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http://projects.csail.mit.edu/courseware/?term=teenage-pregnancy-essay teenage pregnancy essay If infection is suspected, it is imperative to obtain the appropriate diagnosis and treatment. 3,18 radiographs of affected joints may have characteristic cystic changes, punched-out lytic lesions with overhanging bony edges, figure 59–1. Synovial fluid containing extracellular and intracellular needle-like, negative birefringent monosodium urate crystals. (from schumacher h, chen lx. Chapter 333. Gout and other crystal-associated arthropathies. In. Longo dl, fauci as, kasper dl, et al. , eds. Harrison’s principles of internal medicine, 18th ed. New york, ny. Mcgraw-hill. 2012. accesspharmacy. Mhmedical.

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