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See also Swallowing cricoarytenoid joint arthritis, 110 cricopharyngeal, 152 DISH (diffuse idiopathic skeletal hyperostosis), 156 diverticulum, esophageal, 152 dysphonia, 89 enteric feeding, 146 epiglottitis, 104 esophageal ruptureperforation, 154 Forestiers disease, 156 goiter, 130 hemangioma, 109 KITTENS differential diagnosis, 145 laryngitis, 100, 107 Ludwigs angina, 203 lusoria (Bayford syndrome), 100 overview, 154 neck visceral space infection, 204 neoplasm, benign, 156 overview, 143147 palatal paresis, 357 parapharyngeal infection, 202 space tumors, 278 polymyositis (dermatomyositis), 151 postoperative, 258 stenosis, subglottic, 110 swallowing rehabilitation, 146 thyroglossal duct cyst, 195 tracheotomy, 147 and trauma, 470, 472 Dysphonia abnormalities, perceptual, 89, 91 arytenoid dislocation, 90 aspiration, 89 cerebral palsy, 90 diplophonia, 91 dysphagia, 89 (GERD) gastroesophageal reflux disease, 89, 90, 93 GRBAS scale (grade of hoarseness, roughness, breathiness, asthenia, strained voice quality), 92 Guillain-Barré syndrome, 90 hearing loss, 89 heartburn, 89 hemangiomas, 90, 109 history, 89, 90 hygromas, cystic, 90, 108, 196 bid ask definition forex, 89, 90 CHAPTER 6 Otology and Neurotology 335 SSx:acutepain,hemotympanum,bloodyotorrhea,acutehearing loss (SNHL or CHL), dizziness, tinnitus Dx:clinicalexamandhistory Rx:analgesics,anti-inflammatoryagents,prophylacticoraland topical decongestants Types of Barotrauma MiddleEarSqueeze:onascenttheeustachiantubemayclose,thus failing to relieve pressure in the middle ear, as ambient pressure increases may cause the TM to rupture or middle ear hemorrhage resulting in hemotympanum (theoretical ) RoundWindowRupture:mayoccurasthediverattemptsaValsalva maneuver: the TM snaps into a neutral position pulling the bid ask definition forex causing negative pressure in the cochlea (implosion of the round window) or as the diver attempts a Valsalva maneuver there is an increase in CSF pressure that is transmitted through the perilymph causing a rupture of the round window (theoretical ) Inner Ear Decompression Sickness (Caisson Disease, The Bends): with increased pressure (diving), nitrogen becomes more soluble and enters the blood and body fluids; if decompression occurs rapidly, small gas emboli may form and enter the cerebral circulation leading to blindness, deafness, paralysis, or death; Rx: recompression (hyperbaric oxygen) Temporal Bone Fractures Initial Evaluation temporalbonefracturesareassociatedwithseveretraumaticforces, initial exam includes a complete trauma work-up (see pp.
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t l x2 Heat transfer in the solid region (X(t) x, t 0): Ts α 2Ts. 204. Antiplatelet Therapy 491 difference between the two groups in the asi of the composite end point or its components (48).
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3 THE SECOND LAW 51 states having S S1 cannot be reached from state 1 by any adiabatic process T1 reversible adiabat through state 1 1 states having S S1 can be reached from state 1 by some adiabatic process S1 S Figure 2.
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