Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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2. C8 root syndromeMotor lossAs for ulnar lesion plus triceps weaknessReflex reduction or lossFinger jerkTriceps jerk3. Lower brachial plexus lesionMotor lossIn addition extensor carpi radialis, extensor digitorum, extensor pollicis, lumbricals 1 and 2,flexor digitorum profundus (radial part) often also Homer's syndromeReflex reduction or lossFinger jerkDifferential diagnosis of important peripheral nerve lesions (continued)1. Distal median nerve lesion (carpal tunnel syndrome)Motor lossAbductor pollicis brevis, opponens pollicis, flexor pollicis brevis, lumbricals 1 and 2Reflex reduction or lossNone2. C7 root syndromeMotor lossIn addition to thenar muscle paresis: triceps, pectoralis major (middle part), pronator teres,long finger flexorsReflex reduction or lossTriceps jerk
Muscle diseases: diagnostic proceduresLaboratory diagnosisSerum: ESR, rheumatoid tests, immunoelectrophoresisAcetylcholine receptor antibodies, myofibril antibodies, ENA, ANA, SMA Lactate,pyruvate, alanine (possibly also after exertion)CPK and isoenzyme, LDH, aidolase, electrolytes (potassium)Urine: myoglobin, glucose, phosphate, amino acidsCSF: lactate.Special investigationsLactate estimation after ischaemia and on exertion (ergometer)Electromyography (EMG), electroneurographyMuscle computerized tomography and ultrasoundMagnetic (spin echo) resonance spectroscopic measurement of creatine phosphate andATP under aerobic and anaerobic conditionsCardiac investigations (ECG, echocardiography, chest X-ray)Muscle biopsyHistology: inflammatory cells (polymyositis, vasculitis)Scatter of fibre size, increase of lipids, dystrophin demonstration (muscular dystrophy)Structural anomalies (congenital myopathies)Electron microscopy: lipids, glycogen, mitochondria (mitochondrial myopathies)Immunohistology: cellular infiltrates (lymphocytes), antigens, complement, antibodies (inmyositides, collagenoses)Biochemistry: anaerobic metabolismAcid maltase (Pompe's disease), muscle phosphorylase (McArdle's disease),phosphofructokinase, phosphoglycerate kinase, phosphoglycerate mutase, lactatedehydrogenaseAerobic metabolism (mitochondrial myopathies)Pyruvate carboxylase, carnitine, respiratory chain defectsMolecular biology: genome analysis with DNA probesBenign congenital myopathiesDefinition
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
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ecorded simultaneously the membrane
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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Joint Instability% Joint Impairment
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Example: Implant resection arthropl
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Intrinsic tightness in the hand may
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Extensor TendonSubluxation Severity
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With the patient plantar-flexing th
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0° 30° 0° 4510° 20° 10° 3020
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Center the goniometer over the meta
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Example: If 50% of the distal phala
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of the toe being tested (Figure 61c
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Center the goniometer over the late
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Inversion and Eversion (Subtalar Jo
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10° active dorsi-flexion 410° act
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Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
Page 258: For cranial nerve stimulation the c
Page 261 and 262: Demonstration of specific antibodie
Page 263 and 264: 4.6.2 Explosive type4.6.3 Postural
Page 265 and 266: 8.4.2 Caffeine withdrawal headache8
Page 267 and 268: Headache: differential diagnosisDes
Page 269 and 270: Diagnostic criteria of drug-induced
Page 271 and 272: convexity), glioblastoma, oligodend
Page 273 and 274: Hypothalamic regulatory hormonesHyp
Page 275 and 276: 0 = normal1 = stride down to 30-45
Page 277 and 278: Parkinsonism: causesAetiology or Pa
Page 279 and 280: Paradoxical hyperkinesiaSudden good
Page 281 and 282: Meige syndrome(bilateral facial spa
Page 283 and 284: ThalamotomyScale for quantification
Page 285 and 286: Eating10 = independent (with aids)5
Page 287 and 288: InfectionsMeningitisOtitis media, m
Page 289 and 290: OculomotorDependent on surgery, var
Page 291 and 292: AreflexiaSlowed nerve conduction ve
Page 293 and 294: Causes of lumbosacral root disorder
Page 295 and 296: Compartment syndromescompartmentsAu
Page 297: Lateral root of median nerve (C5-C7
Page 300 and 301: Palsy without pronator, teres invol
Page 302 and 303: Baker's cyst (in rheumatoid arthrit
Page 304 and 305: Gluteal nerve lesionsIntramuscular
Page 306 and 307: Differential diagnosis of important
Page 310 and 311: Congenital and usually inherited my
Page 312 and 313: (iv) Type 7.erythrocytes involved.P
Page 314 and 315: Myopathies (polymyositis, dermatomy
Page 316 and 317: denervated muscles.)Prostigmine may
Page 318 and 319: Polyneuropathy (rarely)Hypothyroidi
Page 320 and 321: Multiple sclerosis - CAMBS scaleDis
Page 322 and 323: Intrathecal IgG production ≥90Oli
Page 325 and 326: THE CV-4 TECHNIQUEThe still point a
Page 327 and 328: NEUROLOGY TESTBlood pressure should
Page 329 and 330: To find out about the different neu
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Page 333 and 334: HYGIENESelf-care deficit (specify l
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Page 337 and 338: ObjectiveHard -formed stoolStrainin
Page 339 and 340: Definition: [ failure of the heat t
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Page 343 and 344: Work overloadUnrealistic perception
Page 345 and 346: Inappropriate or poorly communicate
Page 347 and 348: Decreased skin turgorIncreased puls
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Page 351 and 352: Definition: The client is unable to
Page 353 and 354: DEFINING CHARACTERISTICSInternal (i
Page 355 and 356: SUPPORTING DATAETIOLOGYLack of expo
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DEFINING CHARACTERISTICSSubjectiveX
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Does not defend self-care practices
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Cognitive perceptualCultural or spi
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SUPPORTING DATAETIOLOGYEnvironmenta
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Mechanical factorsShearing forcesPr
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Changes in postureFrequent yawningN
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DEFINING CHARACTERISTICSObjectiveSk
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Toxic reactions to medicationBatter
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______Self-concept, disturbance in:
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Bed rest or immobilityDEFINING CHAR
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Unmet needs[Physiological factors,
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___________________________________
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___________________________________
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Inability to speak in sentencesDoes
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Decision and actions by family whic
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ETIOLOGYSituational transition and/
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Hypotension [postural]Increased pul
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Central venous pressure changesJugu
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ObjectiveCryingDevelopmental regres
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Abnormal blood profile: altered clo
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Children playing without gates at t
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Reluctance to attempt movement[C/o
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SubjectiveReported or observed dysf
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diagnosis that adjustment to parent
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Acute Phase:Emotional reactions: an
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SubjectiveVerbalization of:Change i
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SUPPORTING DATAETIOLOGYEnvironmenta
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ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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