Hemorrhage multiple

Lumbar puncture (LP) is used to obtain cerebrospinal fluid (CSF). It is used most often as an evaluation of CNS infections such as meningitis and encephalitis, but it is also useful in subarachnoid hemorrhage, multiple sclerosis, and dementia. Opening pressure, cell count and differential, glucose concentration, total protein... 

The multiple effects of UFH on the coagulation cascade may increase its potential to cause hemorrhage." Anticoagulants with more specific sites of action may confer a better safety profile. Two such anticoagulants are low-molecular-weight heparin (LMWH) and heparinoids. 

The authors have now reviewed in detail four cases of unexpected death following the use of neck holds in PCP-intoxicated individuals. In all of the cases, multiple carotid compression holds had been attempted, according to the history. Skin abrasions, hemorrhage into the soft tissues of the neck, and fractures of the hyoid bone and thyroid cartilage provide structural evidence of the application of substantial force to the neck. On autopsy, there has been no evidence of lethal injuries to the bronchial tree, bra in, or heart. 

Normal prenatal and postnatal ovarian development, with multiple nonovulatory hemorrhagic follicles as an adult, 30-40% incidence of ovarian cancer in 18 months Normal prenatal development, but insensitive to the development promoted by estrogens during puberty. Sensitive to progesterone and prolactin. 

A 75-year-old woman is seen in the emergency room with a fractured arm. Physical examination revealed multiple bruises and perifollicular hemorrhages, periodontitis, and painfid gums. Her diet consists predominately of weak coffee, bouillon, rolls, and plain pasta. Lab results indicated mild microcytic anemia. Which of the following enzymes should be less active than normal in this patient ... 

Extracts of toxic isolates of M. aeruginosa or a purified peptide toxin injected into the bloodstream or the peritoneal cavity of mice elicit hepatotoxic effects (5-7,8). The fresh weight of the liver is greatly increased, and sinusoidal congestion, hemorrhage, and necrosis of the liver are observed. A lethal dose of purified toxin also induces multiple thrombi in the lungs and causes a marked reduction in the number of circulating blood platelets (6,7). 

The answer is B. The patient shows many signs of vitamin G deficiency or scurvy, which is seen most frequently in infants, the elderly, and in alcoholic patients. Particularly indicative of vitamin C deficiency are the multiple small hemorrhages that occur under the skin (petechiae) and nails and surrounding hair follicles. Bleeding gums are a classic indicator of scurvy. 

OR = 2.9 Cl = 1.3, 6.9), chorioamnionitis (OR = 10 Cl = 2.1, 65), and endometritis (OR = 3.6 Cl = 1.7, 8.1). Respiratory distress and intraventricular hemorrhage were similar in the two groups. Although the study was non-randomized the results suggest an increased risk of neonatal infection and death after multiple courses of dexamethasone during pregnancy. 

The water-soluble salt of vitamin K3 (menadione) should never be used in therapeutics. It is particularly ineffective in the treatment of warfarin overdosage. Vitamin K deficiency frequently occurs in hospitalized patients in intensive care units because of poor diet, parenteral nutrition, recent surgery, multiple antibiotic therapy, and uremia. Severe hepatic failure results in diminished protein synthesis and a hemorrhagic diathesis that is unresponsive to vitamin K. 

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