Agency for Toxic Substances and Disease Registry
Case Studies in Environmental Medicine (CSEM)

Introduction

The Case Studies in Environmental Medicine (CSEM) are a series of self-instructional publications designed to increase the primary care provider's knowledge of hazardous substances in the environment and to aid in the evaluation of potentially exposed patients. Continuing medical education credits, continuing nursing education units, and continuing education units are offered in support of this series.

Substance-Specific Continuing Education Courses

• Asbestos
• Ethylene Glycol and Propylene Glycol
• Lead
• Nitrate/Nitrite
• Radiation Exposure from Iodine-131
• Trichloroethylene

Non Substance-Specific Continuing Education Courses

• Disease Clusters: An Overview
• Environmental Triggers of Asthma
• Pediatric Environmental Health

Who to Contact

Disclaimer

The state of knowledge regarding the treatment of patients potentially exposed to hazardous substances in the environment is constantly evolving and is often uncertain. In the series, ATSDR has made diligent effort to ensure the accuracy and currency of the information presented, but makes no claim that the case study documents comprehensively address all possible situations related to this substance. The case studies are intended as an additional resource for physicians and other health professionals in assessing the condition and managing the treatment of patients potentially exposed to hazardous substances. They are not, however, a substitute for the professional judgment of a health care provider. The case studies must be interpreted in light of specific information regarding the patient and in conjunction with other sources of authority.

Use of trade names is for identification only and does not imply endorsement by the Agency for Toxic Substances and Disease Registry or the U.S. Department of Health and Human Services.