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http://projects.csail.mit.edu/courseware/?term=good-biology-essay-topics good biology essay topics She had also mild di culties climbing steps. She had no weight loss, swallowing di culties, shortness o breath, double vision, sphincteric disturbance, or sensory symptoms. She had hypertension and was taking hydrochlorothiazide. She was married and had two healthy children. There was no amily history o neuromuscular disease. On examination, she was in no apparent distress. Her general examination was notable or dry and cracked palms with horizontal lines along the palmar areas o the f ngers. T ere was no joint swelling or skin rash. Mental status and cranial nerve examinations were normal. On motor examination, she has muscle weakness a ecting the shoulder girdle muscles (mrc 4/5) more than the pelvic girdle muscles (mrc 4+ /5). Neck exors were also weak at 4+ /5, while neck extensors were normal. Muscle tone and bulk were normal. Sensation was normal to all modalities. Muscle stretch re exes were 2/4 throughout. Gait was waddling, and she used both hands to get up rom a regular chair. Romberg test was negative. Laboratory studies showed elevated creatine kinase (4300 iu/l, normal < 200 iu/l). Antinuclear antibody (ana) was negative, while anti-jo-1 was elevated. Esr was normal at 25 mm/hr.

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purchase custom research paper 3. Sebaceous hyperplasia appears as tiny yellowish white follicular papules most commonly clustered on the nose. These papules self-resolve in the first weeks oflife. 4. Erythema toxicum neonatorum occurs in approximately half of full-term newborns. Classically, the lesions of erythema toxicum are yellowish papules on an erythematous base, prompting the name "flea bite" dermatitis. Presentations may range from a few scattered isolated lesions to extensive, sometimes confluent, areas of pustules or papules with surrounding erythema. When unroofed and scraped, the contents of the papules and pustules will contain many eosinophils on wright or giemsa stain. Erythema toxicum most typically appears on the second or third day oflife, waxes and wanes for a few days, and resolves within the first week of life. 5. Nevus simpla or salmon patch refers to a frequently seen capillary malformation located on the forehead (typically v shaped), nape of the neck, eyelids, nose, and upper lip. Although most salmon patches on the face c'angel kisses") resolve in the first year or so, those on the nape of the neck ("stork bites'') will sometimes persist. 6. Transient pustular melanosis neonatorum (tpmn), most common in darker pigmented infants, consists of 2- to 10-mm fragile, neutrophil-containing 98 i assessment of the newborn pustules that spontaneously break, leaving a collarette of scales and underlying hyperpigmented macules that eventually (weeks to months) fade. Frequently, infants at birth will be found to have the hyperpigmented macules oftpmn with the pustular phase having presumably occurred in utero. Tpmn may sometimes need to be distinguished from bacterial (usually staph) pustules that are generally larger than tpmn, yield positive cultures and are not associated with the typical hyperpigmented macules. 7. Dermal mdanosis ("mongolian spots"), commonly seen in darker-skinned and asian individuals, consists of dermal collections of melanocytes that appear as varying size macules or patches of black, gray, or slate blue skin, most often on the buttocks, although many other locations are also possible. It is prudent to make note of dermal melanosis on the newborn examination so that there is no confusion in the future with traumatic bruises.

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essay on advertising Although congenital nystagmus is by ar the most common orm (~80%), we discuss only acquired cialis online free sample nystagmus, as it mostly pertains to the hospital neurology provider. Approach to nystagmus and other x involuntary eye movements correct diagnosis and assessment o nystagmus and other involuntary eye movements can be done clinically and o en without specialized equipment. Correct assessment can lead to more accurate localization, diagnosis, and therapy plan. T ere are several key questions to answer during the examination o the eye movements. Is there a slow component?. Is the speed o the back- and orth-movement di erent or the same?. Jerk versus pendular what is the direction?. Horizontal vertical oblique orsional is it worse or better with xation?.

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