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Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the test's limitations. Protein level, opening pressure, and CSF-to-serum(More)
BACKGROUND Oxycodone has become popular for post-Caesarean section (CS) analgesia yet it is not currently recommended for use in breast-feeding mothers because of limited information on its excretion into breast milk. AIM To investigate the relationship between maternal ingestion of oxycodone after CS and the resultant maternal plasma, breast milk and(More)
Marfan syndrome is a common, preventable cause of sudden cardiac death in the athlete. It is an autosomal-dominant disorder of connective tissue with variable penetration that affects multiple organ systems. Aortic root aneurysm rupture or dissection is the most common cause of sudden death. A directed family and personal history, in addition to a search(More)
A 65-year-old male presented 5 years after Roux-en-Y gastric bypass (RYGBP) with cancer of the gastric pouch. At the time of detection, the cancer was already metastatic. This case represents the first reported metastatic gastric adenocarcinoma arising from the gastric pouch following RYGBP.
Experimental modal analysis of multifrequency vibration requires a measurement system with appropriate temporal and spatial resolution to recover the mode shapes. To fully understand the vibration it is necessary to be able to measure not only the vibration amplitude but also the vibration phase. We describe a multipoint laser vibrometer that is capable of(More)
AMERICAN FAMILY PHYSICIAN 1103 pressure, and cautioned not to hyperventilate, because hyperventilating will lower the opening pressure. Normal opening pressure ranges from 10 to 100 mm H 2 0 in young children, 60 to 200 mm H 2 0 after eight years of age, and up to 250 mm H 2 0 in obese patients. 2 Intracranial hypoten-sion is defined as an opening pressure(More)
Since the early 1980s, limb-sparing procedures have become the standard of care for the treatment of sarcoma involving the extremities. The Tikhoff-Linberg procedure has been described as a limb-sparing option for the treatment of neoplasms of the shoulder girdle. Historically, the involvement of the chest wall with tumor has been considered an absolute(More)