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The most com-mon clinical criteria used to diagnose heart failureare the Framingham criteria that require the presenceof at least two major criteria, or one major and twominor criteria (7) (major criteria: paroxysmal noctur-nal dyspnea, neck vein distension, rales, radiographiccardiomegaly, pulmonary edema, S3 gallop, centralvenous pressure >16 cm H O, circulation time ?25seconds, hepato-jugular reflux, or congestion or car-diomegaly at autopsy; minor criteria include ankleedema, nocturnal cough, dyspnea on ordinary exer-tion, hepatomegaly, pleural effusion, one third reduc-tion of maximum vital capacity, and heart rate >120beats/minute). Task specificity may be lost over time buy generic Pregabalin and involuntary movements may generalizeor spread to other muscles or may be provoked by other tasks. (1994) Surgicalmanagement of unruptured intracranial aneurysms.
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The apical cytoplasm oftheluminal cells appears hyalinized, a consequence of the aggre-gated tonofilaments in the apical cytoplasm.
Casarett and Doull’s Toxicology: The Basic Science ofPoisons. The uterine cervix is also thickened( arrow in a). Note theoverdistension and the pneumothorax on the right side(With courtesy of Pr C.