Extremity pain

Acoustic Coupling When the shell-side fluid is a low-density gas, acoustic resonance or coupling develops when the standing waves in the shell are in phase with vortex shedding from the tubes. The standing waves are perpendicular to the axis of the tubes and to the direction of cross-flow. Damage to the tubes is rare. However, the noise can be extremely painful. 

Thus, the presence of uric acid crystals in joints triggers a vicious cycle, resulting in an extremely painful inflammation. A typical localization of acute gouty arthritis is the first metatarsal joint of the foot (podagra). The diagnosis of acute gouty arthritis is confirmed by the detection of urate crystals in the joint or tophus. 

Scuba divers experience similar pressure changes. The amount of air dissolved in the blood increases significantly as the diver descends. If a diver returns to the surface too quickly, nitrogen gas dissolved in the blood forms bubbles in the same way as the CO2 in a freshly opened carbonated drink. These bubbles interfere with the transmission of nerve impulses and restrict the flow of blood. The effect is extremely painful and can cause paralysis or death. The bubbles tend to collect in the joints, where they cause severe contractions. This is the source of the name of this dangerous condition—the bends . 

Soon after Otto Ambros first went to Oswiecem, Birkenau was established to house the people of the town whom Ambros had recommended to be "evacuated" and placed in a new concentration camp. In those days the main camp — still predominantly for political prisoners — was kept as "pure" as possible by having the Jews and Poles in the main camp transferred to Birkenau. The first killings at Birkenau were the explosive result of the mistreatment of Birkenau inmates enroute to and from the main camp and to and from the buna plant. From the center of the buna plant to the center of Camp Birkenau was almost five miles, and their return at night was extremely painful and dangerous. Over the whole distance they dragged tools, firewood, heavy caldrons, and the bodies of those who had died or been killed during the working day. Others who could not maintain the brisk pace of the march were knocked down and beaten to death. 

The hazard of a mixture of mustard and Lewisite (HL) on the eyes and skin, or vapor in the eyes or respiratory tract, is immediate. Within an hour, edema of the conjunctivae and lids begin and soon results in eye closure. Any casualty experiences serious pain seconds after contact with HL liquid, but such extreme pain makes the injured person decontaminate at once. Rapid decontamination is the sole manner to avoid severe burns since after a few minutes of contact with a mixture of mustard and Lewisite, the upper layer of skin will die and appear gray, painful erythema will be apparent shortly thereafter, and... 

I ve been unhealthy all of my life but didn t realize I was chemically sensitive until I stopped smoking, in my thirties. Before that I felt so dead tired and sick all the time that I didn t know when I was reacting to chemical exposures. I couldn t understand what was wrong with me. After I quit, when I was around someone smoking a cigarette I felt like someone had stuck a hot poker up my nose. It was extremely painful. Now I have a chronic sinus condition and I am never without pain for one second, and I get sick from exposures to perfume, cleaning products and things like that, and many foods. 

Ethereal fluoboric acid can be prepared as follows 19 ml. (19 g., 0.95 mole) of anhydrous hydrofluoric acid, b.p. 19.4° (760 mm.) [Caution Hydrofluoric acid in contact with the skin produces extremely painful hums. It is therefore necessary to use eoery precaution to protect exposed parts of the body, especially the hands and eyes. Cf. Org. Syntheses, Coll. Vol. 2, 295 1943), Note 3 Org. Syntheses, 46, 10 1966), Note 1 is added in small portions with shaking or stirring to 126 ml. (142 g., 1.00 mole) of distilled boron trifluoride etherate, b.p. 126° (760 mm.), contained in a 500-ml. polyethylene flask that is cooled in an ice bath to 0°. The concentration of the resulting yellowish solution of fluoboric acid in ether is about 52% by weight ca. 6.6 moles per 1.). 

Some have their legs monstrously swelled, and covered with one or more large livid spots, or ecchy-moses others have hard swellings there in different places, extremely painful and others I have seen, without any swelling, have the calf of the leg quite indurated. 

Musculoskeletal Joint pain arthralgia muscle cramps/pain back/neck pain arthritis twitching/tremor localized pain extremity pain myalgia. 

Miscellaneous Anxiety depression dizziness headache rash abdominal pain/discomfort gingival disorder infectious diarrhea nausea rectal pain/discomfort tooth disorder vomiting arthritis back pain myalgia lower extremity pain menstrual irregularity vaginitis influenza upper/lower respiratory tract infection fatigue otitis sleep disorder urinary tract infection. 

Notify the physician immediately if palpitations, pain or weakness in the extremities, pain or tightness in the chest or throat, or sudden or severe abdomi nal pai n occurs... 

Tachycardia back, chest, abdominal, or extremity pain tremor... 

Cough, back pain, sinusitis, upper extremity pain, dyspepsia, fever, palpitations, hypotension, dizziness, fatigue, syncope... 

Dizziness, migraine, back pain, extremity pain... 

Bromine Bromine, a fourth-row element, is a volatile, reddish liquid rather than a gas like fluorine and chlorine. Its fumes are quite toxic, however, and it causes extremely painful burns when spilled on bare skin. Bromine was first isolated in 1826 by the 23-year-old French chemist A.-J. Balard by oxidation of KBr with Mn02 in a manner similar to that used for the synthesis of chlorine. 

The fourth woman began to have extreme pain and fetal bradycardia then occurred. Uterine rupture from the previous incision was found at emergency cesarean section, with the baby s arm extending through the lacerated area. The uterine defect was successfully repaired. 

People who use fentanyl for chronic pain often try to hide their use. They often believe that others will think less of them for needing something to help them deal with their pain. Since fentanyl is only prescribed to those who are in extreme pain and need to block the receptors in their brain that signals pain, patients should not be viewed as drug users who are trying to get high. This constitutes the difference between medicinal and recreational uses of fentanyl. 

Extreme pain, respiratory arrest, severe muscular contractions individual normally cannot let go unless knocked away by muscle action death is possible Ventricular fibrillation (the rhythmic pumping action of the heart ceases) muscular contraction and nerve damage occur death is most likely Cardiac arrest, severe bums, and probable death... 

User suffers hallucinations and extreme pain, loses 2d6 points of Con and Wis. 

Uric acid (Fig. 6) is the main nitrogenous waste product of uricotelic organisms (reptiles, birds and insects), but is also formed in ureotelic organisms from the breakdown of the purine bases from DNA and RNA (see Topics FI and Gl). Some individuals have a high serum level of sodium urate (the predominant form of uric acid at neutral pH) which can lead to crystals of this compound being deposited in the joints and kidneys, a condition known as gout, a type of arthritis characterized by extremely painful joints. 

The test chemical should be placed in the conjunctival sac of one eye of each animal after gently pulling the lower lid away from the eyeball. The lids are then gently held together for about 1 second to prevent loss of the material. The other eye, which remains untreated, serves as a control. If it is considered that the chemical could cause extreme pain, a local anaesthetic may be used prior to installation of the test chemical. The type and concentration of the local anesthetic should be carefully selected to ensure that no significant differences in reaction to the test chemical would result from its use. The control eye should be similarly anesthetized. 

By December Barlow s condition had begun to decline. His temperature exceeded 103 degrees Fahrenheit, blood and mucus appeared regularly in his urine and stools. He could only sleep with the aid of sedatives. Being the consummate scientist, Barlow frequently examined his own specimens and kept an almost daily record of his clinical and laboratory observations. For example, in tests of his urine he found he was passing up to 12,000 eggs in each 24-hour sample. Barlow was a very sick man, so sick that he was subjected to extremely painful injections of antimony. Treatment with the heavy metal did clear Barlow of the infection by December 1944. In 1948 Barlow received the Medal of Merit from President Truman. He died at the ripe old age of 93. 

Nitrous oxide is still used because of its rapid action and adding a little of this to other anaesthetics makes less likely another type of accident, that happens when the supply of anaesthetic runs out during the course of an operation and the anaesthetist is unaware of it. As a result, the patient starts to recover consciousness during the operation and consequently suffers extreme pain and trauma. Financial compensation in such cases can be particularly high. Nitrous oxide keeps the patient unaware of what is happening. 

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