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13.7 Strangulation in a case of closed-loop obstruction of thesmall bowel in an 85-year-old female patient with a history of gastricsurgery

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The other anti-body recognizes basement membrane chondroitin sulfate proteoglycan(BM-CSPG, fluorescein label).

Routine early CT-scan is cost saving after minor head injury. Note the irregular spacing of thenuclei that are in the plane of the cut

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The t? is not altered by renal impairmentand the dose remains the same. Different individuals havearrived at any particular level of income, occupational advantage or prestige which have dif-ferent life histories behind them. First,age-related changes in immunity particularly impact thecentral nervous system (CNS). Partly, they could re?ect afundamental ?aw in the assumption that, nor-mally, rhythmogenesis is independent of periph-eral metabolic, neural, or chemical inputs. In thissituation, there were more cases than controls (592 vs

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Clearly constructing a clinical questionis necessary to guide the search for relevant research evidence. In 1996, the National Institute of Neu-rological Disorders and Stroke (NINDS) and the Societyfor PSP (SPSP) sponsored an international workshop toimprove the specificity and sensitivity of the clinical diag-nosis of PSP (Litvan et al., 1996a). Although anterior shoulder dislocations are easily seen on erect postero-anterior (PA) and lateral films—look for adducted arm and externally rotated forearmwith numbness over deltoid (axillary nerve is stretched)—posterior shoulder disloca-tions are commonly missed on these views.