IMF-060-01-0024-en	What distinguishes isolation from quarantine in outbreak control?	Isolation separates infectious cases, whereas quarantine restricts exposed people who may become infectious.	Integrated Medical Foundations; chapter 60, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 85254498c184d44a8585800006d87a1def12c662a5762ce1004390b83d5b63d7; editorial review pending	imf lang::en chapter::060 module::060-01 review::pending