An evaluation of the wrist includes a physical examination and sometimes arthrocentesis. (See also Evaluation of the Patient With Joint Symptoms.)#160;
Posts made by Rihanna
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Evaluation of the wrist
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Other finished
Motor gasoline not included in the oxygenated or reformulated gasoline categories.
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Operating day
A normal business day. Days when a company conducts business due to emergencies or other unexpected events are not included.
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Sittin' on it
sittin on it is a term used for men who want to [get laid]. it is a very [abrupt] way of asking but [hey you] gotta get laid right?
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Wray and nephews
the most hardcore spirit one can find in a local pub, mostly [weatherspoon] [branches]. not [for pussies].
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Neurogenic arthropathy
Neurogenic arthropathy is a rapidly destructive arthropathy due to impaired pain perception and position sense, which can result from various underlying disorders, most commonly diabetes and stroke. Common manifestations include joint swelling, effusion, deformity, and instability. Pain may be disproportionately mild due to the underlying neuropathy. Diagnosis requires x-ray confirmation. Treatment consists of joint stabilization, which slows disease progression, and sometimes surgery if the disease is advanced.
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Natural gas utility demand-side management (DSM) program sponsor
A DSM (demand-side management) program sponsored by a natural gas utility that suggests ways to increase the energy efficiency of buildings, to reduce energy costs, to change the usage patterns, or to promote the use of a different energy source.
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Grate the gimbal
To [stroke] ones penis between [the cheeks] of your boyfriend’s arse without [penetration]
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Midgrade gasoline
Gasoline having an antiknock index, i.e., octane rating, greater than or equal to 88 and less than or equal to 90. Note
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Median streamflow
The middle rate of flow of water past a given point for which there have been several greater and lesser rates of flow occurring during a specified period.
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Masonry stove
A type of heating appliance similar to a fireplace, but much more efficient and clean burning. They are made of masonry and have long channels through which combustion gases give up their heat to the heavy mass of the stove, which releases the heat slowly into a room. Often called Russian or Finnish fireplaces.
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Parkinson disease
Parkinson disease is a slowly progressive, degenerative disorder characterized by resting tremor, stiffness (rigidity), slow and decreased movement (bradykinesia), and eventually gait and/or postural instability. Diagnosis is clinical. Treatment aims to restore dopaminergic function in the brain with levodopa plus carbidopa and/or other drugs (eg, dopamine agonists, monoamine oxidase type B [MAO-B] inhibitors, amantadine ). For refractory, disabling symptoms in patients without dementia, stereotactic deep brain stimulation or lesional surgery and levodopa and an apomorphine pump may help.
(See also Overview of Movement and Cerebellar Disorders.)
Parkinson disease affects about0.4% of people gt; 40 years
1% of people ≥ 65 years
10% of people ≥ 80 yearsThe mean age at onset is about 57 years.
Parkinson disease is usually idiopathic.
Juvenile parkinsonism, which is rare, begins during childhood or adolescence. Onset between ages 21 and 40 years is sometimes called young or early-onset Parkinson disease. Genetic causes are more likely in juvenile and early-onset Parkinson disease; these forms may differ from later-onset Parkinson disease becauseThey progress more slowly.
They are very sensitive to dopaminergic treatments.
Most disability results from nonmotor symptoms such as depression, anxiety, and pain.Secondary parkinsonism is brain dysfunction that is characterized by basal ganglia dopaminergic blockade and that is similar to Parkinson disease, but it is caused by something other than Parkinson disease (eg, drugs, cerebrovascular disease, trauma, postencephalitic changes).
Atypical parkinsonism refers to a group of neurodegenerative disorders that have some features similar to those of Parkinson disease but have some different clinical features, a worse prognosis, a modest or no response to levodopa , and a different pathology (eg, neurodegenerative disorders such as multiple system atrophy, progressive supranuclear palsy, dementia with Lewy bodies, and corticobasal ganglionic degeneration). -
Progressive supranuclear palsy (psp)
Progressive supranuclear palsy is a rare, degenerative central nervous system disorder that progressively impairs voluntary eye movements and causes bradykinesia, muscular rigidity with progressive axial dystonia, pseudobulbar palsy, and dementia. Diagnosis is clinical. Treatment focuses on relieving symptoms.
(See also Overview of Movement and Cerebellar Disorders.)
The cause of progressive supranuclear palsy is unknown.
Neurons in the basal ganglia and brain stem degenerate; neurofibrillary tangles containing an abnormally phosphorylated tau protein are also present. -
Sixth cranial (abducens) nerve palsy
Sixth cranial nerve palsy affects the lateral rectus muscle, impairing eye abduction. The eye may be slightly adducted when the patient looks straight ahead. The palsy may be secondary to nerve infarction, Wernicke encephalopathy, trauma, infection, or increased intracranial pressure, or it may be idiopathic. Determining the cause requires MRI and often lumbar puncture and evaluation for vasculitis.
(See also Overview of Neuro-ophthalmologic and Cranial Nerve Disorders.) -
RE: Encasement
The state of one’s whole body being [wrapped up] like an Egyptian [mummy] in a [latex] suit, sleepsack, or other fetish gear for the purposes of sexual gratification.