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Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 161 – THE PERIPHERAL BLOOD SMEAR James R. Newland Wright-Giemsa–stained peripheral blood is examined for its formed elements: red blood cells (RBCs), white blood cells (WBCs), and platelets. A careful review of the peripheral smear is useful when a patient has an abnormal WBC […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 431 – ISCHEMIC CEREBROVASCULAR DISEASE Justin A. Zivin Definition Ischemic stroke is caused by insufficient blood flow to part or all of the brain. Focal stroke is conventionally defined as a neurologic deficit lasting more than 24 hours that is caused by reduced blood […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 289 – SJÖGREN’S SYNDROME Stanley Naguwa   M. Eric Gershwin Definition Sjögren’s syndrome (SS) is an autoimmune disease characterized by immune-mediated destruction of exocrine glands, particularly salivary and lacrimal glands, with secondary development of keratoconjunctivitis and xerostomia. Primary and secondary forms of SS have been defined. Primary […]

ABBREVIATIONS & SYMBOLS COMMONLY USED IN PHYSIOLOGY Use of abbreviations and acronyms has become so extensive in modern physiology and related sciences that it would be impossible to present a complete list here. Furthermore, most proteins that are isolated today are simply assigned a name made up of letters and numbers that bears no relation […]

Figure 23-21. Inhibin precursor proteins and the various inhibins and activins that are formed from the carboxyl terminal regions of these precursors. SS, disulfide bonds.

Figure 22-10. Feedback control of growth hormone secretion. The dashed arrows indicate inhibitory effects and the solid arrows stimulatory effects. Note that IGF-I stimulates the secretion of somatostatin (SS) from the hypothalamus and acts directly on the pituitary to inhibit growth hormone (GH) secretion. Compare with Figures 18-12, 20-21, 23-22, and 23-35.

Hack 92. Return Smarter Values Choose the correct scalar for any context. There’s always one troublemaker in any bunch. When it comes to return contexts, that troublemaker is scalar. List and void contexts are easy. In list context you just return everything. In void context, return nothing. Scalar contexts allow you to return only one […]

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