Case Contents

Table of Contents

How to Use This Course

Exposure Pathways

Standards, Regulations

Biological Fate

Physiologic Effects

Signs & Symptoms

Laboratory Tests

Patient Education

More Information

Literature Cited

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Environmental Medicine

Continuing Education

Online Registration

Patient Education

Community Education

ATSDR Resources

ATSDR en Español

Case Studies (CSEM)

Exposure Pathways

HazDat Database

Health Assessments

Health Statements

Interaction Profiles

Interactive Learning

Managing Incidents

Medical Guidelines

Minimal Risk Levels

ToxFAQs™ CABS

Toxicological Profiles

Toxicology Curriculum

External Resources

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

Chromium Toxicity
Table of Contents

Course: WB 1466
CE Original Date: December 18, 2008
CE Expiration Date: December 18, 2011

Cover Page

Key Concepts

CSEM

Continuing Education

Authorship

Disclaimer

How to Use This Course

Introduction

Available Versions

Instructions

Instructional Format

Learning Objectives

Initial Check

Instructions

Case Study

Initial Check Questions

Initial Check Answers

What Is Chromium?

Learning Objectives

Definition

Uses

Valence State

Essential Nutrient

Key Points

Progress Check

Where Is Chromium Found?

Learning Objectives

Introduction

Air Contamination

Water Contamination

Soil Contamination

Other Sources

Environmental Sources

Occupational Sources

Key Points

Progress Check

What Are the Routes of Exposure for Chromium?

Learning Objectives

Introduction

Ingestion

Inhalation

Skin

Key Points

Progress Check

Who Is at Risk of Exposure to Chromium?

Learning Objectives

Introduction

Worker Exposure

General Public

Key Points

Progress Check

What are the Standards and Regulations for Chromium Exposure?

Learning Objectives

Introduction

Workplace Guidelines

Environmental Guidelines

Key Points

Progress Check

What Is the Biologic Fate of Chromium in the Body?

Learning Objectives

Introduction

Absorption

Metabolic Pathways

Key Points

Progress Check

What Are the Physiologic Effects of Chromium Exposure?

Learning Objectives

Introduction

Toxicity Mechanisms

Respiratory Effects

Skin Effects

Carcinogenic Effects

Renal Effects

Hepatic

Gastrointestinal Effects

Cardiovascular Effects

Hematological Effects

Reproductive/Developmental

Genotoxic/Mutagenic

Other Effects

Key Points

Progress Check

Clinical Assessment - History, Signs and Symptoms

Learning Objectives

Introduction

Patient History and Physical Examination

Signs and Symptoms

Key Points

Progress Check

Clinical Assessment - Laboratory Tests

Learning Objectives

Introduction

Initial Lab Exams

Specialized Tests

Other Measurements

Key Points

Progress Check

How Should Patients Exposed to Chromium Be Treated and Managed?

Learning Objectives

Introduction

Acute Exposure

Chronic Exposure

Key Points

Progress Check

What Instructions Should Be Given to Patients Exposed to Chromium?

Learning Objectives

Introduction

Self Care

Clinical Follow Up

Key Points

Progress Check

Sources of Additional Information

Chromium Specific

Clinical Resources

Environmental Health

Regional Operations

Posttest

Introduction

CE Credits Offered

Disclaimer

Online Instructions

Posttest

Relevant Content

Literature Cited

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Next Section

Revised 2008-12-08.