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and encephalitis, cerebral infarction, subarachnoid hemorrhage, neoplasm, and Guillain-Barre syndrome. The diagnosis of SIADH should be suspected in any critically ill neurologic or neurosurgical patient who excretes urine that is hypertonic relative to the plasma. As the hyponatremia develops, there is a decrease in alertness, which progresses through stages of confusion to coma, often with convulsions. As with many other metabolic derangements, the severity of the clinical effect is related to the rapidity of decline in serum Na. Lack of recognition of this state may allow the serum Na to fall to dangerously low levels, 100 meq/L or lower. One s rst impulse is to administer NaCl intravenously, but this must be done cautiously, because in most of these patients the intravascular volume is already expanded and there is a risk of congestive heart failure. Most cases respond to the restriction of uid intake to 500 mL per 24 h if the serum Na is less than 120 meq/L and to 1000 mL per 24 h if less than 130 meq/L. Even when the Na reaches 130 meq/L, the uid intake should not exceed 1500 mL per 24 h. In extreme cases of hyponatremia with stupor or seizures, infusion of NaCl is necessary. The amount of NaCl to be infused can be calculated from the current and the target levels of serum Na by assuming that the infused sodium load is distributed throughout the total body water content (0.6 weight in kilograms): [(Target Na starting Na) 0.6] weight (kg) infused Na load (meq)

Metastatic abscesses are usually situated in the distal territory of the middle cerebral arteries, and they are frequently multiple, in contrast to otogenic and rhinogenic abscesses (Fig 32-1) Also, almost all deep cerebral abscesses for example, those within the thalamus have a systemic source It should also be noted that the clinical and radiologic features of a solitary abscess may mimic those of a brain tumor In regard to brain abscess, careful distinction should be made between the neuropathologic effects of subacute and acute bacterial endocarditis Subacute bacterial endocarditis (SBE), ie, the type caused by the implantation of streptococci of low virulence (alpha and gamma streptococci) or similar organisms on valves previously damaged by rheumatic fever or on a patent ductus arteriosus or ventricular septal defect, seldom gives rise to a brain abscess.

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Centronics A standard originally developed for connecting printers to computer systems whose connections allow for up to 36 wires to be used for communications. Chip Creep its socket.

The cerebral lesions of SBE are due to embolic occlusion of vessels by fragments of vegetations and bacteria, which cause infarction of brain tissue and a restricted in ammatory response around the involved blood vessels and the overlying meninges ( cerebritis ) The cerebral symptoms of a stroke may be the rst clinical manifestations of the disease The CSF contains a moderate number of polymorphonuclear leukocytes and frequently red cells as well, but the glucose content is not lowered and suppuration in the brain or in the subarachnoid space does not occur It is theorized that the chronicity of the streptococcal infection allows the body to develop immunity to the organisms The meningeal pleocytosis is occasionally associated with headache, stiff neck, and rarely with alterations of consciousness.

options that must be liquidated in order to exit the trade. There is always the possibility of variance between the bid and the offer for the individual option positions or for the spread itself. Liquidity can also be an issue in some markets from time to time, but usually we would offset the synthetic long with a short sale on the underlying and vice versa for the put. The synthetic short is a way to simulate a short sale on protected stocks on the no-short list, but you should check regulations for any new rules on short option positions on these stocks. The regulations regarding short selling are likely to be in ux for some time to come.

The traditional AutoCAD method of entering a command and then selecting the object to be edited is sometimes called verb/noun selection. First you tell the software what to do (using a verb such as ERASE) and then you select the object to be acted upon (using a noun such as LINE). When you use grips with editing commands, you are using noun/verb selection. See Fig. 6-7. First you select the object, and then you tell the software what to do with the object. You may nd the grips (noun/verb) method convenient to use, especially if you are familiar with other graphics ERASE + programs that use this technique. However, either method is acceptable. Verb + Object (Noun) The method you choose is a matter of personal preference.

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