There was an old woman

Type B Hepatic encephalopathy (HE) due to a congenital extra-hepatic porto-systemic shunt is an extremely rare condition. We report the case of a 57-year-old woman, with recurrent episodes of confusion and neuropsychiatric symptoms, who had an elevated serum ammonia level and a superior mesenteric-caval shunt documented on abdominal computed topography (CT) scan. There was no evidence of cirrhosis or portal hypertension. A diagnosis of non-cirrhotic, non-portal hypertension hepatic encephalopathy was made after excluding other causes of confusion and cognitive impairment.

5p kethamoi9 02-12-2020 11 2   Download

Tài liệu There was an old woman who lived in a Shoe is a popular English language nursery rhyme, with a Roud Folk Song Index number of 19132. Debates over its meaning and origin have largely centered on attempts to match the old woman with historical female figures who have had large families, although King George II (1683–1760) has also been proposed as the rhyme's subject.

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Someone must have been telling lies about Josef K., he knew he had done nothing wrong but, one morning, he was arrested. Every day at eight in the morning he was brought his breakfast by Mrs. Grubach’s cook Mrs. Grubach was his landlady but today she didn’t come. That had never happened before. K. waited a little while, looked from his pillow at the old woman who lived opposite and who was watching him with an inquisitiveness quite unusual for her, and finally, both hungry and disconcerted, rang the bell. There was immediately a knock at the door and...

271p subtraction1122 28-04-2013 51 5   Download

Sitting down at the age of eighty-four to give an account of my life, I feel that it connects itself naturally with the growth and development of the province of South Australia, to which I came with my family in the year 1839, before it was quite three years old. But there is much truth in Wordsworth's line, "the child is father of the man," and no less is the mother of the woman; and I must go back to Scotland for the roots of my character and Ideals. I account myself well-born, for My father and my mother loved each other. I consider myself...

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About the end of the year 1639, a troop of horsemen arrived, towards midday, in a little village at the northern extremity of the province of Auvergne, from the direction of Paris. The country folk assembled at the noise, and found it to proceed from the provost of the mounted police and his men. The heat was excessive, the horses were bathed in sweat, the horsemen covered with dust, and the party seemed on its return from an important expedition. A man left the escort, and asked an old woman who was spinning at her door if there was not an inn in the place. The woman and...

44p hotmoingay6 23-01-2013 52 2   Download

PARENTAGE There was a man called Halfdan the Black, who lived and died long ago, when the folk of Norway were still ruled by many small kingdoms, and folk still followed the old customs, believing in Odin, Tor, Freya and other old gods. Halfdan grew up in the small farmingtown of Os, in the kingdom of Fjordane. He was fathered by Gødrød the Toothy and mothered by an outlander woman called Aasa. As a young man, Gødrød had killed a few other local young men, for no reason other than boredom; as punishment for these wrongs, the Fjordane Assembly had...

188p mymi0809 16-01-2013 47 2   Download