[PDF] Top 20 El Impuesto a los Ingresos en Argentina y su impacto sobre la distribución del ingreso

... the woman did not com- plain of headache and there were no blurring of ...significant bilateral hearing impairment and upward conjugate gaze ... See full document

... A 45-year-old woman presented with immobility and incontinence in July 2016. Her symptoms started 6 months prior to presentation, when she had multiple falls (without major injuries) at home ... See full document

... Two months after her initial evaluation, the patient developed acute onset right foot drop. She also noted a new rash on both feet and endorsed wors- ening malaise with a weight loss of 16 pounds. Exam- ination ... See full document

... ing loss, it would not account for her transient ...the clinical course of the visual loss was atypi- cal for optic neuritis given the absence of pain and the lack of subsequent visual ...eral ... See full document

... revealed that 51% of cases were male, mean age at diagnosis was 54 years, and at onset 70% had unilat- eral decreased vision and 30% had bilateral vision loss. At presentation, 41% had optic disc edema, 43% ... See full document

... This 28-year-old peripartum woman has subacute onset encephalopathy with memory loss and abulia, as well as long tract signs. Encephalopathy suggests a process affecting large areas of the ... See full document

... 56-year-old woman with a recent diagnosis of primary light-chain (AL) (lambda type) amyloidosis complicated by mild infiltrative cardiomyopathy and autonomic neuropathy had sudden onset vertigo and ... See full document

... acute bilateral leg weakness, the concern for a possible neurosurgical emergency requires prompt diagnosis and treat- ...sory loss, since the lamination pattern of the ascend- ing and descending tracts ... See full document

... obese woman with a history of migraine and tension-type headaches presented with headache for 5 days with acute worsening for 1 ...complaints, hearing changes or phonophobia, jaw claudication, weakness, ... See full document

... A 68-year-old woman presented with increased frequency of headaches accompanied by double vision. The patient had a history of migraines, which she typically experienced on a monthly basis. In the ... See full document

... A 23-year-old woman with a history of uncomplicated migraine headaches presented with 2 days of headache. Her typical migraines were preceded by visual aura and usually resolved after taking a ... See full document

... reactive to light bilaterally. She had marked oculomotor apraxia and thus could not track an object through her visual field. She could not visually fixate and thus had difficulty naming objects in her visual field. She was ... See full document

... When taking into consideration the acuity of symptoms and the patient’s cardiac history, the highest suspicion is for acute ce- rebral ischemia. In this setting, the most likely explanation is an acute or worsening ... See full document

... A 54-year-old woman was referred for a second opin- ion regarding a 3-month history of subacute onset progressive cognitive decline. She complained of memory difficulties particularly with short term ... See full document

... A year later, she presented with a pressure- like headache associated with nausea, vomiting, and 2 weeks of dizziness; rheumatologic markers were normal at this time, but brain MRI demonstrated multiple T2/FLAIR ... See full document

... The patient presented with slowly progressive lower greater than upper limb weakness, with both proximal and distal muscle involvement. Paraspinal muscle atro- phy and spinal rigidity were notable. Sensory symp- toms ... See full document

... VCP mutations, and some congenital myopathies (hyaline body myopathy and reducing body myopa- thy). The absence of ptosis and dysphagia makes OPMD unlikely. The sparing of facial muscles is uncommon in FSHD. The lack of ... See full document

... trauma, operative injury, entrapment, habitual leg crossing or prolonged squatting, immobilization, and marked weight loss. Additionally, it is associated with conditions such as diabetes mellitus, alcohol abuse, ... See full document

... unremarkable. She was prescribed aspirin and admitted for evaluation. Symptoms lasted 48 hours. Brain MRI showed no acute infarction. Magnetic resonance angi- ography showed normal intracranial vessels and mild ... See full document

... A 43-year-old woman presented with a 4-day history of right limb weakness. While biking 4 days earlier, she felt a weakness in her right hand and leg. She had a history of hypertension for more than ... See full document