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IN THIS ARTICLEDown Syndrome IntroductionThe Genetics of Down Syndrome - Trisomy 21The Effects of Trisomy 21 - Symptoms of Down SyndromeCharacteristic Features of Down SyndromeDown Syndrome TreatmentScreening for Down SyndromeFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsCharacteristic Features of Down SyndromeDespite the variability in Down syndrome, children with Down syndrome have a widely recognized characteristic appearance.
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In Paget’s disease of bone, 17% of patients treated with 90 mg of Aredia showed serum calcium levels below 8 mg/dL.
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The use of potassium salts in patients with chronic renal disease, or any other condition which impairs potassium excretion, requires particularly careful monitoring of the serum potassium concentration and appropriate dosage adjustment.
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Gerstmann-Straussler-Scheinker disease (GSS) is an extremely rare, neurodegenerative brain disorder.
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In healthy nondiabetic adults (N=18) receiving 2500 mg q.d. FORTAMETВ®, the percent of the metformin dose excreted in urine over 24 hours was 40.9% and the renal clearance was 542 В± 310 mL/min.

This may lead to fainting, dizziness, and lightheadedness.
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At the cellular level, ACTONEL inhibits osteoclasts.
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Do not try to restrain the child or try to stop seizure movements.

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Because of its unique nutritional profile, wolfberry juice is often recommended as a part of a comprehensive weight loss plan, and as a part of supervised juice fasts.
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Last Editorial Review: 10/24/20051234567891011121314« Previous PageGlossaryViewer Comments & ReviewsHeart Rhythm Disorders: What Type of DisorderThe eMedicineHealth physician editors ask:Please describe what type of heart rhythm disorder you have.
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IN THIS ARTICLEVaginal Prolapse OverviewVaginal Prolapse CausesVaginal Prolapse SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsVaginal Prolapse TreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryOther TherapyNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsVaginal Prolapse SymptomsThe symptoms associated with a vaginal prolapse depend on the type of vaginal prolapse present.
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Someone who is taking a stable dose of l-thyroxine with previously normal TSH levels should have the TSH checked every 6-12 months.
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Coadministration of corticosteroids and warfarin usually results in inhibition of response to warfarin, although there have been some conflicting reports.
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Vomiting: Vomiting can be caused by the same drugs that cause nausea.

A possible mechanism by which a valerian extract may cause sedation is by increasing the amount of ]]gamma aminobutyric acid (GABA), an inhibitory neurotransmitter, available in the synaptic cleft (the space between nerve cells).
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The visualization of the excretion can localize the ampulla of Vater and accessory papilla of the pancreas.
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Watchful waiting is closely monitoring a patient’s condition without giving any treatment until symptoms appear or change.

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Rice, a major staple of the developing world, is nutritionally poor in vitamin A. Since vitamin A deficiency is a major problem in the developing world, creation of a rice rich in ОІ-carotene that can be made into vitamin A could save millions from disease.
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In contrast, HectorolВ® Injection treatment resulted in a clinically significant reduction (at least 30%) from baseline in mean iPTH levels during the 12-week open-label treatment period in more than 92% of the 70 treated patients.
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IN THIS ARTICLERabies OverviewRabies CausesRabies SymptomsWhen to Seek Medical CareExams and TestsRabies TreatmentSelf-Care at HomeMedical TreatmentMedicationsNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsOutlookIf you get timely, appropriate wound care and rabies shots, you will be virtually 100% protected against rabies.
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A key issue in evaluating addiction is if a person is unable to stop using the harmful substance (loss of control).
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Hemodialysis may be of value in some patients.
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The reported rates of FAS vary widely.

All doses of losartan are grouped because none of the adverse events appeared to have a dose-related frequency.
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A rarer form of OCD is known as Obsessive Compulsive Hoarding, which involves compulsive acquisition and a failure to discard items of questionable value.
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The hardest outbreaks to detect are those that are spread over a large geographic area, with only a few cases in each state.

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In the Phase 3 studies, 7 patients experienced a serious adverse event.
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All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases.
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These two smaller molecules are more easily absorbed by the body and used for metabolism.
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Fosphenytoin sodium injection has important differences in administration from those for parenteral phenytoin sodium (see below).
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Notify your doctor or health care provider if you notice any unusual physical disturbances while taking the pill.
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Then the ventricles contract pumping blood throughout the body.

Dislocation A dislocation is an injury to a joint that causes a bone to move out of its normal alignment with another bone.
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Patients should be warned about the potential for dizziness or visual disturbances which may occur within 24 hours following the administration of CAMPTOSAR, and advised not to drive or operate machinery if these symptoms occur.

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MAO in the gastrointestinal tract and liver (primarily type A) is thought to provide vital protection from exogenous amines (e.g., tyramine) that have the capacity, if absorbed intact, to cause a hypertensive crisis the so-called “cheese reaction.
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Urinary stress incontinence (urine leakage during coughing, sneezing, exercise, etc) is a common symptom of this condition.
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These tests are called genotypic or phenotypic assays, and their use can help doctors decide which antiretroviral drug to use in a particular patient.
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These drugs suppress the immune response in people with arthritis.
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These two areas work together to enable balance and movement.
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Minor pathways involve sulfate conjugation of formoterol and deformylation followed by sulfate conjugation.

Thus, the use of this enzyme determination without isoenzyme separation as a diagnostic test for the presence of acute myocardial infarction may be compromised by the intramuscular injection of lidocaine.
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Various surgical procedures are commonly used, most commonly fistulotomy, placement of a seton(a cord that is passed through the path of the fistula to keep it open for draining), or an endorectal flap procedure (where healthy tissue is pulled over the internal side of the fistula to keep feces or other material from reinfecting the channel).
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MultiHance is a registered trademark of Bracco International B.V.ProHance is a registered trademark of Bracco Diagnostics Inc.

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If considering cataract surgery (clouding of the eyes), tell your eye surgeon that you are currently taking UROXATRAL or have previously been treated with an alpha-blocker.
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Therefore, if the child weighs 50 lb (20 - 25 kg), the appropriate dose of feverfew for this child would be 1/3 of the adult dosage.
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Rifampin is widely distributed throughout the body.
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The syndrome results in potentially irreversible, involuntary, abnormal movements of the eyes, mouth, arms, and legs.
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Drug delivery is essentially constant as long as the osmotic gradient remains constant and, after either 5 mg or 10 mg of isradipine is released, gradually falls to a negligible amount.
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If you take Epzicom or any other abacavir-containing medicine again after you have had an allergic reaction, WITHIN HOURS you may get life-threatening symptoms that may include very low blood pressure or death.

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Often, especially within the first few years of life, corneal changes can be seen that might indicate glaucoma.
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Patients must be familiar with the FUZEON Injection Instructions in order to know how to inject FUZEON appropriately and how to monitor carefully for signs or symptoms of cellulitis or local infection.

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One study reported a 5-fold decrease in recurrent cardiovascular events in patients with high positive immunoglobulin G titers for C pneumoniae (1:64) who were treated with azithromycin (OR=0.2; 95% CI 0.05 to 0..[700] Subsequent studies failed to demonstrate benefit of antibiotics in patients who were seropositive for C pneumoniae.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.
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If untreated, PMDD can significantly interfere with a woman's quality of life and her ability to function at work, school, or home.
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Factors that increase this risk are children younger than 12 months at the time of the first episode and fever higher than 102°F at the time of the first episode.
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Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis, and cardiac dysrhythmias).

Contact a healthcare professional if an individual has any questions about treatment.
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The care and experience with which the procedure is performed, the amount and type of medium used, the age and condition of the patient, and the premedication and anesthesia employed, influence the incidence and severity of reactions or complications that may be encountered.
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However, the plant it was manufactured in was not.

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Treatment of stage I includes surgery (wide local excision or Mohs microsurgery) and radiation therapy before and/or after surgery.
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The disease is very rare outside the Far East and Southeast Asia, and most cases have been reported from western Japan.
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Similar changes in the mammary glands were not observed in rats or monkeys.

Consequently, it is likely that some smaller hemorrhages in neonates go unrecognized.
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In dogs receiving large doses of bupropion chronically, various histologic changes were seen in the liver, and laboratory tests suggesting mild hepatocellular injury were noted.
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A person with mild hemolytic anemia may not need treatment as long as the condition does not get worse.

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The AUCs of the major circulating metabolites, 4–hydroxy duloxetine glucuronide and 5–hydroxy, 6–methoxy duloxetine sulfate, largely excreted in urine, were approximately 7– to 9–fold higher and would be expected to increase further with multiple dosing.
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Sedimentation rate is often abbreviated as sed rate or ESR.
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Via this mechanism it may reduce uric acid excretion although it has no tubular effect on uric acid reabsorption or secretion.
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Often Taoist Internal martial arts, especially Tai Chi Chuan are thought of as moving meditation.
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The recommendations in this article are intended to provide assistance in implementing the EMS component of stroke systems within this evolving environment.
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Estradiol is converted reversibly to estrone, and both can be converted to estriol, which is the major urinary metabolite.

If possible, the nursing mother should be advised not to use combination oral contraceptives but to use other forms of contraception until she has completely weaned her child.
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If indomethacin therapy must be initiated, close monitoring of the patient’s renal function is advisable.
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Conversely, people who are bedridden are at a significantly increased risk.

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People are also concerned about mercury found in dental amalgam fillings.
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Despite these risks, careful use of medications can help achieve some symptom relief in some people with BPD.
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Editors: N Stuart Harris, MD, MFA, Staff Physician, Department of Emergency Medicine, Harvard Medical School; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James Kimo Takayesu, MD, Staff Physician, Department of Emergency Medicine, Brigham and Women's Hospital/Massachusetts General Hospital.
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Apokyn is injected only as-needed to alleviate “off” episodes.
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Ice may be applied to the scalp for pain relief and to decrease swelling.
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IN THIS ARTICLEWhat Is Cholesterol?How Are Cholesterol Levels Checked?What the Numbers MeanWhat Should I Do if I Have High Cholesterol?For More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsWhat the Numbers MeanCholesterol is measured in milligrams per deciliters (mg/dL) of blood.

IBM is generally resistant to all therapies and its rate of progression appears to be unaffected by currently available treatments.
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Puncture wounds are generally caused by a sharp pointed object entering the skin.
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Acetaminophen is also commonly found in many different products that are available as over-the-counter (OTC) medications.

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Following approval for marketing in the United Kingdom, a monitored release survey involving approximately 6,800 patients was conducted for further safety and efficacy evaluation of this product.
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Removal of foreign body.
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The Active Standard and Adjunct can be purchased by developers and organizations that wish to utilize the CCR standard in their products and services for a one-time fee of $100. There are no royalties or fees for use.
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If the cardiomyopathy is associated with electrical disturbances, heart pacemakers may be implanted to provide stable, coordinated electrical impulses to the heart muscle.
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The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
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In 24 normal volunteers the time to mean peak plasma concentration was 1 hour (range 0.25 to 3 hours) after oral administration and the mean plasma elimination half-life was 2.8 hours (range 2 to 4 hours).

If exposed to measles, prophylaxis with immunoglobulin (IG) may be indicated.
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Types of meningococcal vaccine:Meningococcal polysaccharide vaccine (MPSV4):    for children aged 2-10 yearsMeningococcal conjugate vaccine (MCV4):    for adolescents (although MPSV4 is an acceptable alternative)Who gets the vaccine: Children aged 2 years or older in high-risk groups (those who have had their spleen removed, those with suppressed immune system)Adolescents aged 11-12 years and unvaccinated adolescents entering high schoolCollege students, military recruits, laboratory workers exposed to meningococcal vaccine components, those traveling to hyperendemic or epidemic areas Side effects: Pain, swelling and redness at site of injection may occur    one to two days following immunization.
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Jock itch is the popular name given to an itchy rash in the groin that commonly involves the inner thighs and adjacent skin, including the scrotum in males.