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By B. Ramirez. Bowdoin College.

Treatment involves evaluates and treats people with communication removing the spleen (splenectomy) sildalis 120 mg amex. In some states a state congenital hemolytic jaundice 120mg sildalis free shipping, severe atypical sphe- license is also required generic sildalis 120mg on-line. The sperm has an oval head that contains its genetic matter, and sphincter A muscle that surrounds and, by its it is propelled by a flagellating tail. A sperm is car- contraction, closes a normal opening such as that ried into the female reproductive tract within the from the intestinal tract or the urinary tract. If the sperm is able to travel up to the anal and urethral sphincters can cause fecal into a fallopian tube, it must then break through the and urinary incontinence, respectively. Sphincters cell wall of the egg (the female gamete, or ovum) to tend to be ring-like and, when contracted, to con- fertilize the egg and form a zygote. People with spina bifida often have neurological deficits below the level of the sphygmomanometer Blood pressure cuff, an lesion and can suffer from bladder and bowel instrument for measuring blood pressure, particu- incontinence, limited mobility (due to paralysis of larly in arteries. The two basic types of manual sphygmo- bifida varies according to country, ethnic group, manometers are the mercury column and the gauge and socioeconomic status. The manual sphygmomanometer in spina bifida occurs in 1 in every 1,000 to 2,000 most frequent use today consists of a gauge attached births. The risk of spina bifida and other neural to a rubber cuff that is wrapped around the upper tube defects, such as anencephaly, can be signifi- arm and is inflated to constrict the arteries. A blood cantly decreased if women take ample folic acid pressure reading consists of two numbers: systolic before conception and during pregnancy. Systolic refers to systole, the phase when the heart pumps blood out into the aorta. Diastolic refers to diastole, the resting period when the heart refills with blood. At each heartbeat, the spina bifida occulta A bony defect in the verte- blood pressure is raised to the systolic level, and, bral column that causes a cleft in that column. Treatment is usually cuff inflated with air, a stethoscope is placed over an not required. As the air in the cuff is released, the pressure reading spinal column See vertebral column. As the release of air from spinal cord The major column of nerve tissue the cuff continues, a point is reached when the sound that is connected to the brain and lies within the ver- diminishes and then is no longer heard. The pressure tebral canal and from which the spinal nerves at which the last sound is heard marks the diastolic emerge. The blood pressure reading might show the in the spinal cord: 8 cervical, 12 thoracic, 5 lumbar, systolic and diastolic pressures to be, for example, 5 sacral, and 1 coccygeal. Children and adults with smaller- spinal cord is covered by three connective-tissue or larger-than-average-sized arms may need special- envelopes called the meninges. See also blood pressure; hyper- the outer and middle envelopes is filled with cere- tension; hypotension. Localized reddening and swelling are not unusual and should spinal fusion A surgical procedure in which two pass within a few days. Spinal fusion may be done to treat a number emergency treatment, especially for children. The body then heals the grafts over several months, spider vein A group of widened veins that can be which joins the vertebrae together. The wheel- graft may be taken from another bone in the patient and-spokes shape of the veins resembles a spider. There are 31 pairs of spinal nerves: shaped form and wiggles vigorously when viewed 8 cervical nerves, 12 thoracic nerves, 5 lumbar under a microscope. The produces lymphocytes, which are important ele- result is compression of the nerve roots or spinal ments in the immune system.

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Other fea- other conditions cheap sildalis 120mg overnight delivery, including deafness safe 120 mg sildalis, maple syrup tures are jaundice 120mg sildalis, hepatic (liver) failure, and ascites urine disease, homocystinuria, congenital adrenal (fluid in the abdomen). Eye hallmarks include a hyperplasia, tyrosinemia, cystic fibrosis, and toxoplas- “cherry red spot” in the macula in the center of the mosis. In the classic form, accu- cystinuria; hypothyroidism, congenital; maple mulation of a substance called sphingomyelin is due syrup urine disease; phenylketonuria; sickle cell to deficiency of the enzyme sphingomyelinase. Night sweats can have many different causes, including medica- niacin deficiency See pellagra. Nicotine has powerful pharmacologic Nipah virus A member of the paramyxovirus effects (including increased heart rate, heart stroke family isolated from samples from an outbreak of volume, and oxygen consumption by the heart mus- encephalitis and respiratory illness among adult cle), as well as powerful psychodynamic effects men in Malaysia and Singapore in 1999 that causes (such as euphoria, increased alertness, and a sense a sometimes fatal form of viral encephalitis. For example, nictitating spasm nipple The pigmented projection on the surface is spasm of the eyelid with continuous winking. In the mature female, ducts that conduct milk from nidus In medicine, any structure that resembles a the mammary glands to the surface of the breast exit nest in appearance or function. This distri- technique that does not use radiation, but instead bution is very similar to the location of nipples on employs large magnetic forces to produce detailed mammals that have multiple nipples along the images of body tissues. Infection nitrogen narcosis A condition similar to intoxi- tends to strike the lungs, brain, and skin, particu- cation with alcohol characterized by euphoria, loss larly in people with an impaired immune system. The skin form of nocardio- below 30 meters (100 feet) who breathe com- sis is contracted through soil contamination of pressed air, because of the high nitrogen content of wounds. Nitrogen narcosis is reversed as the gas pressure person transmission of Nocardia. For example, rapid effect and is used to treat angina pectoris by a lymph node is a collection of lymphoid tissue. Nitrous oxide is used sometimes as a recreational drug for node, sinoatrial See sinoatrial node. Nits firmly attach to the hair shaft with a glue-like nodular hyperplasia of the prostate See substance. All nits must be removed to prevent reinfestation with nodular melanoma See melanoma, nodular. Topical preparations are available nodule A small collection of tissue that is palpable (can be felt) at any level of the skin (in the epidermis, http://www. Nodules characteristically range in size from 1 to 2 Knowing which type a patient has is important for cm in diameter. The treatment options for non-small- cell lung cancer are generally different than those for noncompliance Failure or refusal to comply. Hearing loss, for instance, can be syndromic or nonsyn- nondisjunction Failure of paired chromosomes dromic. Nondisjunction causes errors syndrome that is characterized by mildly short in chromosome number, such as trisomy 21 (Down stature, a congenital heart defect, a broad or syndrome) and monosomy X (Turner syndrome). It is relatively common, with an esti- mated incidence of 1 in 1,000–2,500 live births. The remaining Nonoxynol-9 A potent spermicide (sperm- normal results fall outside the normal range, as do killing agent) used as a contraceptive. The normal range for a particular test result, condition, symptom, or behav- nonpathogenic Incapable of causing disease. Several other names have been used for noroviruses, including Norwalk-like nonseminoma A type of testicular cancer that viruses, caliciviruses (because they belong to the arises in specialized sex cells called germ cells that virus family Caliciviridae), and small round struc- give rise to sperm. The virus is spread primarily from onal carcinoma, teratoma, choriocarcinoma, and one infected person to another by the fecal-oral yolk sac tumor. The characteristic symptoms are nausea, vomiting, diarrhea, and abdominal cramping that non-small-cell lung cancer Cancer of the lung develop 1 or 2 days after contaminated food or that is not small cell carcinoma. Symptoms typically last for 24 to chogenic carcinoma, squamous cell carcinoma, ade- 60 hours. Illness severe enough to require hospital- nocarcinoma, or large cell carcinoma of the lung. The person should hold the nose for at least 5 rickettsiosis, North Asian tick-borne.

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