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« Reply #255 on: April 04, 2010, 03:30:16 PM »

Patients receiving the 175 mg/m2 dose of paclitaxel had a longer time to progression than those receiving the 135 mg/m2 dose: median 4.2 vs.
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Grade 2 tumors are slow-growing, with cells that look very much like normal cells.
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SERIOUS AND OCCASIONALLY FATAL HYPERSENSITIVITY (ANAPHYLACTIC) REACTIONS HAVE BEEN REPORTED IN PATIENTS ON PENICILLIN THERAPY.
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Last Editorial Review: 10/24/200512345678910111213« Previous PageGlossary Printer-Friendly Format |  Email to a Friend Privacy Policy Sleep Disorders Get tips for better sleep.
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The administration of local anesthetic solutions containing vasopressors, such as levonordefrin, epinephrine or norepinephrine, to patients receiving tricyclic antidepressants or monoamine oxidase inhibitors may produce severe prolonged hypertension.
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Both desipramine, a tricyclic antidepressant, and propafenone are cleared by oxidative pathways of demethylation and hydroxylation carried out by the hepatic P-450 cytochrome.
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Side effects are generally mild and do not restrict treatment.
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Caution should be exercised if HIV protease inhibitors, including AGENERASE, are used concurrently with other HMG-CoA reductase inhibitors that are also metabolized by the CYP3A4 pathway (e.g., atorvastatin).
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Dosage increases should not occur more rapidly than every 4 weeks, so that the physician can assess the patient's response to each dosage level.
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« Reply #256 on: April 04, 2010, 08:47:31 PM »

Scientists continue to study the genetic basis of Pendred syndrome.
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Editors: Ivette Motola, MD, 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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However, short stature is often a normal variant.
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Each drug has a different prescription range of effectiveness and the number of milligrams in the dosage is not an indiucation of how strong the emdication might be.
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Older subjects had mean AUCs that were approximately 1.7-2.0 times higher than those of younger subjects as well as a longer average verapamil t1/2 (approximately 20 hr vs 13 hr).
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In a few rare cases, the disease runs in families, but it usually does not.
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The gene responsible for LP has recently been identified.
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The combination of hinge and sliding motions makes this joint among the most complicated in the body.
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« Reply #257 on: April 05, 2010, 02:02:25 AM »

One of the pituitary's main functions is to secrete ACTH (adrenocorticotropin), a hormone that stimulates the adrenal glands.
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Birds who have died from West Nile virus pose no health risk.
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The immune system is made up of a network of cells, tissues, and organs that work together to protect the body.
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Gene therapy: Scientists are working to genetically engineer cells that would inhibit certain enzymes that may help break down cartilage and cause joint damage.
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Periods of dilatation are cycled with times of constriction in order to preserve as much function in your extremities as possible.
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It may be associated with bloating, burping, and loss of appetite.
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The effect of hepatic impairment on the pharmacokinetics of bupropion was characterized in 2 single-dose studies, one in patients with alcoholic liver disease and one in patients with mild to severe cirrhosis.
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« Reply #258 on: April 05, 2010, 07:23:45 AM »

These are temporary measures to be repeated as required.
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The endpoint results of one parallel group dose-ranging trial showed mean responses 24 hours after ingestion of DynaCirc CRВ® (isradipine) (systolic/diastolic) -5.2/-2.8, -13.4/-9.7, -15.6/-10.2 and -15.5/-11.8 mmHg, for 5, 10, 15 and 20 mg doses, respectively, change from baseline greater than concurrent placebo.
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Extreme caution should be exercised in the use of sotalol in patients with renal failure undergoing hemodialysis.
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May you find your voice in that silence.
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This is a condition that involves the sudden onset of involuntary contractions of the muscles of the face, neck, or back.
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Morphine should be used with extreme caution in patients with chronic obstructive pulmonary disease or cor pulmonale, and in patients having a substantially decreased respiratory reserve, hypoxia, hypercapnia, or pre-existing respiratory depression.
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Some stay small and don't change eyesight very much.
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During a heart attack, the heart usually doesn't suddenly stop beating.
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« Reply #259 on: April 08, 2010, 01:40:30 PM »

Nitric oxide is a compound produced by many cells of the body.
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Media type: PhotoMedia file 3: A soft contact lens.
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The patients often also had signs and symptoms of anxiety (anxious mood, panic, and/or phobic symptoms).
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Grade 2 or 3 tears may have a defect that can be felt in the muscle, confirming the diagnosis.
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These cysts are small sacs of fluid in the ovary.
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Other problems include not being able to start the swallowing reflex (a stimulus that allows food and liquids to move safely through the pharynx) because of a stroke or other nervous system disorder.
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Although the overall incidence of peripheral neurologic side effects induced by carboplatin is low, prolonged treatment, particularly in cisplatin pretreated patients, may result in cumulative neurotoxicity.
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« Reply #260 on: April 08, 2010, 06:42:03 PM »

Oversuppression of iPTH may lead to adynamic bone syndrome.
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Inspection: The wound will be thoroughly examined to look for any debris such as dirt, grass, teeth, clothing, or other objects that may have become embedded into the bite area.
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If some sight has been lost from AMD, don't be afraid to use the eyes for reading, watching TV, and other routine activities.
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Further research is warranted regarding the potential use of these scales or other triage factors for routing selected patients directly to stroke centers that provide acute large-vessel endovascular recanalization therapy.
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Wearing a medical identification bracelet or necklace is also a good idea, in the event that symptoms become too severe for the person to help themselves.
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Past history of medical illness, intentional or unintentional ingestions, prescribed medications, chemical exposure, and infections may provide clues as to why the patient has encephalopathy.
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The lack of oxygen can also affect other organs.
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Among these 8 patients, 5 initially developed these abnormalities within the first year.
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The cancer is more prevalent in people with compromised immune systems, such as people with acquired immune deficiency syndrome (AIDS).
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« Reply #261 on: April 08, 2010, 11:21:44 PM »

Estrogen therapy works to restore postmenopausal bone remodeling levels back to those of premenopause, leading to a lower rate of bone loss.
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Patients on chronic opioid therapy or with a history of opioid abuse may require higher analgesic doses in the post-operative period than are available from IONSYSв„ў. Therefore, these patients should be evaluated frequently to ensure they are receiving adequate analgesia.
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The last dose should be administered at least 10 days before beginning travel to ensure an adequate immune response and access to medical care in the event of any delayed adverse reactions.
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IN THIS ARTICLEAlcoholism OverviewAlcoholism CausesAlcoholism SymptomsWhen to Seek Medical CareExams and TestsAlcoholism TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsMedical TreatmentA team of professionals is often needed to treat the alcoholic.
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Family members or caregivers may need to help with emptying a catheter or performing catheterization.
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Adequate and well-controlled drug-drug interaction studies in humans were not identified in the literature.
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In 180 pregnant women who received treatment for 7 days, Candida albicans was detected, either symptomatically or by culture, in 13.3% of patients.
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« Reply #262 on: April 09, 2010, 04:04:00 AM »

Given these considerations, antipsychotics should be prescribed in a manner that is most likely to minimize the occurrence of tardive dyskinesia.
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Some of the cells detected in a urinalysis are epithelial cells, red blood cells, and white blood cells.
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When compared to controls, nelarabine administration during the period of organogenesis caused increased incidences of fetal malformations, anomalies, and variations in rabbits at doses ≥360 mg/m2/day (8-hour IV infusion; approximately ¼ the adult dose compared on a mg/m2 basis), which was the lowest dose tested.
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There has been a long-standing concern that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients.
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The RBCs become sediment in the bottom of the test tube over time, leaving the blood serum visible above.
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Isolyte H in 5% Dextrose should be given to a pregnant woman only if clearly needed.
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Prognosis depends on the number and severity of abnormalities and associated complications.
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In this procedure, the ophthalmologist uses a laser (diode laser) to destroy a portion of the ciliary body, thereby limiting the production of aqueous humor.
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Authors and EditorsAuthor: Scott H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine.
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The amount of frustration engendered in trying to achieve competency with motor activities should be balanced against the potential gain in proficiency.
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After multiple-dose oral administration of lamivudine 300 mg once daily for 7 days to 60 healthy volunteers, steady-state Cmax (Cmax,ss) was 2.04 ± 0.54 mcg/mL (mean ± SD) and the 24-hour steady-state AUC (AUC24,ss) was 8.87 ± 1.83 mcg•hr/mL.
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« Reply #263 on: April 09, 2010, 09:04:35 AM »

In addition, once the specific weaknesses are identified and the diagnosis is made, documentation should be provided to the school system so that eligibility for special services (special education) should be provided, if applicable.
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A major depressive episode may be the initial presentation of bipolar disorder.
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By the late 1960s, it was solely used as a veterinary tranquilizer.
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IN THIS ARTICLEVagina Foreign Body OverviewVaginal Foreign Body CausesVaginal Foreign Body SymptomsWhen to Seek Medical CareExams and TestsVaginal Foreign Body TreatmentSelf-Care at HomeMedical TreatmentMedicationsNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsPreventionPrevention of infections related to foreign objects in the vagina begins with good vulvovaginal hygiene.
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Boys with Becker MD (very similar to but less severe than Duchenne MD) have faulty or not enough dystrophin.
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It is not yet clear whether HRT has a similar risk.
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Each additional apneic event per hour of sleep increases the odds of hypertension by 1%, and each 10% decrease in nocturnal oxygen saturation increases the odds by 13%.[557] The association of SDB with drug-resistant hypertension is particularly high.
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Talk to the doctor before taking any new medications.
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It affects primarily children and young adults and usually has a progressive downhill course which results in death within a few years in most patients with a 5% chance of spontaneous remission.
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Wearing off” symptoms occur approximately one to two hours after taking levodopa as its concentration in the brain decreases.
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These effects were reversible, were not found following oral dosing of propafenone HCl, were seen at lethal or near lethal dose levels and were not seen in rats treated either orally or intravenously (see [#section-7.4 PRECAUTIONS, Impaired Spermatogenesis]). Treatment of male rabbits for 10 weeks prior to mating at an oral dose of 120 mg/kg/day (about 2.4 times the MRHD on a mg/m2 basis) or an intravenous dose of 3.5 mg/kg/day (a spermatogenesis-impairing dose) did not result in evidence of impaired fertility.
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« Reply #264 on: April 09, 2010, 02:07:41 PM »

There have been rare reports of Tourette's syndrome.
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In pediatric patients aged 6 to 23 months who received a single dose of 0.25 mg/kg cetirizine oral solution (mean dose 2.3 mg), the mean Cmax was 390 ng/mL.
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IN THIS ARTICLEBulimia OverviewBulimia CausesBulimia SymptomsWhen to Seek Medical CareExams and TestsBulimia TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsViewer Comments: Bulimia - Describe Your ExperienceExams and TestsA history may shed light on the seriousness of the situation, depending on the person's openness regarding the length and extent of their behavior.
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Specifically, they have a higher-than-average chance of developing myelodysplastic syndrome (MDS) and aplastic anemia, which are disorders that affect blood cell production, and a cancer of blood-forming tissue known as acute myeloid leukemia (AML).
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Each toe is made up of several bones.
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Clotting has been reported when blood remains in contact with syringes containing nonionic contrast media.
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If you have spotting at the time of your normal period rather than your usual amount of flow, and you have had sex without using birth control, you should use a pregnancy test with the first urine of the day.
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During a vitrectomy, usually performed in an operating room at a hospital or an out-patient surgical center,, the vitreous (a gel-like fluid) and the blood inside the eye are removed and replaced with a clear fluid.
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Past infection results in partial protection against ill effects if the person is reinfected.
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For most people with myeloma, talking about their feelings and concerns can be helpful.
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Dandruff is not a medical emergency and should not be handled in a hospital emergency department; call a pediatrician, family physician, internist, or dermatologist for a medical consultation.
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« Reply #265 on: April 09, 2010, 07:01:23 PM »

The extent of reduction in theophylline clearance in patients with CHF appears to be directly correlated to the severity of the cardiac disease.
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Later treatment, at 90 to 180 minutes, also is beneficial.
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Some patients have a prior history of somatization (expressing psychological distress in terms of physical symptoms).
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The electrodes are inserted into the heart through a vein.
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IN THIS ARTICLEAnal Itching OverviewAnal Itching CausesAnal Itching SymptomsWhen to Seek Medical CareExams and TestsAnal Itching TreatmentSelf-Care at HomeMedical TreatmentNext StepsPreventionOutlookSynonyms and KeywordsAuthors and EditorsMedical TreatmentMost causes of anal itching can be readily treated.
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Limp: Limping is the body's way of compensating for pain by trying to minimize the amount of weight the hip has to support while walking.
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To find a support group that works for you, contact the following organization or look on the internet.
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IN THIS ARTICLEHand Injury OverviewHand Injury CausesHand Injury SymptomsWhen to Seek Medical CareExams and TestsHand Injury TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsHand Injury CausesHand injuries can be divided into 5 general categories: (1) lacerations (cuts), (2) fractures and dislocations, (3) soft tissue injuries and amputations, (4) infections, and (5) burns.
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Addressing the behavioral part helps people change the way they react to anxiety-provoking situations.
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Infants with histories of in utero exposure to ACE inhibitors should be closely observed for hypotension, oliguria, and hyperkalemia.
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« Reply #266 on: April 10, 2010, 12:17:15 AM »

Some patients (12 years of age and older) with seasonal allergic rhinitis may find as-needed use of 200В mcg once daily effective for symptom control (see CLINICAL TRIALS).
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Clinical Chemistry and Hematology: During the development of GABITRIL, no systematic abnormalities on routine laboratory testing were noted.
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Acute organic forms are treated in the same manner as inorganic, except the toxin usually does not immediately affect intestinal cells, so the treatment may be less "aggressive" with charcoal and a cathartic (laxative).
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If it does not calm the spasm directly, it will help to calm the mind which can get agitated with on-going and endless eyelid spasming.
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Therefore, CUBICIN should not be dosed more frequently than once a day.
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Of the remaining nine cases, none were reported as serious adverse events.
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Amyloid deposits may cause tears in ligaments and tendons.
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Some promising studies have investigated feeding nonoffensive strains of bacteria to push out the bacteria that are offensive, although no established treatments are available at this time.
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Dose adjustments should be made over the first week of treatment based on control of withdrawal symptoms at the time of expected peak activity (e.g., 2 to 4 hours after dosing).
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Septal myectomy (also called septal myomectomy) is open-heart surgery for people with hypertrophic obstructive cardiomyopathy and severe symptoms.
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« Reply #267 on: April 10, 2010, 05:48:06 AM »

Serum concentrations necessary to inhibit 50% of stimulated gastric acid secretion are estimated to be 36 to 94В ng/mL.
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As with other local anesthetics, anaphylactoid reactions to mepivacaine have occurred rarely.
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Editors: Scott H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Thomas Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey.
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Because of the nature of stroke, virtually all facilities will continue to evaluate and treat stroke patients, and the identification of hospitals that function as primary stroke centers within stroke systems should be as inclusive as possible.
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The National Institute of Neurological Disorders and Stroke (NINDS) conducts research related to Rasmussen’s encephalitis in its laboratories at the National Institutes of Health (NIH), and also supports additional research through grants to major medical institutions across the country.
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Hepatic Failure: Morphine pharmacokinetics have been reported to be significantly altered in patients with cirrhosis.
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Some patients may also need to be hospitalized to treat malnutrition, to gain weight, or for other reasons.
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Because both tests are often performed at the same office visit and by the same personnel, the risks and procedures generally apply to both tests.
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These are mainly based on the principles of applied behavior analysis.
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« Reply #268 on: April 10, 2010, 11:14:10 AM »

Persons with motor neuron disease gradually lose muscle control and become paralyzed.
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Additional Precautions and Adverse Effects: In aortography, depending on the technique employed, the risks of this procedure also include the following: injury to the aorta and neighboring organs, pleural puncture, renal damage including infarction and acute tubular necrosis with oliguria and anuria, retroperitoneal hemorrhage from the translumbar approach and spinal cord injury and pathology associated with the syndrome of transverse myelitis.
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Measurements of 100-200 mL or higher on more than one occasion represent inadequate bladder emptying.
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Swollen Lymph Nodes OverviewLymph nodes (erroneously called lymph glands) are a part of the lymphatic system, a component of the body's immune system.
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If a product is not mentioned, the omission does not mean or imply that the product is unsatisfactory.
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Physical dependence and tolerance are not unusual during chronic opioid therapy.
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Unique opportunities to identify women’s risk (eg, during pregnancy) also deserve further exploration.
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Some people who have anorexia recover with treatment after only one episode.
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The plague has caused more fear and terror than perhaps any other infectious disease in history.
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Some people with heart defects may require antibiotics before surgery or dental work, just as they did in childhood.
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« Reply #269 on: April 10, 2010, 04:15:57 PM »

Scopolamine is most commonly administered as a patch applied to the skin.
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Previous PageGlossary Printer-Friendly Format |  Email to a Friend Privacy Policy Women's Health Find out what women really need.
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Surgical treatment of cervical dysplasia cures approximately 90% of women, meaning that 10% of women will have a recurrence of the dysplasia after treatment that will require additional treatment.
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ORTHO EVRAВ® should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention.
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The most important test is a pregnancy test, as pregnancy is a common and simple explanation for amenorrhea.
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Most often, though, this is a true emergency that requires treatment to prevent loss of the leg.
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Even with the most experienced neurosurgeon, the chance of a cure is small if the tumor has extended into critical brain structures or into the cavernous sinus where surgery is risky.
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A positive percent reduction indicates an improvement (i.e., a decrease in seizure frequency), while a negative percent reduction indicates worsening.
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White cell and reticuloendothelial system disorders: Agranulocytosis, granulocytopenia, leukemia, leukopenia, neutrophils decreased.
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Your pet cannot become infested with human lice and transmit the lice to another person.
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In normal subjects, approximately one percent or less of the administered dose appears in cumulative 72- to 96-hour fecal specimens.
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