[PDF] Top 20 Caracterización de hormigón con fibras sintéticas recicladas
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Clinical Reasoning: A 12-year-old girl with headache and change in mental status
... patient’s clinical history of progressive decline in neu- rologic status over the course of many months following chronic PDCB exposure, with psychomotor retardation, mutism, bulbar dysfunction, ataxia, an ... See full document
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Clinical Reasoning: A 44-year-old woman with headache followed by sudden neurologic decline
... with clinical signs concerning for impending herniation ...no clinical or radiographic signs of impending herniation? Her acute change in mental status may have been a clue to ... See full document
6
Clinical Reasoning: A 22-year-old postpartum woman with new-onset seizures and headache
... derangements, including fluctuations in sodium, glucose, cal- cium, and magnesium, are also important to consider in post- partum patients presenting with seizures. Another related condition to consider is posterior ... See full document
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Clinical Reasoning:An 18-year-old man with subacute mental status change
... with mental status change, including Epstein-Barr virus, cytomegalovirus, varicella zoster virus, West Nile virus, rabies, syphilis, tuberculosis, and cryptococcus, were ... See full document
9
Clinical Reasoning: A 55-year-old obese woman with headache and rhinorrhea
... The differential diagnosis included primary CNS disorders, inflammatory processes, space-occupying lesions, vascular etiologies, and infectious processes. Initial mild headache in a known patient with migraine ... See full document
7
Clinical Reasoning: A 20-year-old man with headache and double vision
... On examination, his vital signs and mental status were normal. His neck was supple. No skin rashes were seen. His pupils were normal and visual acuity was 20/20 in each eye. External examination of the eyes ... See full document
5
Clinical Reasoning: An 8-year-old girl with multifocal brain lesions and cerebral edema
... An 8-year-old right-handed girl with a history of de- clining school performance presented to the emer- gency center with acute onset altered mental status. For 3 weeks, the former ... See full document
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Clinical Reasoning: A 12-year-old boy with ascending weakness
... showed periorbital edema and was otherwise normal including cardiac and skin examinations. Mental status examination revealed an apathetic affect with normal alertness and mentation. Cranial nerves were ... See full document
10
Clinical Reasoning: A 35-year-old woman with diplopia, ataxia, and altered mental status
... BBE was first described by Bickerstaff and Cloake 1 in 1951 and has since been grouped with Miller Fisher syndrome (MFS), acute ataxic neuropathy without ophthalmoplegia, and acute ophthalmoparesis (AO) without ataxia. ... See full document
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Clinical Reasoning: A 22-year-old man presenting with headache and right leg jerks
... Upon examination, the patient was afebrile, alert, in no acute distress, and without nuchal rigidity. Funduscopic examination revealed no papilledema. Mental status and cranial nerve examinations were ... See full document
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Clinical Reasoning: A 35-year-old woman with acute seizures and behavior change
... patient showed much improvement with the IVIg ther- apy, exhibiting improved mental status and seizure con- trol, and was subsequently started on prednisone 80 mg daily, which was tapered to 60 mg daily ... See full document
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Clinical Reasoning: A 53-year-old woman with headache and altered mental status
... patient’s mental status had improved dramatically without treatment, but an erythematous vesiculopapular rash had erupted under the left breast, extending in a dermatomal distribution over the lateral chest ... See full document
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Clinical Reasoning: A 41-year-old man with thunderclap headache
... worst headache of his ...thunderclap headache. The headache was initially described as retro-orbital, left-sided, as- sociated with vomiting, and extending to the ... See full document
7
Clinical Reasoning: A 9-year-old girl with seizures and encephalopathy
... A 9-year-old girl presented to the emergency department with seizures and altered mental status. Her seizures were characterized by left eye deviation and head version fol- lowed by ... See full document
16
Clinical Reasoning: A 14-year-old girl with headache, seizures, and confusion
... 14-year-old girl without any relevant medical history was transferred to our institution due to worsening headache along with nausea, vomiting, and generalized tonic-clonic (GTC) seizures for ... See full document
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Clinical Reasoning: A 62-year-old migraineur with a new kind of headache attacks
... patient has more than 5 attacks of very severe, unilat- eral, retro-orbital pain, usually lasting no longer than 3 hours. As requested furthermore, accompanying ipsilateral autonomic features were present and the ... See full document
8
Stabbing Headache in an 8-Year-Old Girl: Primary or Drug Induced Headache?
... a change in the char- acter of the headache, or possibly a link to physical ...8-year-old girl who suffered short-lasting stabbing headache ...the girl suffered from ... See full document
7
Clinical Reasoning: A 50-year-old man with “elephantiasis” and headache
... legs, status post left above the knee amputation with prosthetic limb, and hypothyroid- ism presented with 1 week of headache and ...The headache was continuous, with gradual worsen- ing over the 7 ... See full document
13
Clinical Reasoning: A 42-year-old man with severe headache, fever, and acute coma
... clap headache, visual deterioration, ophthalmoplegia, signs of meningeal irritation, alteration in conscious- ness, and hormone dysfunction, became another important ... See full document
23
Acute Pancreatitis in a 12-Year-Old Girl After an Erythromycin Overdose
... Acute Pancreatitis in a 12-Year-Old Girl After an Erythromycin Overdose. Services[r] ... See full document
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