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Also, Stages III and IV sleep are decreased.
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IN THIS ARTICLEVenous Access Devices IntroductionDuring the ProcedureRisksAfter the ProcedureWhen to Seek Medical CareExams and TestsNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsPreventionTo prevent problems, flush the venous access device with heparinized saline solution as directed.
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Temporary thinning of the hair may occur two to three months after treatment.
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See [#section-9 PRECAUTIONS].) Removal of angiotensin II negative feedback on renin secretion leads to increased plasma renin activity.
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The recommendations for gradual-dose escalation should be carefully adhered to and patients cautioned about activities requiring alertness.
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Colposcopy is the examination of the vulva, vaginal walls, and uterine cervix using illumination and magnification in order to detect and examine abnormalities of these structures.
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Once allegations of abuse are made, the general belief by the authorities is that accusations are true until proven otherwise.
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The early intervention services are provided by workers qualified to care for toddlers with disabilities and are usually in the child's home or a place familiar to the child.

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The pituitary gland controls the release of thyroid hormones.
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The anti-diuretic hormone is stimulated, causing the kidneys to make very concentrated urine and hold onto water.
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After your stomach has been removed, your doctor will monitor your disease with repeat CT scans of your abdomen and gastrointestinal endoscopy to make sure the cancer does not return.
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Ask your child’s doctor how to find out if your child is developing peripheral neuropathy.
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Scientists are not sure what causes collagenous colitis or lymphocytic colitis.
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Based on mass balance studies, the systemic availability of etodolac from either the tablet or capsule formulation is at least 80%. Etodolac does not undergo significant first-pass metabolism following oral administration.
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The withdrawal of container contents should be accomplished without delay.
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In about half of the individuals with homocystinuria, the homocysteine level improves or normalizes in response to pharmacological doses of pyridoxine, a coenzyme of cystathionine synthase.

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NREM is further subdivided into the following 4 stages: Stage I (light sleep) Stage II Stage III & IV (deep sleep)The stages of NREM sleep and REM sleep cycle over and over again during a night's sleep.
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Approximately 20%-30% of the population in industrialized countries have metabolic syndrome.
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It is also not known whether Alcohol and Dextrose Injections USP can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity.
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Some people have long periods of remission, sometimes years, when they are free of symptoms.
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The duodenum may be occluded during the 5th and 6th weeks.
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Many individuals have no scalp symptoms but simply complain of white flakes on their shoulders, particularly noticeable on dark clothing.
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You may have problems with the blood supply to your legs (the arterial supply, which provides oxygen).

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In patients who become somnolent (sleepy) or who are no longer able to breathe adequately on their own, intubation (putting a tube into the airway) and using a ventilator may be required.
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And as the final backup, the ventricle itself can generate electricity but at a much slower rate of about 20 beats per minute.
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Thyroid cancer occurs three times more frequently in women than in men.
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Contains sodium metabisulfate, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people.
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Babies with listeriosis receive the same antibiotics as adults, although a combination of antibiotics is often used until physicians are certain of the diagnosis.
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IN THIS ARTICLEFever in Children OverviewFever in Children CausesFever in Children SymptomsWhen to Seek Medical CareExams and TestsFever in Children TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsOutlookThe prognosis for a child with a fever is excellent.
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Several different procedures are now available, and they are successful in many patients in relieving movement symptoms.

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Unlike most X-linked conditions, in which males are more frequently affected or experience more severe symptoms than females, X-linked Cornelia de Lange syndrome appears to affect males and females similarly.
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T4 contains four iodine atoms and is formed by the coupling of two molecules of diiodotyrosine (DIT).
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If infection develops, continue antibiotics for at least 5 days after all signs of infection have cleared.
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The wire releases radiation to stop any tissue growth that may block the artery.
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After the chemotherapy is completed, the stored stem cells are thawed and given back to the patient through an infusion.
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As a result, blood vessels relax and widen, and the blood pressure goes down.

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This is a very challenging diagnosis.
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Respective AUCs for losartan, its active metabolite and hydrochlorothiazide at these dosages in rats were approximately 35, 10 and 10В times greater than those achieved in humans with the administration of 100В mg of losartan in combination with 25В mg hydrochlorothiazide.
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It's the close contact with an ill person that causes the disease to spread.
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Once-daily regimens, and regimens with one daily dose-free interval of at least 14 hours (e.g., a regimen providing doses at 0800, 1400 and 1800 hours), have shown efficacy after the first dose of each day that was similar to that shown in the single-dose studies cited above.
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In the absence of a direct measurement of free-ionized calcium, measurement of the serum albumin concentration and correction of the total serum calcium concentration may help in assessing the severity of hypercalcemia.
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Psychiatric: insomnia, nervousness, somnolence, anorexia, depression, confusion, agitation, increased appetite, depersonalization, paranoid reaction, anxiety, paroniria, abnormal thinking, concentration impairment.
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These drugs shrink the tumor and return prolactin levels to normal in approximately 80% of patients.
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When the right ventricle no longer has to work so hard to pump blood the lungs, it can return to a normal thickness.
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If you can identify and avoid the particular agent that you are allergic to, your symptoms will improve dramatically.

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Should symptoms of hyperammonemia develop, amino acid administration should be discontinued and the patient's clinical status reevaluated.
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The lactose molecules draw water into the intestines (by a process similar to osmosis).
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Light the pathways used at night - indoors and outdoors.
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When to Seek Medical CareIf experiencing tooth squeeze, have a dental evaluation and have any damage repaired.
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In U.S. placebo-controlled clinical trials for OCD, 17% of patients treated with fluoxetine and 10% of patients treated with placebo reported anorexia (decreased appetite).
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SeasoniqueTM may be initiated immediately after a first-trimester abortion; if the patient starts SeasoniqueTM immediately, additional contraceptive measures are not needed.
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In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

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However, due to wide confidence intervals and small sample size, interpatient variability may be observed.
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Swelling of the feet, ankles, and legs; increasing shortness of breath on exertion; difficulty lying flat and wakening in the middle of the night due to shortness of breath all may be symptoms of congestive heart failure.
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BEFORE THERAPY WITH CEFTRIAXONE IS INSTITUTED, CAREFUL INQUIRY SHOULD BE MADE TO DETERMINE WHETHER THE PATIENT HAS HAD PREVIOUS HYPERSENSITIVITY REACTIONS TO CEPHALOSPORINS, PENICILLINS OR OTHER DRUGS.

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The concentration of enfuvirtide in the blood is reduced by half in approximately 3.8 hours.
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Dietary supplements and alternative medications and therapies are sometimes recommended for high blood pressure.
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IN THIS ARTICLEShark Bite and Shark Attack OverviewShark Bite SymptomsWhen to Seek Medical CareExams and TestsShark Bite and Shark Attack TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookMultimediaSynonyms and KeywordsAuthors and EditorsOutlookInjuries from shark bites can be minor or life threatening.
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An audiologist gives tests that determine the softest sounds and words a person can hear and other tests that determine the ability to recognize sounds in words and sentences.
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She conducts educational seminars and provides keynote speeches on a variety of healthcare-technology and operational topics.
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In patients at high immunologic risk (defined as Black transplant recipients and/or repeat renal transplant recipients who lost a previous allograft for immunologic reason and/or patients with high-panel reactive antibodies [PRA; peak PRA level > 80%]), it is recommended that Rapamune be used in combination with cyclosporine and corticosteroids for the first year following transplantation (see [#section-6 CLINICAL STUDIES]). The safety and efficacy of this combination in high-risk patients has not been studied beyond one year.
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In addition, maternal placental syndromes in combination with traditional cardiovascular risk factors, such as prepregnancy hypertension or diabetes mellitus, obesity, dyslipidemia, or metabolic syndrome, may be additive in defining CVD risk in women.

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As a subset of the NLM's PubMed bibliographic database, CAM on PubMed features more than 230,000 references and abstracts for CAM-related articles from scientific journals.
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Onset of symptoms of CMT is most often in adolescence or early adulthood.
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Through research, we now have a better understanding of the behavior.
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Lifelong health care includes taking multiple medicines on a strict schedule, watching for signs and symptoms of complications, keeping all medical appointments, and stopping unhealthy behaviors such as smoking.
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Volume of distribution of the central compartment ranged from 0.074 В± 0.017 to 0.158 В± 0.038 L/kg, and estimates of volume of distribution by area ranged from 0.170 В± 0.016 to 0.282 В± 0.079 L/kg.
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Babies born after the 32nd week of pregnancy usually do very well without long-term side effects.
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Call a health care practitioner for guidance if the patient develops pain.
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But it is most common in teenagers and young adults.
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There was a bigger difference between sertraline and placebo in the proportion of outliers for clinically important weight loss in children than in adolescents.
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Dental dams can be used to prevent the exchange of bodily fluids during oral sex and prevent the spread of sexually transmitted diseases.
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Doctors perform rigid bronchoscopy less often today, but it remains the procedure of choice for removing foreign material and for several other treatments.

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Actigraphy is another technique to assess sleep-wake patterns over time.
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In particular, the risk of colonic adenomas (a lesion that is thought to precede colon cancer) in randomized controlled trials was reduced by 18%, by 13% in case–control studies, and by 22% in cohort studies[3], but aspirin has not been formally approved for this purpose in most countries.
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Pull back the eyelid by pulling down on the bottom edge of the lower lid or by pulling up on the upper edge of the upper lid.
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In general, symptoms occur and progress more rapidly the higher the dose of mercury encountered.
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In an additional meta-analysis, the pooled REFLUDAN patients of the HAT-1 and HAT-2 studies who presented with TECs at baseline were compared to the respective historical control patients.
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There was an increase in pup deaths during the first 3 days of lactation and a decrease in pup birth weights.
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Hot flashes associated with the menopausal transition are not a life-long problem and can be effectively treated in most women if necessary.
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The duration of treatment should be individualized to the patient depending on baseline disease characteristics, response to therapy, and tolerability of the regimen.
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IN THIS ARTICLEAchilles Tendon Rupture OverviewAchilles Tendon Rupture CausesAchilles Tendon Rupture SymptomsWhen to Seek Medical CareExams and TestsAchilles Tendon Rupture TreatmentSelf-Care at HomeSurgeryOther TherapyNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsExams and TestsA physician usually can make this diagnosis with a good physical examination and history.

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Pain gradually begins over a day or two.
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This method involves periodic abstinence (no sexual intercourse), with couples attempting to avoid intercourse during a woman's fertile period—around the time of ovulation.
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Clusters of lymph nodes are found near the breast in the axilla (under the arm), above the collarbone, and in the chest.
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When the heart muscle is not able to pump effectively there is a back-up of blood returning from the lungs to the heart; this backup causes an increase in pressure within the blood vessels of the lung, resulting in excess fluid leaking from the blood vessels into lung tissue.
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Hospitals in your area may have information about local and regional agencies that have information on finances, getting to and from treatment, receiving care at home, and dealing with problems related to cancer treatment.
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This effect has been shown to be directly related to estrogen dose.
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Antipsychotic treatment itself, however, may suppress (or partially suppress) the signs and symptoms of the syndrome and thereby may possibly mask the underlying process.
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The mean elimination t1/2 from plasma of d-methylphenidate after removal of Daytranaв„ў in children aged 6 to 12 years was approximately 3 to 4В hours.
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This excess has been shown to be associated with vision and hearing loss, and macrocephaly in patients with MAS.

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IN THIS ARTICLEAchilles Tendon Rupture OverviewAchilles Tendon Rupture CausesAchilles Tendon Rupture SymptomsWhen to Seek Medical CareExams and TestsAchilles Tendon Rupture TreatmentSelf-Care at HomeSurgeryOther TherapyNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsOutlookThe majority of people return to normal activity levels with either surgical or nonsurgical treatment.
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The red arrow shows the direction in which oxygen-rich blood flows from the lungs to the rest of the body.
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An event was considered treatment-emergent if it occurred for the first time or worsened while receiving therapy following baseline evaluation.
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Imbalances in the activation of NMDA and GABA receptors may lead to alcohol dependence.
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The fingers are called the thumb, index finger, middle (or long) finger, ring finger, and pinky (or small) finger.
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This is also why we can see better in very dim light when we look slightly away from what we are looking at.
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When vitamin K1 is used to correct excessive anticoagulant-induced hypoprothrombinemia, anticoagulant therapy still being indicated, the patient is again faced with the clotting hazards existing prior to starting the anticoagulant therapy.
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In some patients the dosage will need to be increased to 20 mg, given as above, to obtain a satisfactory result.
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IN PATIENTS WITHOUT A HISTORY OF HEART FAILURE, continued use of beta-blockers can, in some cases, lead to cardiac failure.

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BD is a progressive disease; there is no cure.
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TEE also is often used to define complex heart defects.
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It also contains the following inactive ingredients: ferric oxide, povidone, lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, silicon dioxide, magnesium stearate and acetic acid; ferric oxide, a coloring agent, is not an ingredient in the 0.9 mg tablets.
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Bee and Wasp Stings OverviewAlthough many different types of insects in the United States are able to inflict a poisonous bite or sting (meaning they are venomous), the insects most likely to cause medical problems are bees (including the domestic honey bee, its Africanized "killer bee" race, and the bumble bee), wasps (including paper wasps, hornets, and yellow jackets), and ants (including the fire ant).
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Triamcinolone acetonide should be used during pregnancy only if the potential benefits justify the potential risk to the fetus.
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Most patients presented with swelling (83%), redness (78%), and pain (43%). In study 1, 11% also presented with blisters.
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Patients receiving contrast agents, and especially those who are medically unstable, must be closely supervised.
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Psychosis, Confusion, and Other Neuropsychiatric Phenomena - Patients treated with Anafranil have been reported to show a variety of neuropsychiatric signs and symptoms including delusions, hallucinations, psychotic episodes, confusion, and paranoia.
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Overdose of methocarbamol is frequently in conjunction with alcohol or other CNS depressants and includes the following symptoms: nausea, drowsiness, blurred vision, hypotension, seizures, and coma.
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To counterbalance this pressure, the air pressure must reach the inner surface of the ear drum.
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Rare: angina pectoris, arrhythmia, arteritis, circulatory failure, extrasystoles, hypertension aggravated, myocardial infarction, phlebitis, pulmonary embolism, pulmonary edema, varicose veins, ventricular tachycardia.

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Bone marrow transplantation reportedly stabilizes the cerebrovascular disease caused by SCD,[174] but data are limited.
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The patient may say the chest pain radiates to the upper body in one or both arms, the back, neck, jaw, or stomach.
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A lack of activity in the ADAMTS13 enzyme (a type of protein in the blood) causes TTP.
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This fracture gets worse with time if you keep walking on it, so non-weight bearing is very important.
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Most women report that an ablation procedure (regardless of the type of procedure chosen) leads to a successful resolution of the abnormal bleeding, but some women (6%-25%) have reported heavy bleeding that was unchanged at one year following the procedure.