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Trunk or extremities

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  • The concept for Cancer Management: A Multidisciplinary Approach arose nearly 10 years ago. This seventh annual edition reflects the ongoing commitment of the authors, editors, and publishers to rapidly disseminate to oncologists the most current information on the clinical management of cancer patients. Each chapter in this seventh edition has been updated to keep pace with the most current diagnostic and treatment recommendations.

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  • Pemphigoid Gestationis Pemphigoid gestationis (PG), also known as herpes gestationis, is a rare, nonviral, subepidermal blistering disease of pregnancy and the puerperium. PG may begin during any trimester of pregnancy or present shortly after delivery. Lesions are usually distributed over the abdomen, trunk, and extremities; mucous membrane lesions are rare. Skin lesions in these patients may be quite polymorphic and consist of erythematous urticarial papules and plaques, vesiculopapules, and/or frank bullae. Lesions are almost always very pruritic.

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  • Spinal Cord (See also Chap. 372) If the spinal cord is transected, all sensation is lost below the level of transection. Bladder and bowel function are also lost, as is motor function. Hemisection of the spinal cord produces the Brown-Séquard syndrome, with absent pain and temperature sensation contralaterally and loss of proprioceptive sensation and power ipsilaterally below the lesion (see Figs. 25-1 and 372-1). Numbness or paresthesias in both feet may arise from a spinal cord lesion; this is especially likely when the upper level of the sensory loss extends to the trunk.

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  • Reliable estimation of sewage flow rates is essential for the proper design of sewers, pumping stations, and treatment plants. The design of the various components of the sewerage system should be based on the most critical flow rates with a focuson extremely low and peak flow rates that would be sustained for a duration related to the acceptable limits of behavior of the components under consideration. The extreme flow conditions and to what extent they differ from the average values are closely related to the size of the community or network, and the socioeconomic conditions.

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