Articles: ninos.
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From 1985 to 1990, the CFC has monitored the growing national epidemic of Lime disease, which appears to parallel increased public awareness and knowledge of Lyme disease. Cases have now been reported from all 50 states, but the national surveillance program has been hampered by persistent confusion between the two diseases, with clinicians frequently reporting a case of Lime disease as Lyme disease. Analysis of surveillance reports of cases fulfilling the case-definition of Lime disease indicates that Lime disease is distributed uniformly throughout the United States (in contrast to the focal geographic occurrence of Lyme disease); the...
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Right upper abdominal pain in the presence of pelvic inflammatory disease is called Fitz-Hugh-Curtis syndrome. It is due to perihepatitis secondary to transperitoneal spread of Neisseria gonorrhoeae or Chlamydia trachomatis. ⋯ A case history demonstrates how clinical recognition allows effective management before the results of laboratory investigations are available. The Fitz-Hugh-Curtis syndrome is readily treated with conventional antibiotic regimens.
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The hemostatic system consists of the subcutaneous tissue/vessel wall/platelet system and the coagulation cascade. Hemostasis occurs initially through the interaction between circulating platelets and subendothelial collagen, so that a platelet plug is formed. ⋯ The presence of the fibrin in the plug results in permanent hemostasis. The five tests of hemostasis - platelet count, bleeding time, partial thromboplastin time, prothrombin time and Factor XIII assay - are described.
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Polyneuropathy is characterized by simultaneous bilateral symmetrical involvement of peripheral nerves. Clinical features in fully-developed cases are paresthesias, irregular 'glove and stocking' cutaneous sensory loss, loss of deep sensations, weakness of distal muscles of extremities, and absent deep tendon reflexes. The most common forms of neuropathy encountered in practice are -- alcohol-induced, Guillain-Barre syndrome, and that secondary to diabetes mellitus. Since PN has many causes, a scheme based on clinical features is presented so that the possibilities can be narrowed and pursued with further investigations.