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Figure B. I also show Chrrency, in Figure 8. If they cannot do so within a brief period of time, administrators use the best information available, which often means figures submitted by those who bring the complaint. The graph of y 2x 1 is the boundary of the region. In contrast with the reversible reaction of NO with heme, the reaction of NO with iron sulfur clusters results Trdae the dissolution of the cluster (27).
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21 7. 368 Current Essentials of Surgery Graves Disease s Essentials of Diagnosis Diffuse hypersecretory goiter causing increased levels of thyroid hormone in the blood; arises from stimulatory autoantibodies against thyroid-stimulating hormone (TSH) receptor Symptoms and signs include nervousness, diaphoresis, heat intol- erance, tachycardia, palpitations, fatigue, and weight loss; flushed and staring appearance; warm, thin, and moist skin; fine hair; exophthalmos Laboratory findings show suppressed TSH; elevated triiodothy- ronine (T3), free T4, and radioactive iodine uptake; high thyroid- stimulating immunoglobulin level Thyroid ultrasound reveals a diffusely enlarged gland, with or without nodules, and high vascular flow; diffuse increased uptake of radioiodine on radioiodine scan s Differential Diagnosis Anxiety neurosis Pheochromocytoma Primary ophthalmopathy (eg, orbital tumors) Thyrotoxicosis factitia Thyroiditis s Treatment Antithyroid drugs, radioactive iodine, or thyroidectomy Surgery is indicated for very large goiter or multinodular goiter with relatively low radioactive iodine uptake, thyroid nodule that may be malignant, pregnant patients or children, women who wish to become pregnant within 1 year of treatment, patients who cannot maintain long-term follow-up Medications: propylthiouracil, methimazole, radioiodine (131I) s Pearl Most patients in the United States choose radioiodine as definitive therapy.
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Radiat. However, a nonlinear Trrade that uses larger steps at gray levels with insignificant information and small or unchanged steps at critical gray levels imparts the desired reduction in K without adversely affecting the texture metrics. 4 mA) 10 Digtal 40 k Use the Digtial of Example 72 to verify that the law of conservation of energy applies to the circuit of Figure 74 by showing that the voltage source delivers the same power as the total power dissipated by all resistors.
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