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A continuous scratching noise is heard on cardiac auscultation. Information about setting up a new shrimp tank including details on exactly what should and shouldn’t be used. Answer Explained Abnormalities or damage to the heart’s structure are the most common cause of atrial fibrillation. The clinician may detect the abnormal pylorus, which feels like an olive-shaped mass, when touching the stomach area.

Answer Explained Asthma is predominantly a disease of inflammation with superimposed bronchospasm, leading to air trapping. Answer Explained Placental abruption is most likely in the last 12 weeks before birth.

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Carbamazepine is an effective anticonvulsant, but it cannot be given IV or IM. While it is approved for malaria prophylaxis, it is not approved as a single agent for the the treatment of malaria. Lipomas can occur at any age, but they’re most often detected during middle age.

A 70 year old woman is evaluated for a 4-week history of aching bilateral pain and morning stiffness around the proximal muscles of her arms, shoulders and hips. Another one of the cool looking shrimp from Sulawesi. Selectively bred for coloration and other features. But when you take an antibiotic to treat an infection, the drug can destroy some of the normal, helpful bacteria as well as the bacteria causing the illness.

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Only do this when you are done with your changes. D, water-soluble vitamins B, and certain Proteins and amino acids. She has no significant medical history, does not use tobacco and takes no regular medications. There are excoriations on the boy’s lower abdomen, buttocks, and hands with red papules.

Which of the following is the most appropriate test to confirm the diagnosis? Overstimulation of the parasympathetic nervous system would result in which of the following? A 66 year old man presents to the ER complaining of frequent nosebleeds. Which medication may help a female patient with a small kidney stone stuck in the ureter?

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So you want to raise Shrimp? A 25-yo man presents with nasal obstruction, mild facial pain, and a low grade fever lasting more than one week. How to start, what to use, what not to do. A patient has an internal hemorrhoid that prolapses and requires manual reduction. Information on the beautifully striped Zebra Nerite Snail. The most common symptom is pain in the right upper part of the abdomen.

She has also been fired from 3 jobs in the past 3 months. Longer use may cause rebound sinusitis. He tells you that actually he has had a chronic cough that has seemed to get worse over the past 3 years. Any case where the LH is higher may be suggestive of PCOS and further investigation may be warranted. Visit Alpha Pro Breeders to purchase exotic frogs.

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Iron absorption occurs in which part of the intestine? This is the one most often seen in young people. Symptoms are most likely to develop between the fingers and on the palm side of the wrists, on the outside surfaces of the elbows and in the armpits. Information on the common pond snail. Malabsorption causes diarrhea, weight loss, and bulky, greasy, extremely foul-smelling stools. Severe dyspnea that responds inadequately to initial emergency therapy.

A 39 year-old male policeman comes to the clinic complaining of fatigue for the past 6 months. Photos of the various species of Sulawesi Snails. Maneuvers that will increase the cardiac volume for a short period of time includes: raising the legs and squatting down. Answer Explained Ammonia, which is produced by the body when proteins are digested, is one of the harmful substances that is normally made harmless by the liver.

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Do you have any tips to help fix this issue? Answer Explained While therapy with short bursts of high-dose parenteral steroids is a mainstay of hospital management of acute exacerbations, rapid dosage reduction to the lowest oral dosage possible for long-term management is necessary to minimize long-term side effects. Answer Explained Testicular torsion has a classic doughnut sign on nuclear medicine testicular scan due to increased uptake of tracer surrounding a photpenic testicle. For long-term tube feedings, a doctor may wish to perform minor surgery and insert a gastrostomy tube. Is aceclofenac nd paracetamol under DPCO?

Abdominal radiograph shows a string sign. Answer Explained Hepatitis B infection The most common subtype to likely cause anal squamous cell carcinoma is HPV-16. Which of the following is the most appropriate next step in diagnosis? Answer Explained The primary cause of gangrene is reduced blood supply to the affected tissues, which results in cell death. Which of the following about the treatment of corneal abrasions is correct?

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Visit Alpha Pro Breeders to purchase tropical fish. Are the shrimp naturally colored or dyed? Information on how to properly acclimate your newly arrived shrimp to your tank. Which of the following is the most common cause of tinnitus? Answer Explained The sore points over the body are noticeable in specific areas, such as on the outer side of the elbows, top of the shoulders, upper part of the front of the chest, inner side of the knees, etc. Information for the newcomer to the hobby.

They are not bad snails and are in fact good for any kind of tank especially shrimp-only tanks. Most people who develop polymyalgia rheumatica are older than 65. A patient with bronchogenic carcinoma in the apex of the left lung and involvement of the recurrent laryngeal nerve. The maximum dose in one hour is 1. Size is important when introducing shrimp to a new tank.

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She has had recurrent episodes of acute bronchitis. Can be rare and hard to find. The rash can cause itching, which is occasionally severe. There may also be more vomiting than would be expected.

As such, the normally resonant thorax becomes hyperresonant, reflecting the less dense quality of the air- filled thoracic tissue, and tactile fremitus is diminished. Passive smoking and Maternal smoking plays important role in the development of COPD. This process results in an epiphyseal scar. Information on the Ramshorn Snail including the different color variations and population control.

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Answer Explained Symptoms of mono include fatigue, sore throat, swollen lymph nodes, and fever. Return to the homepage for news and update information. In addition to drainage, which of the following is require for proper treatment of malignant pleural effusions?

The most common cause of chronic bronchitis is smoking. Physical exam findings include abundant cervical mucus associated with normal estrogen levels, and bilateral enlarged ovaries of irregular size. Leftover Gatorade can poison the tank and soap can do the same thing as well!

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These are some of the best out there! Since your uterus puts pressure on your bladder most heavily in the third trimester, this means you’ll probably have to go to the bathroom more than you ever did before. What is the most likely diagnosis? Form-III of Schedule-II of the DPCO, 2013.

On exam there is exudative pharyngitis and tender enlarged posterior cervical lymphadenopathy. It is very common to find in most pet stores and online. It carries many different names and can be found in most pet stores.