tag:blogger.com,1999:blog-65472653905547835732024-03-12T16:34:42.902-07:00MRCS notesUnknownnoreply@blogger.comBlogger23125tag:blogger.com,1999:blog-6547265390554783573.post-58416107158389568692012-05-11T06:33:00.002-07:002012-05-11T06:33:32.586-07:00Principles of surgery- Collective mrcs notes<div dir="ltr" style="text-align: left;" trbidi="on">
Collective mrcs notes<br />
<br />
Principles of surgery<br />
index of notes<br />
<a href="http://www.4shared.com/file/LxMK_896/Index.html">http://www.4shared.com/file/LxMK_896/Index.html</a><br />
<br />
notes itself<br />
<a href="http://www.4shared.com/file/xi11VqY2/Principles_of_Surgery.html">http://www.4shared.com/file/xi11VqY2/Principles_of_Surgery.html</a></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6547265390554783573.post-65608618898803020082012-02-07T15:20:00.000-08:002012-02-07T15:21:19.444-08:00viva study plan for principles of surgery (very important)<div dir="ltr" style="text-align: left;" trbidi="on">
his is viva study plan for principles of surgery based on commonly studied books that contain most of the previously asked viva questions on principles of surgery.<br /> this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br /> so, enjoy studying the viva.<br />
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<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
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<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
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<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutorial</span></b></div>
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<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
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<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malone</span></b></div>
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<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
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<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Mokbel</span></b></div>
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<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Other</span></b></div>
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<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 502.25pt;" valign="top" width="670">
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<b><span style="font-size: 16.0pt;">PRE-OPERATIVE</span></b></div>
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<b>1</b></div>
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<b>Assesment for
fitness for surg.</b></div>
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<br /></div>
</td>
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<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b>221</b></div>
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<br /></div>
</td>
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<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b>DM & Surgery</b></div>
</td>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b>277</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>87</b></div>
</td>
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<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Obesity &
surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>309</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hypertension
& surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>228</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>113</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Alcohol &
surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>100</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Chronic Obstructive
Airway Disease</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Valvular Heart
Disease</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>228</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Heart failure</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>152</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Optimization for
surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Preparation
& Bowel Preparation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>232</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>271</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 502.25pt;" valign="top" width="670">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">OPERATION</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Theatre Design</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>235</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Patient
Positioning </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>236</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>123</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Light source</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>236</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Needles & Suture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>238</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>283</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47,58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>163</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tourniquet</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>258</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>179</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Retractors</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>240</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Diathermy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>241</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>290</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Laser in Surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>296</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Dressing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>251</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Drains</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 502.25pt;" valign="top" width="670">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">POST-OPERATIVE</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Postoperative
Complications</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>230</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Postoperative
Hypoxia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>147</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>atelectasis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:place w:st="on"><st1:state w:st="on"><b>Kan</b></st1:state></st1:place><b> 35</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>bronchiectasis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:place w:st="on"><st1:state w:st="on"><b>Kan</b></st1:state></st1:place><b> 55</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Wound healing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>185, 248</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>240</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12,</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>198</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 145,</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>wound inf.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>248</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51 </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 381</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Scar &
contracture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 320,</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Wound dehiscence
& delayed healing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>249</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gunshot wound</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fracture healing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>179</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 150</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 502.25pt;" valign="top" width="670">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ETHICAL & MEDICOLEGAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Consent</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>261</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>287</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Coroner & Death
</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>261</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>223</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutorial</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malone</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Mokbel</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Other</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Outcome of
Surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Clinical Audit
& Governance</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>317</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 502.25pt;" valign="top" width="670">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">OTHERS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sterilization</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>237</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>275</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>110</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>imaging</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>307</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Screening &
Epidemiology</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>236</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64, 65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>144</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 324</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Statistics &
clinical trials</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>200, 202</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tissue Sampling
(Histology & Cytology)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>250</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 183</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.8pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.0pt;" valign="top" width="233">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Histopathology
& Gram stain</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 50.2pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>288</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.5pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 51.65pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6547265390554783573.post-79591753547192299882012-02-07T15:18:00.000-08:002012-02-07T15:21:19.447-08:00viva study plan for operative surgery<div dir="ltr" style="text-align: left;" trbidi="on">
his is viva study plan for operative surgery based on commonly studied books that contain most of the previously asked viva questions on
operative surgery
.<br /> this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br /> so, enjoy studying the viva.<br />
<br />
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-color: currentColor; border-bottom-style: none; border-bottom-width: medium; border-collapse: collapse; border-left-color: currentColor; border-left-style: none; border-left-width: medium; border-right-color: currentColor; border-right-style: none; border-right-width: medium; border-top-color: currentColor; border-top-style: none; border-top-width: medium; width: 628px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Mokbel</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutorial</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">other</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">HEAD & NECK</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Epistaxis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Head inj – Burr
hole</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>142</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Salivary gland
surg</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>149</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>thyroid</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>175</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>136</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Root of the Neck
(cervical rib)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cervical LN
Biopsy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tonsillectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">THORAX (CARDIO-THORACIC)</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thoracotomy
& chest drain</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>123</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Kan4 , 231</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mastectomy </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31,99</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pleurocentesis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Axilary clearance</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ABDOMEN</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Abdominal
Incision</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>128</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inguinal Hernia
Repair</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88,114</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Femoral Hernia
Repair</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>146</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>117</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>PUH & incis
hernia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hiatus hernia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Laparotomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Appendicectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>138</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>115</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Splenectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>160</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>75</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cholecystectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>anastomoses</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Small Intest.
& obst</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>CHPS</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Stoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>93</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>colostomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Large bowel sg
& Hemicolectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46, 94,138</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>79</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Endoscopy &
PU</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>126</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>147</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pneumoperitoneum</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Laparoscopy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92,141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>157</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>142</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Perianal &
pilonidal</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>130</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>135</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>pheochromocytoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>hemorrhoidectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">VASCULAR</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Aneurysm & AAA
Repair</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>143</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Exposure of
Vessel</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Varicose Veins</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>193</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>146</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Vasc. Anastomosis</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>94</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Mokbel</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutorial</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">other</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Femoral
Embolectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>150</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Acute & Chronic
Ischemia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>132</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carotid
Endarterectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>147</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ORTHOPEDICS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Open fr.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>FNO</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Approach to Hip</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>87</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 8.65pt; mso-yfti-irow: 49;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hip Arthroplasty</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>136</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>151</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 8.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>More Hip</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Reduction of
Colles’Fracture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>150</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Dislocated
Shoulder </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Amputation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>153</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 54;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Approach to Knee</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 55;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Compartment syn</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carpal Tunnel
Decompression</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fasciotomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>93</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>121</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Achilles’ Tendon
Rupture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>153</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Flexor Tendons</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>152</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">UROLOGY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 61;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Nephrectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 62;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Vasectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>196</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>121</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>TURP</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>186</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Circumcision</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>156</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Catheterization</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>229</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>130</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>126</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Testic cancer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>166</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Testicular
Torsion</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>170</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>156</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>61</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Transplantation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>183</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>calculi</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>189</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>238</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 471.15pt;" valign="top" width="628">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">SKIN</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Skin cancer
& Biopsy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>152</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Skin graft</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>148</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>305</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Abscess &
Seb. Cyst</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 74;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ingrowing Nail inc</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>86</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 75;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Biopsy ( LN
& Tru-cut )</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Minor Operations</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>159</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 48.4pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 118.3pt;" valign="top" width="158">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lumbar Puncture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 52.15pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 54.8pt;" valign="top" width="73">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>144</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 53.7pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.8pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-22124098630580768692012-02-07T15:15:00.000-08:002012-02-07T15:15:30.025-08:00viva study plan for pathology (very imp)<div dir="ltr" style="text-align: left;" trbidi="on">
his is viva study plan for pathology based on commonly studied books that contain most of the previously asked viva questions on pathology.<br /> this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br /> so, enjoy studying the viva.<br />
<br />
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-color: currentColor; border-bottom-style: none; border-bottom-width: medium; border-collapse: collapse; border-left-color: currentColor; border-left-style: none; border-left-width: medium; border-right-color: currentColor; border-right-style: none; border-right-width: medium; border-top-color: currentColor; border-top-style: none; border-top-width: medium; margin-left: 0.2in; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Lowe</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">GROWTH, DAMAGE, DEPOSITION & DEATH</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hyperplasia-Hypertrophy
& Metaplasia & Dysplasia </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>196, 135, 246</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>179</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>257</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8, 29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cell damage, Necrosis,
Apoptosis & aplasia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23, 37,</b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80, 152, 261, 372</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ischemia and Infarction</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>210, 212</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>182</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Calcification</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Amyloidosis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>217</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>79</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Asbestos</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">INFLAMMATION</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inflammation<span style="mso-spacerun: yes;"> </span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>191</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>231</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3,4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>inflamm mediator
& transudate & exudate</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>207,272</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Abscess</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1,</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Granuloma &
granulation tissue & pyogenic granuloma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>113, 314</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inflamm cells
(Giant cells & granulocyte & MQs)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>162, 167, 231</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Resolution &
Repair & Ulcer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>316</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">MICROBIOLOGY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Micro-org &
body defense</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>252</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>216, 217</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Spread of inf.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>338</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>216</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lab. (Gram
stain) & (culture media)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40, 122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>218</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>288</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bac. (Endo &
Exo) toxins</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>143</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>223</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Antibiotic
Prophylaxis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>224</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Nasocomial inf.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>270</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Staph &
strept & MRSA</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>340</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>219</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bowel organisms</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>222</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>proteus</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>308</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Helicobacter
Pylori</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>176</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>218</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Food poisoning</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>147</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Clostridia &
Tetanus</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97, 349</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>220, 250</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Anerobic inf.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mycobacterium
& T.B.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>256, 367</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>actinomycosis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>viruses</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>378</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>hepatitis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>178</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>HIV & surgery</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>185</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>fungi &
candida</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155 & 70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>protozoa</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>312</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Lowe</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>amoebiasis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>treponema</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>365</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>metazoa</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>250</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hydatid ds</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>189</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sterilization
& formalin</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>148, 342</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>237</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>275</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mok110</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inf. in
immunocomprimised</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ONCOLOGY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Staging &
Grading & TNM </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>363</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>229</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Metastasis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>248</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>blastoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>hamartoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Viruses &
neoplasia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>380</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hormones &
neoplasia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Benign fatal neoplasms</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tumour Markers</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>369</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carcinogenesis -
Oncogenesis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72, 233</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>201</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>252,301</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carcinoma &
sarcoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76, 263</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 54;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Paraneopl synd</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>294</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 55;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cell cycle</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Genetics, Chromosomes
& abn. & P53 & protooncogens</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82, 160, 284,410</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>277</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Screening <span style="mso-spacerun: yes;"> </span>& Cancer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>324</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>236</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tissue Sampling
(Histology & Cytology)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>183</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>250</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Frozen section</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>153</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>cyst</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 61;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">HEMATOLOGY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 62;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Haemostasis -
Coagulation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205-9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>227</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20,21, 23,37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thrombosis &
clotting</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>355</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Embolus &
DVT & PE</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>138</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:place w:st="on"><st1:state w:st="on"><b>Kan</b></st1:state></st1:place><b> </b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fat embolism</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>232</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:place w:st="on"><st1:state w:st="on"><b>Kan</b></st1:state></st1:place><b> </b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Epistaxis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>61</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Coag. Defects
& Bruising </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:place w:st="on"><st1:state w:st="on"><b>Kan</b></st1:state></st1:place><b> </b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>DIC</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b>Kan</b></st1:place></st1:state><b> 86 </b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hemolytic & Sickle
Cell Anaemia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>170, 326</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>210</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Macrocytic anemia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>228</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>65</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Platlets &
thrombocytopenia</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>297, 352</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Lowe</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hypersplenism</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 74;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>thalassemia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>351</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 75;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>polycythemia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>301</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>myeloma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>258</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>lymphadenopathy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>219</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>lymphoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>224</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 79;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>lymphedema</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>222</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 80;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">IMMUNOLOGY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 81;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Autoimmune ds</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 82;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Immunodiffeceincy
& HIV</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>196</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>294</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>96</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 83;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>75</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hypersensitivity</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>197</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>198</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>299</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 84;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Igs &
Protein electrophoresis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>201, 306</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 85;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>77</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Complement</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>115</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 86;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>immunization</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>199</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 87;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">GIT</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 88;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>79</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Salivary Glands</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>261</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 89;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Dysphagia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>259</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 90;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>herniation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>181</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 91;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cancer Stomach</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>157</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 92;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Small Bowel
Obstruction</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 93;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Large Bowel
Obstruction</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>99</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 94;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fistula &
Sinuses ( Intestinal – Peri-anal )</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>328</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>192</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>215</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>98</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 95;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>86</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Diverticlum</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>255</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 96;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>87</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Polyps large
intest.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>302</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 97;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Colorectal
Carcinoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>234</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 98;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Portal
Hypertension</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>292</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 99;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ascites</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 100;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Jaundice</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>214</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 101;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Splenomegaly</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>336</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 102;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>93</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>splenectomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>333</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 103;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>94</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pancreatitis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>75</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mok116</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 104;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>95</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>malnutrition</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>235</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 105;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ENDOCRINE</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 106;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>96</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thyroid</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>357, 361</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>242</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 107;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>acromegaly</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 108;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>98</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Adrenal
insuffeciency</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 109;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>99</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cushing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 110;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>100</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>DM</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 111;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>hyperPTH</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>194</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 112;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>102</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>MEN</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>255</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 113;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">BONE</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 114;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>103</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fracture
managment</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>252</b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>314</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 115;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Lowe</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 116;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fracture Healing
& Complication</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>150</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>179</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 117;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Rib Fracture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 118;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Patho. Fract.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>296</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 119;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>107</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>cartilage</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>178</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 120;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bone Disease
& osteoprosis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>280</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>245</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 121;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>109</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Paget ds</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>285</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 122;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>110</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bone tumors</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47, 282</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>247</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 123;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Artheritis (osteo,rheu,poly)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>275, 318</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>265</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 124;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>112</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>osteomyelitis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>278</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 125;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>113</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Compartment
synd.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>112</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 126;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>114</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gout</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>164</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 127;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">SKIN</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 128;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>115</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>melanocytes</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>239</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 129;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>116</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Skin Cancer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>330</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>253</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 130;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>117</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Malignant
Melanoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>242</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>220</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>95</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 131;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>118</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Skin protection</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>332</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 132;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CHEST & BREAST</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 133;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gynecomastia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>279</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 134;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>120</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cancer Breast
-<span style="mso-spacerun: yes;"> </span>Nipple Discharge</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51, 268</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 135;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>121</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cancer Lung</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>218</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>103</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 136;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CVS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 137;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Aneurysm</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>280</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 138;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>123</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Atherosclerosis
& atheroma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>189</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 139;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Leg Ulcer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>263</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>102</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 140;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">GENITOURINARY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 141;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Haematuria</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>225</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 142;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>126</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Renal Trauma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 143;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>TUR Syndrome</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 144;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>128</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>PSA &
Prostate cancer</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>303</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 145;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Testic tumors</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>345</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 146;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>130</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>teratoma</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>344</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 147;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>UTI</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>376</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 148;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>132</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>calculi</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68, 379</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 149;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>gynacology</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 150;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Rejection</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 151;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.5in;" valign="top" width="624">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CNS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 152;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>135</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Nerve inj.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>265</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 153;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>136</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>IC hge</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>208</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 154; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Alcohol ds</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<br />
<br /></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6547265390554783573.post-64132974900485129692012-02-07T15:12:00.000-08:002012-02-07T15:12:31.094-08:00viva study plan for critical care and trauma (very important)<div dir="ltr" style="text-align: left;" trbidi="on">
his is viva study plan for critical care and trauma based on commonly studied books that contain most of the previously asked viva questions on critical care and trauma.<br /> this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br /> so, enjoy studying the viva.<br />
<br />
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">NO.</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">SUBJECT</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">KAN</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
ICU</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ITU GENERAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>ICU admission –
HDU & transfere</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139, 229</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>173</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>145, 211</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Scoring System</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>247</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>225</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">RESPIRATORY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Airway &
intubation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>145</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mokb 5</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>ARDS & ALI</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>150</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>201</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>135</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pulse Oximetry</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>192</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>154</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>220</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Oxygen therapy
& hypoxia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205, 207</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Arterial Blood
Gases</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>204</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ventilator,
intub, extub</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97, 104, 153</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>149</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal">
<b><span style="mso-spacerun: yes;"> </span>209</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Respiratory
Failure</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>201</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>148</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>219</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tracheostomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>225</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59, 146</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mokb 181</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CVS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>CVS assesment
& Monitoring</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38, 66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>154</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>143</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>CVP line</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal">
<b>61</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>145</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>143</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>JVP (CVP waves)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>222</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>KanPh 172</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Swan-Ganz
Catheter</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>183</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>95</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>208</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>143</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Shock</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68, 119, 208</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>135, 157</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>206</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>145</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inotrops</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>158</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>212</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cardiac Arrest</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>153</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>230</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cardiopulmonary
Bypass</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>224</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ANESTHESIA & ANALGESIA</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>General Anaesthesia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Regional
anesthesia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Local
Anaesthesia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>243</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Analgesia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="mso-spacerun: yes;"> </span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>285</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sedation &
agitation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>216</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">NUTRITION & FLUIDS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Nutriton
(enteral & TPN) & Starvation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101, 161, 171</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>297</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>210</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>150</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Kan phys 108,
145</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fluids</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>114</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>203</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127,8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Blood Group
& Blood Transfusion & alternatives</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42, 46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>214</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>272</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17,19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 12, 454</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">NO</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">SUBJECT</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">KAN</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
ICU</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garn</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Oth.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">TRAUMA</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>ATLS</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mokb21</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Systemic
response to TR</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>221</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fracture
management</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>252</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cardiac Tamponad</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>pneumothorax</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>177</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>230</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Chest Drain
& Thoracotomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4, 231</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mok172</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Rib fracture</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Flial chest</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Abdominal TR</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Head Injury
(incr. ICP )</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>160</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>214</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mokb72</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Spinal injury</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>216</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mok156</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Care of
Multi-Injuried</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>234</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">EMERGENCY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Burns</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>170, 257</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>77</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>162</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mokb34</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gastro-Intestinal
Failure</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>79</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Renal Failure
& Dialysis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10, 78, 146, 194</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>--</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>217</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>SIRS (Systemic
Inflamm. Response $)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>209</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>226</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sepsis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>208</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>164</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>MODS &
Multi-Organ Failure</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>210</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>168</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 54;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Brainstem Death
& organ donation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>163</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>215</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 55;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.45in;" valign="top" width="619">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">OTHER ITU ISSUES</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pancreatitis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>75</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mok116</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Fat Embolism</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>232</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>rhabdomyolysis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>204</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>coagulopathy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 58</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>DVT & PE</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>187</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 138</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 61;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>DIC</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>86</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 131</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 62;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Aortic
dissection</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>pneumonia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>173</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Diabetic Keto Acidosis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lactic acidosis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>144</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Jaundice</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>227</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="margin-left: .5in; text-align: center; text-indent: -.5in;">
<b>Drug Toxicity</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>94</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pressure Sores</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>223</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 33.65pt;" valign="top" width="45">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 160.25pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inf. In ITU
& MRSA</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center; text-indent: -5.4pt;">
<b>70,
213</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<br />
<br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-21636766371144759742012-02-07T15:09:00.000-08:002012-02-07T15:09:34.526-08:00viva study plan for physiology (very important)<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
this is viva study plan for physiology based on commonly studied books that contain most of the previously asked viva questions on physiology.<br />
this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br />
so, enjoy studying the viva.<br />
<br />
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-color: currentColor; border-bottom-style: none; border-bottom-width: medium; border-collapse: collapse; border-left-color: currentColor; border-left-style: none; border-left-width: medium; border-right-color: currentColor; border-right-style: none; border-right-width: medium; border-top-color: currentColor; border-top-style: none; border-top-width: medium; width: 667px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Kan</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
phys</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Kan</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
ICU</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CNS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Membranes – Ions
channel – Receptors</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>99</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Action potential</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>163, 167</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>117</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Muscle &
motor unit</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92, 97, 102</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>176-7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>159</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Neuromascular
junction</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>192</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Autonomic n.sys.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Spinal cord and
Reflex</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Temprature ,
Pyrexia , Thermoregulation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>161, 180</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>157</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pain</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Micturation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>166</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>CSF</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>197</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">CVS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Cardiac cycle – </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>ECG</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>C O P &
Starling law</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21, 42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169, 218</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>BP regulation</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129, 136</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>165</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Autoreg (Bl flow
regul.) & sp.circ.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55, 59, </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>141</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Vascular physio.
& Starling forces</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal">
<b>129-4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>171, 185</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Arterial
waveform</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>166</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>JVP (CVP waves)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>222</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lymphatics</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>152</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Valaslva</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>170</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Change in
posture & immobilization</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1, 65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">RESPIRATORY</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mechanism of
respiration</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>197</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Control of<span style="mso-spacerun: yes;"> </span>Respiration</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pulm.bl.flow
& PVR</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Oxygen flux
(D2O)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169,</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>O2 transport
& O2 diss. curve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>165</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>174,</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>CO</b><b><span style="font-size: 8.0pt;">2 </span>transport</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ventilation-perfusion
(V/Q) </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>174</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Respiratory
Assesment – Lung volumes - RFT</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>198</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>173, 221</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hypoxia</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>High altitude
and Diving</b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>146</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Kan</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
phys</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:state w:st="on"><st1:place w:st="on"><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Kan</span></b></st1:place></st1:state><b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">
ICU</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">Tutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malon</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">KIDNEY, ACID-BASE & ELECTROLYTES</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Kideny function,
GFR & RBF</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>61, 121, 130</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>183,</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>123-5</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33 </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Renin-Angiotensin</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>184</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Acid-Base
balance & Handerson Hasselback equ.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7, 156, 159</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>188</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Potassium</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>180</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>166</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sodium &
water</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139, 141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>213</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104-5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>181</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Calcium</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27 </b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>107</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>162</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155</b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lowe 191</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Magnesium</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>151</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>109</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ENDOCRINE</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thyroid Gland</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>167</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>122</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>188</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Parathyroid
Gland</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Adrenal Gland
& Addison ds</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>126, 127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13,38, 86</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pancreas</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>117</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pituitary Gland</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>164</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td colspan="8" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 6.95in;" valign="top" width="667">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">G.I.T</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>swallowing</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>155</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>GIT secretion</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Stomach funct.
& G.Secretion</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>148</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>114</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23, 48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>148</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 54;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Small intest. Iron
– Vit B</b><b><span style="font-size: 8.0pt;">12</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>116, 119</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>153, 154</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 55;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Large intest.</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>120</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Liver – Hep
failure</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>118</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>182</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 12.1pt; mso-yfti-irow: 57; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 30.9pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 172.5pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bile- Biliary
system - Bile& Gallstones</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>115</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>194</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 12.1pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<br />
<br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-9383643680225670552012-02-07T15:06:00.000-08:002012-02-07T15:06:48.555-08:00viva study paln for anatomy (very..very important)<div dir="ltr" style="text-align: left;" trbidi="on">
this is viva study plan for anatomy based on commonly studied books that contain most of the previously asked viva questions on anatomy.<br />
this plan aims to organize your study and help you keep each piece of data in the right shelf in your brain.<br />
so, enjoy studying the viva.<br />
<br />
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: .2in; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">AnaTutor</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">VivaTutor</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malone</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="7" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 462.95pt;" valign="top" width="617">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">HEAD & NECK</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>1</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Neck &
comparts</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>124</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>209,176</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Triangles of
neck</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carotid sheath</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>125</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thyroid</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>127</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Scalp</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>130</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>6</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Facial muscles</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Face & Scalp
vessels</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>129</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Parotid</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Submandibular</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>131</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Muscles of
mastication</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>132</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Infratemporal
region</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>133</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>11</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>TMJ</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>132</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mastoid process</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>4</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Tongue &
teeth</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>134</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Nasal cavity</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>135</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>16</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pharynx</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>136</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Larynx</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>137</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Middle Ear</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>138</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>19</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>H & N
lymphatics</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Base of Skull-
Cerv spinal- Skull foramina</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>139</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>202</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Meninges</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Circle of wills
& Cerebral Bl Flow</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>169</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>8</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Venous sinuses
& Cavernous sinus</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>140</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>10</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>orbit</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>141</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td colspan="7" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 462.95pt;" valign="top" width="617">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">THORAX</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Chest wall –
Surface anatomy</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3--</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Mediastinum –
Lung</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>2,22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>186</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>99</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Chest X ray</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>190</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Vertebra</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>118</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>14</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>180</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>100</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22,29</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ribs</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><o:p> </o:p></b>
</div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: .2in; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>3</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Intercostal
space</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>5</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Trachea</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>7</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pericardium</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>13</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>164</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Heart</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>12--</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Coronary Vessels</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>17</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>93</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Lung</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>9</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>98</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Vagus-Phrenic N-</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>22</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Sympath trunk</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Great Vessels </b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thoracic Duct</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>40</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Oesophagus</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>24</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>25</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">AnaTutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">VivaTutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malone</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Diaphragm</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>27</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>95</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>15</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Breast</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>--</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>163</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>26</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td colspan="7" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 462.95pt;" valign="top" width="617">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">ABDOMEN & PELVIS</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Abdominal Wall</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>28</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Peritoneal
Cavity</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>103</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Transpyloric
Plane of <st1:place w:st="on">Addison</st1:place></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>30</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Inguinal canal</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>29</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>182</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Stomach &
bl. supply</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>205</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Small int.
&bl. supply</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pancrease</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>188</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>18</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gallbladder –
Liver</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>34</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>51</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Large int. &
bl. supply</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>20</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>52</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Kidney</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>36</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>53</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>ureter</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>54</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Aorta & IVC</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>38</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>55</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Scrotom – Testes</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Bladder</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>207</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>57</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Urethra &
prostate</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>56</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td colspan="7" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 462.95pt;" valign="top" width="617">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">UPPER LIMB</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>58</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Pect.gird
(clav&scap.)</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>173</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>59</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Axilla</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>60</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Shoulder Joint</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>42</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>109</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>31</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>61</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Humerus &
arm compt</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>62</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Elbow &
antecubital fossa</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>77</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>63</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Forearm</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>35</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>64</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Wrist Joint</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>204</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>37</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>65</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Carpal Tunnel</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>113</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>66</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Anatomical Snuff
box</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>67</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>hand</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>68</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Flexor Sheaths</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>112</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>69</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Blood supply of
Upper Limb</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>44</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>70</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Brachial Plexus</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>87</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>195,211</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>71</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Radial Nerve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>114</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>32</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>72</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Ulnar Nerve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>92</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>116</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>73</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Median Nerve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>33</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>74</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Axillary Nerve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>75</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Musculocut.
Nerve</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>76</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Spaces and
Fossae</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>200</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>77</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Joints and
Cartilage</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>193</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td colspan="7" style="background: #E0E0E0; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 462.95pt;" valign="top" width="617">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 16.0pt;">LOWER LIMB</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>78</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Femur</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>192</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 54;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>79</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Femoral Triangle</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>94</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>46</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>178</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>21</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 55;">
<td style="border-bottom: solid windowtext 3.0pt; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>80</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Adductor canal</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>96</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>102</b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 3.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-top: none; border: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">No</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">Subject</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Arial","sans-serif";">AnaTutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: lime; font-family: "Arial","sans-serif"; mso-highlight: lime;">VivaTutor</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;">Garner</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: red; font-family: "Arial","sans-serif"; mso-highlight: red;">Malone</span></b></div>
</td>
<td style="border-bottom: solid windowtext 3.0pt; border-left: none; border-right: solid windowtext 3.0pt; border-top: none; mso-border-left-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="background: fuchsia; font-family: "Arial","sans-serif"; mso-highlight: fuchsia;">Hart</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>81</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Poplitaeal Fossa</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>96</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>47</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext 3.0pt; mso-border-top-alt: solid windowtext 3.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>82</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hip Joint &
Bony Plevis</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>108</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>48</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>166</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84,113</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>83</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Knee joint &
Ligaments</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>111</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>184</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>41</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>84</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Thigh
compartments</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>97</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 61;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Gluteal region</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>100</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 62;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>86</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Leg Compartments</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>101</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>49</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>172</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>87</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Foot bones &
muscles</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>116</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>88</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Structures
around Med Malleolus</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>43</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>89</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Arteries of LLs</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>106</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>23</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>90</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Innervation of
LL</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>104</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>50</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>85</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>39</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>91</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.85pt;" valign="top" width="190">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Dermatomes
of<span style="mso-spacerun: yes;"> </span>LLs</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 65.15pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>105</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.15pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b>45</b></div>
</td>
</tr>
</tbody></table>
<br />
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-73254376597746846682012-01-26T10:02:00.001-08:002012-01-26T10:02:49.126-08:00Clinical- Orthopedics discussion<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div align="center" class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in; text-align: center;">
<b><span style="font-size: 24.0pt;">ORTHOPEDICS</span></b></div>
</div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Examine this pt. L.L.? </span></b><span style="font-size: 14.0pt;">(open Q) = Vascular + Orthopedic + Neurological + L.N.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt;">Lumbar Spine</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is pathology of
lumbar disc prolapse? </span></b><span style="font-size: 14.0pt;">Rupture nucleus
pulposus & herniation through annulous fibrosus</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">LOOK:</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why inspection of SC
swellings is important in spine case?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Multiple neurofibromatosis
are neuromas from n.sheath that can compress n.roots → C/P similar to disc
prolapse</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Presented by multiple
swellings & caffe au lait patches</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to level tender spinal
segment?</span></b><span style="font-size: 14.0pt;"> Line between liac crests at
L4,L5</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">At level = L4-L5 disc &
below = L5-S1 disc</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If above = high lumbar disc L2-L3
or L3-L4(rare), </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">if even above (last rib)=
lower dorsal disc (v.rare)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">In pt. with scoliosis, How
to differentiate spine pathology from lowerdown causes by inspection?</span></b><span style="font-size: 14.0pt;"> By leveling iliac crests (detect pelvic tilt)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Put thumbs on level at iliac
crests</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If no pelvic tilt (iliac
crests leveled) → spine pathology</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If pelvic tilt (iliac crests
not leveled) → lowerdown pathology (e.g, hip adductor deformity) → short limb →
pelvic tilt same side & compensatory scoliosis other side)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Scoliosis may be on same
or other side of spine pathology</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate spine
problem from hip problem by lumbar lordosis?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Spine → <u>loss of lordosis</u>
(flattened) due to paravertebral ms spasm</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Hip → <u>hyperlordosis</u>
compensatory to fixed flexion deformity (or severe kyphosis)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What if calf wasting found during inspection of spine?</span></b><span style="font-size: 14.0pt;"> May be reflex wasting</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">(confirm later by measurement (while supine))</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Can calf wasting occur with knee pathology?</span></b><span style="font-size: 14.0pt;"> Yes, as reflex wasting</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is difference between
Sciatic list & scoliosis?</span></b><span style="font-size: 14.0pt;"> Only
X-ray finding</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Sciatic list: is a one plane
deformity (pedicles equal & lined up at both sides)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Scoliosis: is a 3D deformity
(pedicles not equal & not lined up)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">GAIT</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Types of abnormal gait you
know?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Antalgic gait</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Trendlenburg gait</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">High steppage gait in common
peroneal nerve injury (common) or sciatic (rare)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">High steppage gait in
Hemiplegia </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Shuffling gait in
parkinsonism</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">limbing gait in short limb</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">- You can say abnormal gait if donot know type</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>?????????</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are common gait abnormalities in spine?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<st1:place w:st="on"><st1:city w:st="on"><span style="font-size: 14.0pt;">Normal</span></st1:city></st1:place><span style="font-size: 14.0pt;">: most common</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">Half shut knife: keep nerve away from its root </span><span dir="RTL" lang="AR-EG" style="font-size: 14.0pt; mso-bidi-language: AR-EG;">مطواة قرن
غزال ½ مفتوحة<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">High steppage gait: due to foot drop in L4,L5 disc
prolapse (rare because emergency)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are common gait abnormalities in hip problem?</span></b><span style="font-size: 14.0pt;"> Trendlenburg or antalgic</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are common gait abnormalities in knee problems? </span></b><span style="font-size: 14.0pt;">antalgic</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">MOVE</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Comment on movement? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>full range mvt (……-….. degrees) &
painless</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">or<span style="mso-spacerun: yes;"> </span>limited mvt (……-….. degrees) due to pain</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">or<span style="mso-spacerun: yes;"> </span>limited mvt (……-….. degrees) due to
mechanical block (rare)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to test for lat. rotation?
</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Rotation is performed at
dorsal spine (thoracic vertebrae) & may be limited in acute disc prolapse</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Sit down (to fix pelvis)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">Range is normally 45 degrees</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Why test for lat. rotation?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l20 level1 lfo32; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">check joint above (dorsal spine)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l20 level1 lfo32; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">may be limited in acute prolapse (by severe paravertebral ms spasm)</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">SPECIAL TESTS</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Value of SLR (straight leg
raising test)?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l26 level1 lfo24; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Active SLR = knee stability test for extensor mechanism (quadriceps
muscle</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">, quadriceps tendon, patella, patellar tendon
& tibial tuberosity).</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt;">2-<span style="mso-spacerun: yes;"> </span>Passive SLR <b>(Lasegue test) </b>= for sciatic
stretch (L4,5, S1)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Passive SLR interpretation? </span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">If pain below knee (e.g, calf muscle) → +ve</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">If pain above knee (hamstring) → -ve (may be due to
spondyolitis or disc)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Site of pain (not imp)?</span></b><span style="font-size: 14.0pt;"> Inside of leg= L4, outside of leg = L5, dorsum of leg
= S1 </span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are sciatic nerve tests?</span></b><span style="font-size: 14.0pt;"> SLR & sciatic stretch test</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is crossed leg
raising test? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">SLR of one side causes pain
on other side below knee. </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">So stop test and 10 degrees
below perform sciatic stretch test</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Due to huge central disc
(usually L4,5) with more prominence to one side</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">More sensitive test to spine than
SLR</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Is SLR specific to spine?</span></b><span style="font-size: 14.0pt;"> NO, SLR may be +ve in spine or hip problems</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>BUT,
crossed leg raising test is specific to spine</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">NEUROLOGICAL EXAMIN.</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is main root affected
in disc? </span></b><span style="font-size: 14.0pt;">The nerve below disc is the
main root affected</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">L4-L5 disc → mainly L5</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">L5-S1 disc → mainly S1</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What is full neurological exam.?</span></b><span style="font-size: 14.0pt;"> SLR & neurological (sensory, motor &
reflexes)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to perform full
neurological examination of LL?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l27 level1 lfo34; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">SLR test: part of neurological examination (to know side of disc
compression)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l27 level1 lfo34; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Sensory (Dermatome)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l27 level1 lfo34; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Motor Power (Myotome)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l27 level1 lfo34; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Reflexes</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What to do if hyosthesia
of L1?</span></b><span style="font-size: 14.0pt;"> affected L1 = high disc or
combined disc. → Test sensory level at umbilicus (T10),</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Where is autonomus area of
L5?</span></b><span style="font-size: 14.0pt;"> 1<sup>st</sup> web space</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to test for knee
reflex?</span></b><span style="font-size: 14.0pt;"> L2,3,4 (mainly L3)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Flex &elevate knee with
Lt hand and ankle just touch couch</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Tap on patellar tendon &
look at quadriceps ms<span style="mso-spacerun: yes;"> </span>-may do
clenching of teeth</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Intact or absent</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Compare both sides (may be
absent bilaterally = normal)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to test for ankle
reflex? </span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>S1</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ext. rotation leg &
dorsiflexion of ankle (to stretch tendoachilis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Tap on tendoachilis &
look at calf ms<span style="mso-spacerun: yes;"> </span>-may
do clenching of teeth</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Intact or absent</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Compare both sides (may be
absent bilaterally normally)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to interpret reflexes?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Bilat. Absent knee or ankle →
<st1:place w:st="on"><st1:city w:st="on">Normal</st1:city></st1:place></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Unilat. Absent reflex → root
affection</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Unilat. Exaggerated reflex →
UMNL</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are characters of
UMNL & LMNL?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">UMNL: ms weakness, ↑ tone,
hyperreflexia</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">LMNL: ms weakness, ↓ tone,
hyporeflexia</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">PRONE</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">When & how to perform
femoral stretch test (Reverse Lesague test)? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If suspect high disc (L2-L3
or L3-L4)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Prone position & flex
knee then extend hip</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If pain infront thigh → +ve</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to suspect high lumbar
disc?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Tenderness above iliac crests
(above L4, 5)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Dermatome & Myotome
affection at L2-L3 or L3-L5</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lost knee reflex<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ confirm by Femoral stretch
test</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<b><span style="font-size: 14.0pt;">Why examine joint above & below?</span></b><span style="font-size: 14.0pt;"> For referred pain</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Why neurovascular examination?</span></b><span style="font-size: 14.0pt;"> For priority of ttt (PVD or neurological previous to
orthopedic intervention) & differentiate spinal from vascular claudications</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Table for low lumbar disc
prolapse (common in exam)?</span></b></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">L4-L5 disc prolapse</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.95in;" valign="top" width="283">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">L5-S1 disc prolapse</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Main root</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">L5</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.95in;" valign="top" width="283">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">S1</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Dermatome</span></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">(Sensory)</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Med. leg (L4)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lat. leg & 1<sup>st</sup>
web space (L5)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.95in;" valign="top" width="283">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lat. leg & 1<sup>st</sup>
web space (L5)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Sole (S1)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Myotome</span></b></div>
<div class="MsoNormal">
<b><span style="font-size: 10.0pt;">(Motor power)</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ankle dorsiflexion (L4)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Big toe dorsiflexion (L5)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.95in;" valign="top" width="283">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Big toe dorsiflexion (L5)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ankle plantar flexion (S1)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Reflexes</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 14.0pt;">-------------</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.95in;" valign="top" width="283">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ankle reflex (S1)</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are indications of urgent intervention in disc
prolapse?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l16 level1 lfo33; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">foot drop</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l16 level1 lfo33; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">cauda equine lesion (usually presented by retention) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is urgency of cauda
equine lesion?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Irreversible if no urgent
intervention → retention early & incontinence later</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Can present as isolated
lesion </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Diagnosis of spine case?</span></b><span style="font-size: 14.0pt;"> (in spine & Knee we reach diagnosis by
examination unlike hip diagnosis is hip problem needs X-ray) for example,</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Rt Backpain with tender
segment at L4-L5 level, sensory affection at level L4-L5 myotome affection at
level L4-L5 </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ nerve root L4,L5 affection
due to acute disc prolapse</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage?</span></b><span style="font-size: 14.0pt;"> (in investigations start by cheap & non-invasive)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lab:<span style="mso-spacerun: yes;"> </span>ESR, CRP, ASOT, Rheumatoid profile </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">X-ray: plain X-ray spine 2
views at least</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">CT: If suspect fracture
(better 3D CT)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">MRI: If suspect pathology </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is TTT?</span></b></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">Conservative ttt:</span></u><span style="font-size: 14.0pt;"> bed rest, analgesic (NSAIDs+SMR), lifestyle modif.,
physiotherapy</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<u><span style="font-size: 14.0pt;">Surgery:</span></u><span style="font-size: 14.0pt;"> if
failed conservative ttt inform of Diskectomy +/- Laminectomy </span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>(after general
assessment for fitness to surgery)</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<b><span style="font-size: 14.0pt;">D.D. Spine pathology?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;">Disc prolapse (most common)</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;">Cong.: spondylolithiasis, spondylolysis</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;">Traumatic: fracture, spondylolithiasis</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;">Inflammatory: T.B. (rare)</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<span style="font-size: 14.0pt;">Neoplastic</span></div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -1.25in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is common pathology
involving different spine levels?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l19 level1 lfo26; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">lumbar area: disc prolapse</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l19 level1 lfo26; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Dorsal area: trauma</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l19 level1 lfo26; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Dorso-lumbar: T.B. or metastasis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt;">HIP</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What to do if examiner
asked to examine Rt hip?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">“ I should start examination
by the normal (Lt) side”</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Examiner will propably ask to
stick to Rt side</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">LOOK</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Can you examine hip in
supine position?</span></b><span style="font-size: 14.0pt;"> Yes, if pt. cannot
stand or examiner asked. but will skip: pelvic tilt & scoliosis by
inspection, trendlenberg test, gait. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">Scars?</span></b><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;"> Lat.=lat. Exposure,<span style="mso-spacerun: yes;">
</span>Anterolat.=anterolat.exposure, </span></div>
<div class="MsoNormal">
<span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;"><span style="mso-spacerun: yes;"> </span></span><span style="font-size: 14.0pt;">posterolat.=posterolat. Exposure,<span style="mso-spacerun: yes;"> </span>Iliac crest= donor site for bone graft</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>2scars at knee joint line =
arthroscopy</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>2 scars at tibial tuberosity =
skeletal traction to keep limb length</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Midline scar = total knee
replacement</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">If Scar healed by 2ry
intention.What does it mean?</span></b><span style="font-size: 14.0pt;"> inf.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of pelvic
tilt? </span></b><span style="font-size: 14.0pt;">Hip problem or limb shortening</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of scoliosis
in this case? </span></b><span style="font-size: 14.0pt;">Compensatory to pelvic
tilt & to other side</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is compensatory
scoliosis? </span></b><span style="font-size: 14.0pt;">scoliosis on opposite side
of pelvic tilt</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Cause of compensatory lumbar hyperlordosis?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l41 level1 lfo25; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">compensatory to fixed flexion deformity of hip</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l41 level1 lfo25; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">compensatory to severe dorsal kyphosis<b> </b></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate
structural from scoliosis?</span></b><span style="font-size: 14.0pt;"> By sitting
down</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l18 level1 lfo36; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Compensatory scoliosis will be corrected</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l18 level1 lfo36; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Structural scoliosis will remain</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What does compensatory
scoliosis & Hyperlordosis mean? </span></b><span style="font-size: 14.0pt;">Long
term pathology</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">Cause of compensatory lumbar hyperlordosis
(exaggerated lordosis)?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l51 level1 lfo37; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">compensatory to fixed flexion deformity of hip</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l51 level1 lfo37; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">compensatory to severe dorsal kyphosis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Wating of hip ms start by
which part? </span></b><span style="font-size: 14.0pt;">Glutei then hamstring
then quadriceps</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of Severe Glutei
wasting?</span></b><span style="font-size: 14.0pt;"> T.B. (rare) usually with
sinus back of hip</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><u><span style="font-size: 14.0pt;">SPECIAL TEST → GAIT</span></u></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What are common gait abnormalities in hip problem?</span></b><span style="font-size: 14.0pt;"> Trendlenberg or antalgic</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What does trendlenburg
test asseses?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Function of hip abductors
(gluteus medius & minimus) on side pt. standing on, which supports elevated
side (action paradox)<span style="mso-spacerun: yes;"> </span>-SSS
(sound side sags)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why trendlenburg before
gait?</span></b><span style="font-size: 14.0pt;"> If +ve → Trendlenberg gait, if
–ve →antalgic gait</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is meant by antalgic
gait?</span></b><span style="font-size: 14.0pt;"> Painful gait due to short
stance phase of gait due to pain of knee or hip </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Phases of gait?<span style="mso-spacerun: yes;"> </span></span></b><span style="font-size: 14.0pt;">Heel
strike - stance (heel & toes on ground) – toe off - swing</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Effect of weak hip abductors?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Unilateral → trendlenburg
gait, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Bilateral → waddling gait</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">SPECIAL TEST → MOVE</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to detect common hip
deformities?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l62 level1 lfo31; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Flexion deformity (weak extensors): by Thomas test</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l62 level1 lfo31; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Adductor deformity (weak abductors): by apparent length</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is Thomas test?</span></b><span style="font-size: 14.0pt;"> Test for fixed flexion deformity (weak hip extensors)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Put hand behind pt. spine to
feel obliteration of compensatory hyperlordosis (to fixed flexion deformity).</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Flex one limb & notice
flexion of other limb</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If other hip flexed (elevated
from couch) = +ve Thomas test (fixed flexion deformity due to weak hip extensors)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of bilat.
FFD?</span></b><span style="font-size: 14.0pt;"> Ankylosing spondyolitis (also
there is kyphosis) (D.D. with disc prolapse)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate FFD
hip or knee? By knee extension</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">can extend knee = Hip
FFD<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">cannot extend knee = Knee FFD
</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to test hip movement? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">do passive only- </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">fix hip by Lt hand &
elbow to avoid pelvic rotation</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">test for hip flexion? While
knee flexed to relax hamstring</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">test for hip extensors? in
prone position (do not test in side where FFD found) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Test for hip rotation? </span></b><span style="font-size: 14.0pt;">While <span style="color: black;">hip 90° & knee 90°
to relax all ligaments & muscles.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">MEASURE</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is difference between
true & apparent length?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">True length: measure length
of bones</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Apparent length: measure
length of bone & soft tissues</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="color: black; font-size: 14.0pt;">How to find
ASIS?</span></b><span style="color: black; font-size: 14.0pt;"> 1<sup>st</sup> bone
from inguinal ligament</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What if shortening in apparent
length but normal true length?</span></b><span style="font-size: 14.0pt;"> This
means</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Muscle deformity (usually
adductor deformity → short limb)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What if shortening in apparent
length & true length? This means</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Bone shortening (true) →
femur or tibia →if femur → supra- or infra-trochanteric</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to detect Femur vs
Tibia shortening without measurement?</span></b><span style="font-size: 14.0pt;">
Rough test</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Knee to 90 degrees & heels
together → limb in lower position is shorter</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;"><br />
What does Supratrochanteric length include?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Head femur, neck femur &
acetabulum</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes of supratrochanteric
shortening? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Head femur (Fracture), neck
femur (avascular necrosis) or acetabulum (Fracture)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of short limb?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Heel raise, crouches or
correction osteotomy (may be hidden if < 2cm)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Diagnosis of hip case?</span></b><span style="font-size: 14.0pt;"> For example</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">painful limited movement (….,
….., ….), fixed flexion deformity by Thomas test, adductor deformity by
difference between apparent & true length, & true shortening</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ Rt hip problem (for
investigation)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. hip problem?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- cong.: slipped upper femoral
epiphysis (SUFE), Cong.dislocation (CHD)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- Tr.: Fracture acetabulum,
head of femur, neck of femur</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- Inflammatory:
Osteoarthritis (old pt.) or rheumatoid arthritis or T.B.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">4- Neoplastic</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">5- avascular necrosis of
femoral head (young)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lab: ESR, CRP, HLA-B27</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">X-ray: plain X-ray hip</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If suspect fracture → CT</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If suspect pathology (ankylosing
sponyolitis) → MRI</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is TTT?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- conservative ttt: bed
rest, analgesic, lifestyle modification</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">2- Surgery: ………….(if failed conservative ttt) (after
general assessment for fitness to surgery)</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">What are surgical options for osteoarthritis of hip?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">Osteotomy – Arthroplasty (hip replacement) –
Arthrodesis (=fix joint, rare now, used if contraindication to arthroplasty)</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">What are complications of THR (total hip replacement)?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">How to prevent peri-operative DVT after THR?</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt;">KNEE</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What to do if examiner asked
to examine Lt knee?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">“ I should start examination
by the normal (Rt) side”</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Examiner will propably ask to
stick to Lt side</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">LOOK</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Can you examine knee in
supine position?</span></b><span style="font-size: 14.0pt;"> Yes, if pt. cannot
stand or examiner asked. but will skip: gait. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Scars?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2 dimples on joint line:
arthroscopy scars for 2 ports of arthroscope</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Scar on tibial tuberosity:
site of skeletal traction to keep limb length</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Scar on iliac crest: donor
site for bone graft</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Cause of sinus ?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Inf. =
Osteomyelitis O.M. or T.B. (rare).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Healed sinus?</span></b><span style="font-size: 14.0pt;"> Healed SC inf.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Warmth?</span></b><span style="font-size: 14.0pt;"> Inf. -Superficial= cellulites or -deep= O.M.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Swelling? </span></b><span style="font-size: 14.0pt;">Generalized = effusion<span style="mso-spacerun: yes;">
</span>or localized = bursa (e.g, infrapatellar)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Discolouration ?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Hemoarthrosis
(acute trauma).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Wasting of quadriceps
starts by which part ?</span></b><span style="font-size: 14.0pt;"> Vastus medialis.</span></div>
<div class="MsoNormal">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Where to inspect
for wasting</span></b><span dir="LTR" style="font-size: 14.0pt;">? Vastus medialis
(first muscle of quadr.gr to be wasted) </span></div>
<div class="MsoNormal" style="margin-right: -45.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -45.0pt;">
<b><span style="font-size: 14.0pt;">Knee
deformity ?</span></b><span style="font-size: 14.0pt;"> Genu varum =bow leg, Genu
valgum=knock knee, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Genu recurvatum=hyperextended
knee (due to lax ligaments).</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Fixed flexion deformity=</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><u><span style="font-size: 14.0pt;">WALK</span></u></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;">What is common gait abnormalities in knee problems? </span></b><span style="font-size: 14.0pt;">Antalgic</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is meant by antalgic
gait?</span></b><span style="font-size: 14.0pt;"> Painful gait due to short
stance phase of gait due to pain of knee or hip </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">FEEL</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of tenderness
during examination? </span></b><span style="font-size: 14.0pt;">Usually meniscal
inj.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Med.= usually med. meniscus
inj., Lat. = usually lat. meniscus inj.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">In young → Trauma</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">In old → Osteoarthritis
(meniscus degeneration)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes +ve
grinding test (tender patella)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Move patella on femur in 2
vertcal planes. If +ve =</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Young → chondromalacia
patella (rare)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Old → Patello-femoral Osteoarthritis
(common)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">MOVE</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Test for Movement start
by?</span></b><span style="font-size: 14.0pt;"> Active then passive to avoid
eliciting tenderness</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why passive test?</span></b><span style="font-size: 14.0pt;"> To complete range to differentiate limited range due
to pain or mechanical block</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">if due to pain → stop</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">if due to mechanical block
(e.g, myositis ossificans)→ try to complete range (rare)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is tibial tuberosity?</span></b><span style="font-size: 14.0pt;"> Part giving<span style="mso-spacerun: yes;">
</span>attachment to patellar tendon</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Patellar tap test? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">For detection of moderate
knee effusion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lt hand press suprapatellar
pouch</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Rt hand firm continous
pressure on patella (sharply) & notice ballotment</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Stroke test (bulge test)
(visible fluctuation)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">For detection of mild knee
effusion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Empty medial side knee from
below upwards</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Swipe across lateral side
& notice medial bulge</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Cross fluctuation test of
knee?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">For detection of severe knee
effusion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lt hand press suprapatellar
pouch</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Rt thumb at side & rest
of fingers on other press upwards & recieve fluctuation by Lt</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate knee
effusion from pre-patellar bursa?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">By contraction of quadriceps
ms (knee extension)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If swelling ↑ → pre-patellar
bursa (infront patella)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If swelling ↓ → effusion
(communicate to joint)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cause of effusion?</span></b><span style="font-size: 14.0pt;"> Sympathetic (2ry to cruciate lig. or meniscal Inj.)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">SPECIAL TESTS (KNEE
STABILITY + McMURRAY)</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Role of knee ligaments?</span></b><span style="font-size: 14.0pt;"> Cruciate → prevent anterior-posterior displacement of
tibia</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Collateral → prevent side displacement</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to examine extensor
mechanism of knee?</span></b><span style="font-size: 14.0pt;"> Active SLR test</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is value for active
SLR? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Test for extensor mechanism
of knee. if +ve → weak ext. mechanism (5components)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo38; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">quadriceps muscle</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo38; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">quadriceps tendon</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo38; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">patella</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo38; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">patellar tendon</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo38; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">tibial tuberosity</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to determine the
affected part of extensor mechanism?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Feel the 5 components for
defect or tenderness</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If no defect or tenderness →
weak ms</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why in stress valgus or
varus knee at 0<sup>o</sup> then at 20<sup>o </sup>?</span></b><span style="font-size: 14.0pt;"> To abolish effect of ACL, PCL, postero- capsule of
knee (knee locking mechanism) </span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="font-size: 14.0pt;">At 0 degrees stability of med. joint is by med.
collateral lig., ACL, postero-med. capsule. So, +ve → combined inj. = severe
trauma</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>At 0 degrees
stability of lat. joint is by lat. collateral lig., PCL or ACL, postero-lat.
capsule. So, +ve → combined inj. = severe trauma</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="font-size: 14.0pt;">At 20 degrees stability is by collateral lig. Only.
So, +ve → isolated collat. lig. inj. </span></div>
<div class="MsoNormal" style="text-indent: .25in;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" lang="ES-TRAD" style="font-size: 14.0pt; mso-ansi-language: ES-TRAD;">Posterior sag +ve. </span></b><b><span dir="LTR" style="font-size: 14.0pt;">What does it mean? </span></b><span dir="LTR" style="font-size: 14.0pt;">Complete PCL tear</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" lang="ES-TRAD" style="font-size: 14.0pt; mso-ansi-language: ES-TRAD;">Posterior sag –ve & posterior drawer +ve. </span></b><b><span dir="LTR" style="font-size: 14.0pt;">What does it mean?</span></b><span dir="LTR" style="font-size: 14.0pt;"> Partial PCL tear</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Why do posterior
sag test before anterior drawer? </span></b><span dir="LTR" style="font-size: 14.0pt;">To avoid false +ve ant. drawer</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">If<span style="mso-spacerun: yes;"> </span>+ve drawer test does it mean ACL inj.?</span></b><span style="font-size: 14.0pt;"> NO, have to compare with other side</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If bilat. +ve → lax ACL</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If unilat. </span><span lang="ES-TRAD" style="font-size: 14.0pt; mso-ansi-language: ES-TRAD;">+ve → torn ACL</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Examine ACL?</span></b><span dir="LTR" style="font-size: 14.0pt;"> Start by post. Sag test</span></div>
<div class="MsoNormal" style="margin-left: 280.5pt; mso-list: l58 level1 lfo35; tab-stops: list .25in; text-indent: -262.5pt;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">post. Sag test: to avoid false +ve ant. drawer</span></div>
<div class="MsoNormal" style="margin-left: 280.5pt; mso-list: l58 level1 lfo35; tab-stops: list .25in; text-indent: -262.5pt;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><st1:place w:st="on"><span style="font-size: 14.0pt;">Ant.</span></st1:place><span style="font-size: 14.0pt;">
drawer test</span></div>
<div class="MsoNormal" style="margin-left: 280.5pt; mso-list: l58 level1 lfo35; tab-stops: list .25in; text-indent: -262.5pt;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lachman test<span style="mso-spacerun: yes;"> </span>4-
Pivot shift (idea)</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Other tests for ACL?</span></b><span dir="LTR" style="font-size: 14.0pt;"> Lachman test (difficult than drawer test)
& Pivot test (idea)</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">mild flexion of knee</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">examiner thigh below
pt. knee</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">hand on femur to fix
& hand on tibia to move (keep hands A-P near joint to control)</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">pull tibia up on
femur</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">(Can be modified
also to examine PCL)</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">McMurray test?</span></b><span dir="LTR" style="font-size: 14.0pt;"> For meniscal injury</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">If pain or feel
click → +ve because detached tag of meniscus dislodge from trap site between
femur & tibia</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Is McMurray test
specific to meniscal injury?</span></b><span dir="LTR" style="font-size: 14.0pt;">
No, +ve if synovial fold or loose body in joint</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">if<span style="mso-spacerun: yes;"> </span>+ve McMurray test does it mean meniscal inj.?</span></b><span style="font-size: 14.0pt;"> NO, have to compare with other side</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If bilat. +ve → lax meniscus</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If unilat. +ve → meniscal
inj.</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><u><span dir="LTR" style="font-size: 14.0pt;">MEASURE</span></u></b></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Measurement of
quadriceps circumference. Why 15 cm above patella?</span></b></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">1- above
suprapatellar pouch to avoid effusion</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<span dir="LTR" style="font-size: 14.0pt;">2- site of muscle
bulk</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">Normal variation
in thigh circumference?</span></b><span dir="LTR" style="font-size: 14.0pt;"> < 2
cm (but have to mention)</span></div>
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<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<b><span dir="LTR" style="font-size: 14.0pt;">What to do for
pt. with knee C/O?</span></b><span dir="LTR" style="font-size: 14.0pt;"> MRI or
arthroscopy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. Knee problems?</span></b></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">D.D. Knee Pain</span></u></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span style="font-size: 14.0pt;">Cong.:</span></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span style="font-size: 14.0pt;">Tr.:
Cruciate lig. inj., Collat. lig. Inj. or meniscal inj.</span></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span style="font-size: 14.0pt;">Inflammation:
Osteoarthritis, Rheumatoid arthritis or T.B. (rare)</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">Knee stability:</span></u><span style="font-size: 14.0pt;"> weak extensor mechanism (5 components), Lig. Or
meniscal inj.</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">Knee swellings:</span></u><span style="font-size: 14.0pt;"> ant. knee or post. Knee (bursa or cyst or effusion)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. Knee swelling?</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<st1:place w:st="on"><span style="font-size: 14.0pt;">Ant.</span></st1:place><span style="font-size: 14.0pt;"> knee: Pre-patellar bursa (Housemaid bursa),
Infrapatellar bursa (Klegerman’s)<span style="mso-spacerun: yes;"> </span>or Effusion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Post. Knee: Above j.line
(Med.) → Semimembraosus bursa</span></div>
<div class="MsoNormal" style="text-indent: 1.0in;">
<span style="font-size: 14.0pt;">Below
j. line → Baker cyst (old & patho. As Rh.Arth. or T.B.)</span></div>
<div class="MsoNormal" style="text-indent: 2.25in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Popliteal cyst (Young & no patho.)</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose bursa? </span></b><span style="font-size: 14.0pt;">Fluctuation & Transillumination</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is TTT bursa? </span></b><span style="font-size: 14.0pt;">Conservative or Aspiration or Excision</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lab: ESR, CRP, HLA-B27</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">X-ray: plain X-ray knee</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If suspect fracture → CT</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If suspect pathology → MRI</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is TTT?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- conservative ttt: bed
rest, analgesic, lifestyle modification</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">2- Surgery: ………….(if failed conservative ttt) (after
general assessment for fitness to surgery)</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">What are surgical options for osteoarthritis of knee?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">Osteotomy – Arthroplasty (hip replacement) –
Arthrodesis (=fix joint, rare now, used if contraindication to arthroplasty)</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">Arthroscopic debridement & washout of meniscal
debris & osteophytes</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">What are surgical options for </span></b><b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Rh.Arthritis</span></b><b><span style="font-size: 14.0pt;"> of knee?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">Osteotomy – Arthroplasty</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<span style="font-size: 14.0pt;">Arthroscopic synovectomy & debridement</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<b><span style="font-size: 14.0pt;">What are complications of total knee replacement ?</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: -1.0in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are X-ray findings in Osteo-Arthritis?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">peri-articular
osteoprosis (in O-A osteosclerosis)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">narrow joint
space<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">destruction
& subluxation joint</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">no
new bone formation (no osteophytes) unlike O-A </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are stages of Rh.Arthritis? </span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Proliferative → Destructive → Reparative</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are X-ray findings in Rheumatoid Arthritis? LOSS</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Loss of
joint space</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Osteophyte
formation</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Subchondral
sclerosis</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Subchondral
cysts</span></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div align="right" class="MsoNormal" dir="RTL" style="direction: rtl; text-align: left; unicode-bidi: embed;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>RHEUMATOID HAND & FOOT</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is rheumatoid arthritis? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Part
of rheumatoid disease usually affect hand or foot</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Pathogenesis: </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1- synovitis (inflamm. Synovial
fluid of small joints mainly)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- tenosynovitis (synov. fluid
+ tendon) → atresia & rupture of tendons </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>(1+2 → deformity small joints & long
tendons of hand)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why affect long tendons rather
than short?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">
Because of much synovial sheath around → more tenosynovitis → more tendon
rupture</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">LOOK</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Scar?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Wrist
& palm (ulnar side of thenar ms 2 cm from distal wrist crease)= carpal
tunnel</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Wrist,
Palm & finger = tendon repair</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2
scars on med. side forearm? Donor site for tendon repair (palmaris longus)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why
carpal tunnel scar upto 2 cm from wrist crease only?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l60 level1 lfo28; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">end of
carpal tunnel (base of abducted thumb)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l60 level1 lfo28; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">to avoid
deep palmar venous arch inj.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why with rheumatoid may be
wasting of all ms?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Disuse atrophy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to differentiate wasting due to rheum.Arth. from that due to n.inj?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">n.inj.
→ wasting specific group ms</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">disuse
atrophy → wasting all groups ms</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Common hand deformity in
Rheumatoid arthritis?</span></b></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -.25in;">
<u><span style="color: black; font-size: 14.0pt;">Ulnar deviation of fingers (MPJ) &
compensatory radial deviation of Wrist</span></u><span style="color: black; font-size: 14.0pt;"> (Zig-Zag mech.) (pathognomonic to rheumatoid hand)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">Swan-neck</span></u><span style="color: black; font-size: 14.0pt;">: rupture tendon FDS → PIPJ extended &
DIPJ flexed by FDP (compens)</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -.25in;">
<u><span style="color: black; font-size: 14.0pt;">Boutonniere deformity</span></u><span style="color: black; font-size: 14.0pt;">: rupture central slip of extensor
expansion → PIPJ flexed & DIPJ extended by 2 distal slips</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">Z-thumb</span></u><span style="color: black; font-size: 14.0pt;">:<span style="mso-spacerun: yes;"> </span>rupture
Fl.Poll.longus tendon → MPJ flexed & IPJ extended</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">Mallet finger</span></u><span style="color: black; font-size: 14.0pt;">: rupture extensor tendons → DIPJ flexed
& cannot be extended except passively (IPJ normal)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">Trigger finger</span></u><span style="color: black; font-size: 14.0pt;"> (Stenosing tenosynovitis): inflamm.nodule
prevent active extension of finger PIPJ & DIPJ(cannot be extended except
passively with lag & snap)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">Piano key sign</span></u><span style="color: black; font-size: 14.0pt;">: subluxation of lower radio-ulnar joint →
popup lower ulna</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<u><span style="color: black; font-size: 14.0pt;">MPJ swellings (nodules or subluxation of
head metacarpals)</span></u></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What is trigger finger?</span></b></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Nodule at MPJ → lag on finger
extension with snapping</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Nodule can be felt at MPJ at
distal palm crease</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What are knuckles?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Head of metacarpals</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What are types of flexion
deformity?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l9 level1 lfo29; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">fixed
deformity: cannot be corrected (by feel) d.t. bone or joint patho.</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>ttt:
correction osteotomy</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l9 level1 lfo29; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">mobile
deformity: can be corrected (by feel) d.t. imbalance between fl. & ext.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Swelling
in MPJ rheumatoid hand?</span></b></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Usually at MPJ due to </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Synovial swelling (synovitis)
→ soft swelling </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Displacement of knuckles (head
of metacarpals) → hard swelling</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why there may be no rheumatoid
nodules?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Pt.
under ttt<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
type of bursa is common with rheum.Ar.?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Olecranon
bursa (so, must expose elbow) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">If
found swelling → Transillumination If +ve = bursa</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How to manage olecranon bursa?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Transillumination → +ve,
confirm by U/S</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">ttt → Conservative or
aspiration under complete aseptic condition</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">MOVE</span></u></b></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Test for tendons?</span></b></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="color: black; font-size: 14.0pt;">Test for FDS: extend other fingers &
ask pt. to flex tested finger (stop mass action of FDP)</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -99.0pt;">
<span style="color: black; font-size: 14.0pt;">Test for FDP: fix middle phalanx of same
finger & ask pt. to flex distal phalanx (stop action of FDS)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
if flexion lost in PIPJ & DIPJ? </span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Rupture tendon both FDS & FDP</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are the Flexors of thumb?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Fl.Poll.Brevis → MPJ, </span></div>
<div class="MsoNormal" style="text-indent: 2.75in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Fl.Poll.Longus → IPJ</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Diagnosis
of rheumatoid hand case?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Lesions
of small joints & long tendons of hand inform of (ulnar deviation of
fingers & rad.dev. wrist, finger drop middle finger, swan neck ring finger,
Z-deformity of thumb) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">→ Rheumatoid
hand<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Notice
that rheumatoid hand is usually bilateral & symmetrical (but not in exam)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to manage?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Lab:
FBC (anemia), ESR, Rh.F.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">X-ray:
(plain X-ray hand) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are local complications of Rheumatoid arthritis in hand?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1-
carpal tunnel syndrome: d.t. thichened tendons</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2-
rupture long tendons</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test flexor tendons?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l47 level1 lfo30; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">FDS: fix
other fingers & flex only the one examined</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l47 level1 lfo30; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">FDP: fix
middle phalanx by 2 fingers (to stop action of FDS)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are X-ray findings in Osteo-Arthritis?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">peri-articular
osteoprosis (in O-A osteosclerosis)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">narrow
joint space<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l57 level1 lfo39; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">6-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">destruction
& subluxation joint</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">no
new bone formation (no osteophytes) unlike O-A </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are X-ray findings in Rheumatoid Arthritis? LOSS</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Loss of
joint space</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">6-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Osteophyte
formation</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">7-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Subchondral
sclerosis</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l50 level1 lfo40; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">8-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Subchondral
cysts</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to examine foot of Rheumatoid arthritis? </span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Expose till knee</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Look:
<b>skin</b>, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><b>SCT</b> → swelling = adventitious
bursa due to dislocation of talus & friction</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(Bunion
is bursa at MPJ of big toe)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><b>Muscles</b> of foot (beware pes
cavus) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><b>Deformity</b> <span style="mso-spacerun: yes;"> </span>- Hallux valgus (medially deviated metatarsal
head of big toe)<span style="mso-spacerun: yes;"> </span>- </span></div>
<div class="MsoNormal" style="text-indent: 1.5in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- Hammer toe (Flexed MTPJ & Extended IPJ)</span></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: .5in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- Claw toe (flexed MTPJ &
IPJ)</span></div>
<div class="MsoNormal" style="margin-left: 4.75in; text-indent: -4.75in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">FEEL</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">MOVE
(ankle j.)</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt; mso-bidi-language: AR-EG;">Hallux Valgus</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is hallux valgus?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">medially
deviated metatarsal head of big toe + lateral rotation of big toe (usually
bilat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is TTT of hallux valgus?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1- Conservative:
wear wide medical shoes <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- Surgery:
(if pain or cosmetic) By correction osteotomy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are complications of hallux valgus?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Bunion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Hammer
2<sup>nd</sup> toe</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is Hallux rigidus?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Stiffness
& pain of 1<sup>st</sup> metatarso-phalangeal joint (due to osteoarthritis)
→ no take-off phase</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is Bunion?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">
Protective bursa at pressure areas (e.g, hallux valgus)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt; mso-bidi-language: AR-EG;">NERVE INJURY</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">If
asked to examine hand. How to suspect n. inj. by inspection?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Claw
hand → ulnar n.inj. & D.D.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Wasted
Thenar (ape hand) → median n. inj</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Wrist
& Finger drop (cannot be extended) → radial n.inj. (finger drop at MPJ is
specific but wrist drop is according to level of inj.)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why
look (inspection) is imp.?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> For scars of inj. or surgery</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why
ask for tender area in scar causing n.inj.?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> painful neuroma</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
3 nerves enter forearm?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Between</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ulnar:
between 2 heads of flexor carpi ulnaris</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Median:
between 2 heads of pronator teres</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Radial:
between 2 heads of supinator</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are autonomus area of 3 nerves?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ulnar:
middle & distal phalanx of little finger</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Median:
distal phalanx of index & middle finger</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Radial:
dorsal 1<sup>st</sup> web pace</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Ulnar nerve</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Course of ulnar nerve?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Branch of med. Cord Br.Plex.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Enter forearm between 2 heads
of </span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">flexor carpi
ulnaris</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In
forearm supply → FCU & med. ½ FDP</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Pass in Guyan’s canal = ulnar
tunnel (above flexor retinaculum & covered by a slip of it) & gives
palmar cut.branch</span></div>
<div class="MsoNormal" style="margin-left: 1.5in; text-indent: -1.5in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In hand supply → all hand
muscles (except LOAF)= med. 2 lumbricals + interossei + hypothenar + adductor
poll. </span></div>
<div class="MsoNormal" style="text-indent: 1.0in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>→ sensory to
med. palm & med. 1+1/2 fingers ant. & post.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is group action of small ms of hand?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Writing position (MPJ flex. & IPJ ext.)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">LOOK</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why
ulnar nerve inj. causes partial claw hand? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Due
to paralysis of med. 2 lumbricals & all interossei → unapposed action of
long flexors → claw hand of med. 2 fingers </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">(partial
= not all fingers & not degree of paralysis)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Can thenar atrophy occur with
isolated ulnar injury?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Yes, some wasting due to adductor pollices wasting</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are types claw hand?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1-
Partial (med. 2 fingers) due to ulnar injury</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2-
complete (med. 4 fingers) due to ulnar & median n. inj.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">D.D.
(causes) of claw hand?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">A- Partial Claw Hand (med. 2
fingers)</span></u></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1- Ulnar n.inj.: clawing med.
2 fingers (ext. MPJ & flex. PIPJ+DIPJ)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- Duputyren contracture:
clawing ring +/- little fingers due to cord like thickening of palmar fascia
(but motor & sensory intact)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- Flex. All joints (PIPJ+DIPJ+MPJ)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- Band of fibrosis felt below MPJ</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- no sensory or motor affection</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">A- Complete Claw Hand (med. 4
fingers)</span></u></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1- Combined ulnar & median
n.inj.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- Volkman’s contracture:
clawing med. 4 fingers due to ischemia of muscles of flexor compartment due to
tight cast or trauma → bone fracture or vessel inj. (volkman can affect any
compartment)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- Flex. All joints (PIPJ+DIPJ+MPJ)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- extension → ↑ deformity & flexion → ↓ deformity</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- no sensory or motor affection</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">3-
Klumpke’s paralysis (Lower trunk Br.Plex.):</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">4-
Others: advanced Rh.Arth. or spinal cord lesions</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is ulnar paradox?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">The
higher the lesion, the less the deformity (less clawing) (reverse to normal)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Because
in higher lesion → paralysis med. ½ FDP → weak flex. → less clawing</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Muscles of 1<sup>st</sup> web
space?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">
Wasting of 1<sup>st</sup> web space means:</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Palm: adductor pollices
(ulnar)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Dorsum: 1<sup>st</sup> dorsal
interosseus (ulnar)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">SENSORY</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is cause of lost sensation little finger but intact palm sensation? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Palmar
cut. Branch inj. only</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">MOTOR
& SPECIAL TEST</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for adductor poll. ? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Froment’s
test: when catch paper between thumb & other fingers have to flex thumb
(due to weak adduction)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">N.B.
if cannot catch paper at all = combined ulnar & median n.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for palmar interossei? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Finger
adduction (PAD). if weak → +ve → do card test</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">LEVEL
OF INJURY</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are common sites of ulnar inj.?</span></b></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1- Elbow (High): supracondylar
Fr., degenerative arthritis or tunnel syndrome (repeated flex. Of elbow, O-A,
Fr) or </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- wrist
(Low): Trauma, ulnar tunnel syndrome (ganglion or Fr. hook hamate)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to detect level of ulnar nerve injury?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l54 level1 lfo27; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">scar</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l54 level1 lfo27; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">degree of
deformity (Ulnar paradox: higher lesion → less deformity)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l54 level1 lfo27; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">wasting
med. forearm = higher inj. (FCU & ½ FDP wasting)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l54 level1 lfo27; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">test for
med. ½ FDP & FCU (see below)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for flex.carp.ulnaris (FCU)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Flexion
& ulnar deviation of wrist & feel tendon</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for med. ½ FDP (supplied by ulnar)? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Med.
½ of FDP flexes little & ring fingers (mainly little to avoid overlap)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Fix middle
phalanx of little finger & ask pt. to flex distal phalanx </span><span style="font-size: 14.0pt;">(To block effect of FDS on middle phalanx)</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 27.0pt; text-align: center; text-indent: -27.0pt;">
<b><span style="font-size: 18.0pt; mso-bidi-language: AR-EG;">Median
nerve & Carpal tunnel Syndrome</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What is course of median
nerve?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Branch from med. & lat.
Cord</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Enters forearm between 2 heads
of pronator teres</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In forearm → muscles ant.
Compartment (except med. ½ FDP & FCU)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>[FDS, lat. ½ FDP, pron.teres, pron.quadr.,
Fl.poll.longus, Palm.longus(+/- absent)]</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Enter hand in carpal tunnel
(under flexor retinaculum)</span></div>
<div class="MsoNormal" style="margin-left: 117.0pt; text-indent: -117.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In hand supply → LOAF (2 lat.
lumbricals + thenar (opp.poll., abd.poll.br., flex.poll.br.))</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>→ sensory to lat. palm & lat.
3+1/2 fingers ant & post. </span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">SENSORY</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
in carpal tunnel affected sensation fingers but intact palm sensation? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Because
palmar cutaneous branch of median arise before carpal tunnel & pass above
it</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">MOTOR</span></u></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How to test for
abduct.poll.br.?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Rest hand on table (to block
action of abduct.poll.longus coming from dorsum)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ask pt. to raise thumb away
from table against resistance</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">feel Abduct.poll.br. (the most
lat. Muscle of thenar group</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are nerves cause thumb abduction? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">abductor
poll. Brevis supplied by median n.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">abductor
poll. Longus supplied by radial n.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">LEVEL
OF INJ.</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are common sites of median inj.?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Elbow:
dislocation, Fr, Pronator teres syndrome</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Forearm:
Fr. → inj. ant. interosseus n.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Wrist:
Tr. Or carpal tunnel syndrome</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for FDS?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Fix
all fingers except finger examined & ask pt. to flex it (same for all
med.4fingers)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Because FDP has mass action
(needs 2 fingers intact at least to act)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How to test for lat. ½ FDP
(supplied by median n.)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Lat.
½ of FDP flexes middle & index fingers</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Fix
middle phalanx of middle finger & ask pt. to flex distal phalanx (same for
index)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">To block effect of FDS on
middle phalanx</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to test for pronator teres & pronator quadratus?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Fix
elbow (to avoid med. Rotation of shoulder)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ask
pt. to rotate wrist towards inside</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Carpal
tunnel Syndrome (CTS)</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is CTS? Compression of median n. due to swelling Fl. retinaculum</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Causes?
</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ganglion,
lipoma of wrist, Colle’s Fr., Rh. Arth., gout, DM, Alcohol, Fluid imbalance
(preg., hyperthyroidism)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Diagnostic
tests?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Phalen
test & Tinnel test</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt; mso-bidi-language: AR-EG;">Radial nerve</span></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Course
radial nerve?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Branch
of post.cord Br.Plex.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">It
gives branches before entering compartments</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Enters
forearm between 2 heads of supinator </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In
arm → triceps & lat. ½ brachialis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">In
forearm →<span style="mso-spacerun: yes;"> </span>posterior interosseus →
muscles forearm & </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>→ superficial radial →
sensory to dorsal 1<sup>st</sup> web & lat. 3+1/2 fingers </span></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">MOTOR</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to examine wrist &
finger extension?</span></b><span style="font-size: 14.0pt;"> In prone position
(against gravity) & fix proximal joint</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why wrist extension not
completely lost in post. Inteross. Inj.?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Because main radial supplies
ABC (anconeus, ext.carpirad.longus & brachioradialis)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is finger extension lost
completely?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">NO, Finger extension is lost at
MPJ, BUT, fingers can be extended at IPJ if MPJ fixed (by lumbricals which are
weak extensors act only on IPJ)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">LEVEL
OF INJ.</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are common sites of Radial n.inj.?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Axilla
(High): Saturday night palsy (neuropraxia by arm over back of chair)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Midhumerus:
Fr. (spiral groove)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Elbow
(Low): Fr. or dislocation → post. inteross. Inj.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to detect level of nerve injury?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- injury
at axilla → wrist drop & finger drop</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">- injury
at head of radius (post.inteross.) → finger drop & weak wrist extension
(but intact sensory)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why wrist extension not
completely lost in post. Inteross. Inj.?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Because main radial supplies
ABC (anconeus, ext.carpirad.longus & brachioradialis)</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt; mso-bidi-language: AR-EG;">SHOULDER </span></b><b><span style="font-size: 16.0pt; mso-bidi-language: AR-EG;">(rare)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are causes of painful abduction?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">1-
Pain in initiating abduction (0-30) → rotator cuff tear</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">2- Pain (60-120) (painful arc)
(impingment syndrome) → rotator cuff tendonitis or minor tear</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">3- Pain (120-180) (painful
high arc) → ACJ osteoarthritis </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are ms of rotator cuff? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">SITS
(supraspinatus, infraspinatus, teres minor, subscapularis)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">How
to determine site of pathology?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> According to site of pain</span></div>
<div class="MsoNormal">
<st1:place w:st="on"><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ant.</span></st1:place><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> & med = sternoclavicular j.</span></div>
<div class="MsoNormal">
<st1:place w:st="on"><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ant.</span></st1:place><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> & lat. = acromioclavicular</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Posterior
= scapular osteophytes</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">If
painfull all range of abduction? </span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Acromioclavicular osteoarthritis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">If
painful all shoulder movements?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Acute Frozen shoulder. Later painless</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is painful arc? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Painful
range of abduction (e.g, 40 - 90 degrees) with no pain before or after</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">due
to supraspinatus tendonitis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">pathology:
supraspinatus tendon pass below acromioclavicular arch. Friction → inflammation
→ bursitis → atresion → rupture</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is pathology of frozen shoulder?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Capsulitis
→ adhesions → early: painful limited all movements of shoulder </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>→
later:<span style="mso-spacerun: yes;"> </span>painless limited all movements of
shoulder</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is apprehension test?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Test
for recurrent shoulder dislocation</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Stand
behind pt.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Trial
of abduction & external rotation of shoulder → pt. pulls arm</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span dir="RTL" lang="AR-EG" style="font-size: 14.0pt; mso-bidi-language: AR-EG;">كأن واقف فى الأوتوبيس
ماسك فوق و الأوتوبيس وقف فجأة</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -.5in;">
<b><span style="font-size: 14.0pt;">If
pt. cannot do abduction by tricky movement (leaning to other side) how to stop
it to demonstrate glenohumeral vs scapulohumeral joint affection?</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -.5in;">
<span style="font-size: 14.0pt;">Fix
scapula (stop tricky mvt) & try to abduct → cannot = glenohumeral j.
affection</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -.5in;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -.5in;">
<b><span style="font-size: 14.0pt;">Method
of Reduction of Dislocated Shoulder? </span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -.5in;">
<span style="font-size: 14.0pt;">TEAR
(<span style="color: black;">Traction<span style="mso-spacerun: yes;"> </span>-
External rotation -<span style="mso-spacerun: yes;"> </span>Adduction - Rotation
(Internal) )</span></span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt; mso-bidi-language: AR-EG;">ELBOW </span></b><b><span style="font-size: 16.0pt; mso-bidi-language: AR-EG;">(very very rare)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Is
pronation & Supination part of elbow examination? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">NO,
they occur at sup. & inf. radio-ulnar joints (N= 80 degrees) use vertical
paper</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt; mso-bidi-language: AR-EG;">ANKLE</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
are ankle movements?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Ankle
(tibio-calcaneous): Dorsiflexion & Plantar flexion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Subtalar:
Inversion & Eversion</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Midtarsal:
Pronation & Supination</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">What
is Simmond’s test? </span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Test for tendoachilis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Pt.
Prone → squeeze calf ms → if plantar flax. = intact tendoachilis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-32579622854313677712012-01-26T10:01:00.000-08:002012-01-26T10:01:36.872-08:00Clinical- Orthopedics examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="WordSection1">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 7.0in; text-align: center; text-autospace: none; text-indent: -9.0pt;">
<span style="height: 1px; left: 0px; margin-left: 140px; margin-top: 483px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252235608;"><img height="1" src="3-ortho_files/image001.gif" v:shapes="_x0000_s6323" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 146px; margin-top: 481px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 252236632;"><img height="4" src="3-ortho_files/image002.gif" v:shapes="_x0000_s6324" width="6" /></span><span style="height: 2px; left: 0px; margin-left: 151px; margin-top: 470px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252237656;"><img height="2" src="3-ortho_files/image003.gif" v:shapes="_x0000_s6325" width="1" /></span><span style="height: 6px; left: 0px; margin-left: 152px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252238680;"><img height="6" src="3-ortho_files/image004.gif" v:shapes="_x0000_s6326" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 152px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252240728;"><img height="4" src="3-ortho_files/image005.gif" v:shapes="_x0000_s6328" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 147px; margin-top: 414px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252242776;"><img height="2" src="3-ortho_files/image006.gif" v:shapes="_x0000_s6330" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 415px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252243800;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s6331" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 139px; margin-top: 411px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252244824;"><img height="2" src="3-ortho_files/image008.gif" v:shapes="_x0000_s6332" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 420px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252248920;"><img height="2" src="3-ortho_files/image009.gif" v:shapes="_x0000_s6336" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 423px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 252249944;"><img height="1" src="3-ortho_files/image010.gif" v:shapes="_x0000_s6337" width="3" /></span><span style="height: 1px; left: 0px; margin-left: 145px; margin-top: 417px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252253016;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s6340" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 413px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 252254040;"><img height="2" src="3-ortho_files/image003.gif" v:shapes="_x0000_s6341" width="1" /></span><span style="color: red; font-size: 24pt;">General Orthopedic Examination Scheme<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 59.05pt; margin-right: .7in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.35pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u>to joint above<u><span style="color: #00007f;"><o:p></o:p></span></u></div>
<div style="border: solid windowtext 1.0pt; margin-left: 49.5pt; margin-right: 50.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: 9.0pt; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; mso-pagination: none; padding: 0in; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><span style="color: #00007f;">Standing<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="margin-right: 50.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 49.5pt;">
<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Look</u>
</span><span style="color: black;">From back,<span style="mso-spacerun: yes;">
</span>From side, From Front<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin
→ Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling</span><span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span>
<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 50.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 81.0pt;">
<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → Wasting or Spasm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Bones<span style="mso-spacerun: yes;"> </span>→<span style="mso-spacerun: yes;">
</span>Deformity<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l22 level1 lfo15; mso-pagination: none; tab-stops: list 1.0in left 83.3pt 7.0in; text-autospace: none; text-indent: -22.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Walk</span></u></b><span style="color: #00007f;">
(Gait)<span style="mso-spacerun: yes;"> </span></span><span dir="RTL" lang="AR-EG" style="color: #00007f;">امشى لحد الباب وارجع</span><span dir="LTR"></span><span dir="LTR"></span><span style="color: #00007f;"><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 84.0pt 7.0in; text-autospace: none; text-indent: 31.5pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>N</span><span style="color: black;">ormal (most propably)</span><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 84.0pt 7.0in; text-autospace: none; text-indent: 31.5pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span>Abnormal
(Antalgic<span dir="RTL"></span><span dir="RTL"></span><span dir="RTL" lang="AR-SA"><span dir="RTL"></span><span dir="RTL"></span> بيعرج </span><span dir="LTR"></span><span dir="LTR"></span><span dir="LTR"></span><span dir="LTR"></span>, Trendlenberg<span dir="RTL"></span><span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span dir="RTL"></span> </span><span dir="RTL" lang="AR-EG" style="mso-bidi-language: AR-EG;">بيرقص</span><span dir="LTR"></span><span dir="LTR"></span><span dir="LTR"></span><span dir="LTR"></span>,
Half Shut knife)</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l22 level1 lfo15; mso-pagination: none; tab-stops: list 1.0in left 84.0pt 7.0in; text-autospace: none; text-indent: -22.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Feel<span style="mso-spacerun: yes;"> </span></span></u>For
tenderness<u><span style="color: #00007f;"><o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Bony
landmarks <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Soft
tissue<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l22 level1 lfo15; mso-pagination: none; tab-stops: 1.0in 84.0pt 7.0in; text-autospace: none; text-indent: -22.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Move </span></u><span style="color: #00007f;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Range
→ full ….-….) / limited (….-….)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Pain →
painful/ painless<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l22 level1 lfo15; mso-pagination: none; tab-stops: list 1.0in left 83.3pt 7.0in; text-autospace: none; text-indent: -22.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Special Tests <o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l22 level1 lfo15; mso-pagination: none; tab-stops: list 1.0in left 83.3pt 7.0in; text-autospace: none; text-indent: -22.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">6-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Measure<o:p></o:p></span></u></b></div>
<div style="border: solid windowtext 1.0pt; margin-left: 49.5pt; margin-right: 50.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: 9.0pt; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; mso-pagination: none; padding: 0in; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><span style="color: #00007f;">Supine<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="margin-right: 50.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 49.5pt;">
<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Look</u>
</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l13 level1 lfo21; mso-pagination: none; tab-stops: list 67.5pt left 84.0pt 7.0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><u>Feel<span style="mso-spacerun: yes;"> </span></u></span>For tenderness<u><span style="color: #00007f;"><o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Bony
landmarks <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Soft
tissue<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l13 level1 lfo21; mso-pagination: none; tab-stops: list 67.5pt left 1.0in 84.0pt 7.0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Move </span></u><span style="color: #00007f;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Range
→ full ….-….) / limited (….-….)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Pain →
painful/ painless<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l13 level1 lfo21; mso-pagination: none; tab-stops: list 67.5pt left 83.3pt 7.0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Special Tests <o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l13 level1 lfo21; mso-pagination: none; tab-stops: list 67.5pt left 83.3pt 7.0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Measure<o:p></o:p></span></u></b></div>
<div style="border: solid windowtext 1.0pt; margin-left: 49.5pt; margin-right: 50.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: 9.0pt; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; mso-pagination: none; padding: 0in; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><span style="color: #00007f;">Prone<span style="mso-spacerun: yes;"> </span></span></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f;">مفيش وقت<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="margin-right: 50.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 49.5pt;">
<span dir="LTR"></span><span dir="LTR"></span><b><span style="color: #00007f;"><span dir="LTR"></span><span dir="LTR"></span>1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><u>Look</u> </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l16 level1 lfo14; mso-pagination: none; tab-stops: list .75in left 84.0pt 7.0in; text-autospace: none; text-indent: -4.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Feel<span style="mso-spacerun: yes;"> </span></span></u>For
tenderness<u><span style="color: #00007f;"><o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Bony
landmarks <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Soft
tissue<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l16 level1 lfo14; mso-pagination: none; tab-stops: list .75in left 1.0in 84.0pt 7.0in; text-autospace: none; text-indent: -4.5pt;">
<b><span style="color: #00007f;"><span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><u>Move </u><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Range
→ full ….-….) / limited (….-….)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 119.3pt 7.0in; text-autospace: none; text-indent: 22.5pt;">
<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Pain →
painful/ painless<o:p></o:p></span></div>
<div style="border: solid windowtext 1.0pt; margin-left: 49.5pt; margin-right: 50.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: 9.0pt; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; mso-pagination: none; padding: 0in; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><span style="color: #00007f;">I would like to finish
my examination by: <o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 103.5pt; margin-right: 56.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l21 level1 lfo6; mso-pagination: none; tab-stops: 1.0in list 1.25in left 103.5pt; text-autospace: none; text-indent: -22.5pt;">
<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of joint above &
joint below.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 103.5pt; margin-right: 56.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l21 level1 lfo6; mso-pagination: none; tab-stops: 1.0in 1.25in; text-autospace: none; text-indent: -22.5pt;">
<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of neurovascular
status of both LLs.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 103.5pt; margin-right: 56.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l21 level1 lfo6; mso-pagination: none; tab-stops: 1.0in 1.25in; text-autospace: none; text-indent: -22.5pt;">
<span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Ask for X-ray (Bilat. & 2
views).</div>
<div style="border: solid windowtext 1.0pt; margin-left: 40.5pt; margin-right: 56.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 0in;">
<div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 0in; mso-pagination: none; padding: 0in; tab-stops: 45.0pt 1.0in 1.25in; text-autospace: none; text-indent: 4.5pt;">
<b><span style="color: navy; font-size: 14pt;">Investigations<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<b>Lab: </b><span style="mso-spacerun: yes;"> </span>ESR, CRP, ASOT, Rheumatoid profile, HLA-B27
(for ankylosing spondyolitis) </div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<b>X-ray:</b> plain X-ray bilat.
& 2 views at least</div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<b>CT:</b> If suspect fracture
(better 3D CT)<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<b>MRI:</b> If suspect pathology </div>
<div style="border: solid windowtext 1.0pt; margin-left: 40.5pt; margin-right: 50.7pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 0in;">
<div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-layout-grid-align: none; mso-padding-alt: 1.0pt 4.0pt 1.0pt 0in; mso-pagination: none; padding: 0in; tab-stops: 40.5pt 45.0pt 1.0in 119.3pt 7.0in; text-autospace: none;">
<b><span style="color: navy; font-size: 14pt;"><span style="mso-spacerun: yes;"> </span>TTT<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<b>Conservative ttt: </b>bed
rest, analgesic (NSAIDs), lifestyle modification (wt.loss), physioth.</div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -45.0pt;">
<b>Surgery:</b>
if failed conservative ttt inform of …….. </div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -45.0pt;">
<span style="mso-spacerun: yes;"> </span>-after general
assessment for fitness to surgery</div>
<div class="MsoNormal" style="margin-left: 1.25in; text-indent: -45.0pt;">
<br /></div>
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N.B. urgent
surgery may be needed (e.g, in dislocations, foot drop, cauda equine lesion)</div>
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<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u>naked except underware<u><span style="color: #00007f;"><o:p></o:p></span></u></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Standing<o:p></o:p></span></u></b></div>
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<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Look</u>
<o:p></o:p></span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span><b>From back<span style="mso-spacerun: yes;"> </span><o:p></o:p></b></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin
→ Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling</span><span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span>
<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → - Erector spinae spasm (Rt/ Lt/ Bilat.)
(usually opposite to side disc)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → Erectoe spinae spasm<span style="mso-spacerun: yes;"> </span>- LLs muscles (check later by measurement)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Bones<span style="mso-spacerun: yes;">
</span>→ - Leveling of iliac crest → <b><u>Leveled</u></b>/ Pelvic
tilt toward (Rt/Lt)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>- Soliosis
toward (Rt/Lt) (keep n. away from n.root)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span><b>From side <o:p></o:p></b></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Bones: → Lumbar lordosis → <b>N</b>/
<b>flattened</b>, N Dorsal Kyphosis <o:p></o:p></span></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">7-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Walk</span></u></b><span style="color: #00007f;"> (Gait)<span style="mso-spacerun: yes;"> </span></span><span dir="RTL" lang="AR-EG" style="color: #00007f;">امشى لحد الباب وارجع</span><span dir="LTR"></span><span dir="LTR"></span><span style="color: #00007f;"><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>N</span><span style="color: black;">ormal (most propably)</span><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
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<span style="color: black;">OR</span><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span>Half-shut
knife</div>
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<span style="color: black;">OR</span><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span>High
steppage (foot drop) (rare & emergency)</div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">8-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Feel</span></u><span style="color: #00007f;"> <u><span style="mso-spacerun: yes;"> </span><o:p></o:p></u></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Erector
spinae spasm <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Spine
segment tenderness at level of …… (iliac crests = L4) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span></span><span style="color: black; font-size: 10pt;">Iliac crests, PSIS, Lumbo-sacral junction <o:p></o:p></span></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">9-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Move </span></u><span style="color: #00007f;"><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Forward
flexion → range & Pain (N= 5cm from floor or touch toes)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Extension
→ range & Pain (N= 10-30 degrees)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Lateral
flexion → range & Pain (N=30 degrees or touching knee)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Rotation (while
sitting to fix pelvis) → range & Pain (N=<span style="mso-spacerun: yes;"> </span>45 degrees) (Th.V.)<o:p></o:p></span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
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<br /></div>
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<span style="color: #00007f;"></span><span style="color: #00007f;"><o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Supine<o:p></o:p></span></u></b></div>
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<b><span style="color: #00007f;">5-</span></b><span style="color: #00007f;"><span style="mso-tab-count: 1;"> </span><b><u>Tests</u></b><u> </u><o:p></o:p></span></div>
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<b><span style="color: black;">1-<span style="mso-spacerun: yes;">
</span>Straight Leg Raising test</span></b><span style="color: black;"> <b>(SLR)</b></span><span style="color: black; font-size: 9pt;">1<span style="mso-spacerun: yes;"> </span></span><b><span style="color: black; font-size: 14pt;">4 Parts</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></b><b><span dir="RTL" lang="AR-EG" style="color: black;">الوجع فين</span></b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<span dir="LTR"></span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>→ <span style="mso-spacerun: yes;"> </span><b>passive SLR</b> → +ve & limited
at …. Degrees / –ve (N= 80°, <60° → Positive)</span><span style="color: black; font-size: 10pt;"> </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>→<span style="mso-spacerun: yes;"> </span>10 degree below and <b>Sciatic
stretch test</b> </span><span style="color: black; font-size: 9pt;">2</span><span style="color: black;">→ +ve or –ve<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>→<span style="mso-spacerun: yes;"> </span><b>Hip</b> <b>internal
& external rotation</b> </span><span style="color: black; font-size: 9pt;">3 </span><span style="color: black;">(at 90-90 position) → range & pain<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>→<span style="mso-spacerun: yes;"> </span><b>Sacroiliac joint strain</b>
(FABER test = Flex. + Abduction + Ext.Rot.) <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>(figure of 4 position, hand on knee & hand on iliac crest) →
+ve / -ve<o:p></o:p></span></div>
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<span style="color: black; font-size: 9pt;"><o:p> </o:p></span><span style="color: black; font-size: 7pt;"><o:p> </o:p></span></div>
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<span style="color: black; font-size: 7pt;"><span style="mso-spacerun: yes;"> </span><b>1</b></span><span style="color: black; font-size: 10pt;"> <b>SLR:</b> Elevate leg to 90<sup> o</sup><span style="mso-spacerun: yes;"> </span>& If pain < 80<sup>o</sup> ask about
site (below knee → +ve & Above knee → -ve)<o:p></o:p></span></div>
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<b><span style="color: black; font-size: 7pt;">2</span></b><span style="color: black; font-size: 7pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: black; font-size: 10pt;">Sciatic stretch test:</span></b><span style="color: black; font-size: 7pt;"> </span><span style="color: black; font-size: 10pt;">After SLR, 10° below to relieve pain + dorsiflexion of the foot
→ pain & Patient flexes his extended knee to relieve the pain<o:p></o:p></span></div>
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<b><span style="color: black; font-size: 10pt;">3</span></b><span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span><b>Hip rotation: </b>hip
90<sup> o</sup> - knee 90<sup>o</sup>, hand on knee & other moves leg
(inside → ext. rot.) (outside → int.rot.) <o:p></o:p></span></div>
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<b>2-<span style="mso-spacerun: yes;"> </span>Rapid Neurological
examination <o:p></o:p></b></div>
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<span style="height: 24px; left: 0px; margin-left: 120px; margin-top: 592px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251101016;"><img height="24" src="3-ortho_files/image019.gif" v:shapes="_x0000_s5003" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 134px; margin-top: 611px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 251102040;"><img height="4" src="3-ortho_files/image020.gif" v:shapes="_x0000_s5004" width="6" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 600px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251103064;"><img height="2" src="3-ortho_files/image008.gif" v:shapes="_x0000_s5005" width="2" /></span><span style="height: 5px; left: 0px; margin-left: 140px; margin-top: 603px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251104088;"><img height="5" src="3-ortho_files/image021.gif" v:shapes="_x0000_s5006" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 606px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251105112;"><img height="2" src="3-ortho_files/image006.gif" v:shapes="_x0000_s5007" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 139px; margin-top: 608px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251106136;"><img height="4" src="3-ortho_files/image022.gif" v:shapes="_x0000_s5008" width="2" /></span><span style="height: 1px; left: 0px; margin-left: 130px; margin-top: 461px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251108184;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s5010" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 130px; margin-top: 469px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251113304;"><img height="1" src="3-ortho_files/image023.gif" v:shapes="_x0000_s5015" width="2" /></span><span style="height: 1px; left: 0px; margin-left: 133px; margin-top: 469px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251114328;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s5016" width="1" /></span><b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Sensation</span></b><span style="color: black;"> <b>(Dermatomes)</b>
close eyes, compare both sides & ask<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L1 = below skin crease<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L2 = upper thigh<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L3 = lower thigh <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L4 = inner side of leg<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L5 = outer side of leg →1<sup>st</sup> dorsal web (autonomus area
of L5)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>S1 = plantar foot<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>→ there is hypothesia on segment… (Rt /Lt) side or both equal<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">Power
(Myotomes)</span></b><span style="color: black;"> against resistance &
compare both sides<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L2 = hip flexion<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L3 = knee extension<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L4 = ankle dorsiflexion<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>L5 = big toe dorsiflexion<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>S1 = ankle plantar flexion<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ there is weakness on
segment… (Rt/Lt) side or both good power<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><b><span style="color: black;">Reflexes
</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span>preserved or lost & compare both sides <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ Knee reflex
(L2,3,4) look at quadriceps <b>→</b> preserved or lost<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ Ankle reflex<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(S1)<span style="mso-spacerun: yes;">
</span>look at calf ms<span style="mso-spacerun: yes;"> </span>→
preserved or lost<o:p></o:p></span></div>
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<span style="color: black; font-size: 9pt;"></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Prone</span></u></b><b><span style="color: #00007f; font-size: 14pt;"><span style="mso-spacerun: yes;">
</span></span></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f; font-size: 14pt;">مفيش وقت<u><o:p></o:p></u></span></b></div>
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<span dir="LTR"></span><span dir="LTR"></span><span style="color: black; font-family: "Symbol";"><span dir="LTR"></span><span dir="LTR"></span>·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="mso-bidi-language: AR-EG;">Femoral stretch test (L2,3,4 root) flex knee
& extend hip <o:p></o:p></span></div>
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<span style="mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>→ pain infront thigh = +ve
=high disc prolapse<span dir="RTL" lang="AR-EG"><o:p></o:p></span></span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: <o:p></o:p></span></u></b></div>
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<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of joint above (dorsal
& cervical spine) & joint below (hip).</div>
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<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of peripheral
pulsation (to exclude vascular claudication).</div>
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<span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>ask for X-ray.</div>
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<span style="mso-list: Ignore;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of abdomen (to exclude
abdominal causes of back pain).</div>
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<span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Exclude CAUDA EQUINA by: </div>
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<span style="mso-spacerun: yes;"> </span>ONE question →
sphincter function (retention early & incontinence later)</div>
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<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>TWO tests<span style="mso-spacerun: yes;"> </span>→ sphincter tone (S2)</div>
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<span style="mso-spacerun: yes;">
</span>→ saddle area sensation (S2,3,4)</div>
</div>
<span style="font-family: "Times New Roman", "serif"; font-size: 12pt;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection3">
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<span style="color: red; font-size: 26pt;">Hip Joint Examination<o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>naked
except underware<span style="color: #00007f;"><o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Standing<o:p></o:p></span></u></b></div>
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<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Look</u> <o:p></o:p></span></b></div>
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<b><span style="color: black;"><span style="mso-spacerun: yes;"> </span>From
back<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin<span style="mso-spacerun: yes;"> </span>→ Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling</span><span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles
→ Erector spinae wasting or spasm<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → Gluteal ms wasting (lost buttock crease)<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Bones → - Leveling of iliac crest
→ Leveled/ <b><u>Pelvic tilt</u></b> toward (Rt/Lt)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>- Soliosis toward (Rt/Lt)
(Compensatory & opposite to pelvic tilt)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>(Scoliosis with pelvic tilt is compensatory to adduction deformity)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>From
side <o:p></o:p></b></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin<span style="mso-spacerun: yes;">
</span>→ Scars, sinuses<span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT → swelling<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Bones</span><span style="color: black; font-family: "Symbol";"> </span><span style="color: black;">→
<b>Lumbar lordosis →</b>N/ <b><u>Exaggerated</u> (</b>compensatory to FFD),
dorsal kyphosis. <o:p></o:p></span></div>
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<b><span style="color: black;">From
front</span></b><span style="color: black;"><span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin<span style="mso-spacerun: yes;">
</span>→ Scars, sinuses<span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT → swelling<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Trendlenberg test <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b><span style="color: #00007f;">2-<span style="mso-spacerun: yes;"> </span></span><span style="mso-spacerun: yes;"> </span><u><span style="color: #00007f;">Tests</span></u><o:p></o:p></b></div>
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<b><span lang="ES-TRAD" style="color: black;"><span style="mso-spacerun: yes;"> </span>Trendelenburg test
(S.S.S)</span></b><span lang="ES-TRAD" style="color: black; font-size: 9pt;">1 <span style="mso-spacerun: yes;"> </span></span><span lang="ES-TRAD" style="color: black;">→ -ve</span><span style="color: black;">/ </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span lang="ES-TRAD">+ve = abductor deformity <span style="mso-spacerun: yes;"> </span></span></span><span dir="RTL"></span><span dir="RTL"></span><span dir="RTL" lang="ES-TRAD" style="color: black;"><span dir="RTL"></span><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span><span dir="RTL" lang="AR-SA" style="color: black;">اقف على رجلك ال.....</span><span lang="ES-TRAD" style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="color: #00007f;"><span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><span lang="ES-TRAD" style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span><u><span style="color: #00007f;">Walk</span></u><span style="color: #00007f;"> (Gait)</span></b><span dir="RTL"></span><span dir="RTL"></span><span dir="RTL" lang="AR-SA" style="color: #00007f;"><span dir="RTL"></span><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span><span dir="LTR"></span><span dir="LTR"></span><span lang="AR-SA" style="color: #00007f;"><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><span dir="RTL"></span><span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span></span><span dir="RTL" lang="AR-EG" style="color: #00007f;">امشى لحد الباب وارجع </span><span style="color: #00007f;">according to Trendlenberg test<o:p></o:p></span></div>
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If
Trendlenberg test +ve → Trendlenberg gait</div>
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If
Trendlenberg test <span style="mso-spacerun: yes;"> </span>-ve →<span style="mso-spacerun: yes;"> </span>Antalgic gait</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.25pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l7 level1 lfo17; mso-pagination: none; tab-stops: list 53.25pt left 84.0pt 7.0in; text-autospace: none; text-indent: -21.75pt;">
<b><span style="color: navy;"><span style="mso-list: Ignore;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Feel<span style="mso-spacerun: yes;"> </span></span></u></b>(Standing
or Supine)<span style="mso-spacerun: yes;"> </span><span style="color: #00007f;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 12.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 58.5pt 81.0pt 121.5pt; text-autospace: none; text-indent: 31.5pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Hip joint (skin crease) → pain= arthritis<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Greater
trochanter → pain= trochanteric bursitis</span> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="color: #00007f;"><o:p></o:p></span></div>
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<b><u><span style="color: navy; font-size: 14pt;">Supine<o:p></o:p></span></u></b></div>
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<span style="color: navy;"><span style="mso-spacerun: yes;"> </span><u>Look</u>
Confirm<span style="mso-spacerun: yes;"> </span><u>Feel</u> (if not done
standing)<o:p></o:p></span></div>
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<b><span style="color: navy;"><span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Move</span></u></b><span style="color: navy;"> active then
passive (fix pelvis)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Thomas test </b></span><span style="color: black; font-size: 9pt;">2</span><b><span style="color: black;"> </span></b><span style="color: black;">→ +ve = fixed flexion deformity or –ve<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Flexion → range & Pain (N= 0-140<sup> o</sup>)</span><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Extension (I will test later in prone) →
range & Pain (N= 0-10<sup> o</sup>) (skip if FFD)</span><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Abduction (fix pelvis by hand & elbow) → range
& Pain (N= 0-45<sup> o</sup>)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Adduction (fix pelvis by hand &
elbow) → range & Pain (N= 0-30<sup> o</sup>)<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Internal
rotation (hip 90°& knee 90°- fix knee-leg out) → range & Pain (N=
0-40<sup> o</sup>)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>External rotation (hip 90° & knee 90° -fix
knee -leg in) → range & Pain (N= 0-40<sup>o</sup>)<o:p></o:p></span></div>
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<span style="color: black; font-size: 7pt;">1</span><span style="color: black; font-size: 10pt;"> <b>Trendlenberg test:</b> Standing on one
leg tests the abductors of supporting leg (gluteus medius & minimus) which
pull on <o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">the pelvis
→ other side to rise (Normal is negative test) [SSS= sound site sag]<o:p></o:p></span></div>
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<span style="color: black; font-size: 9pt;">2 <b>Tomas test:</b>
left hand behind back (to feel flattening of hyperlordosis) flex hip to abdomen
& notice flexion of other hip (>10<sup>o</sup> → +ve)</span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
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<span style="color: black; font-size: 9pt;"></span><span style="color: black;"><o:p></o:p></span></div>
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<b><span style="color: navy;"><span style="mso-list: Ignore;">6-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Measure</span></u><span style="color: navy;"> </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span>(square the patient
with pelvis 90 degrees to long body axis)<o:p></o:p></span></div>
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<b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Apparent
length</span></b><span style="color: black;"> (from Xiphisternum to Med.
maleollus)→ No/ shortening on (Rt/Lt) side of …. cm<span style="mso-spacerun: yes;"> </span>→ If no true shortening = adduction
deformity <o:p></o:p></span></div>
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<b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">True Length </span></b><span style="color: black;">(from ASIS
</span><span style="color: black; font-family: "Bookman Old Style", "serif";">to</span><span style="color: black;"> Medial maleollus)→ No/ shortening on (Rt/Lt) side of
… cm<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>=
shortening of femur or tibia<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">(if true shortening) Do rough test (Knee 90<sup>o</sup>&
look from side)→ femoral or tibial<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">(if femoral shortening) measure Supratrochanteric length
(from greater trochanter to point same line opposite ASIS) <span style="mso-spacerun: yes;"> </span>→ supra-trochanteric or
infra-trochanteric <o:p></o:p></span></div>
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<br /></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: <o:p></o:p></span></u></b></div>
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<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of joint above (lumbar
spine) & joint below (knee).</div>
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<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of neurovascular state
of both LLs.</div>
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<span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Ask for X-ray</div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: #00007f;"><span style="mso-tab-count: 1;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="height: 1px; left: 0px; margin-left: 147px; margin-top: 459px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251118424;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s5092" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 460px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251119448;"><img height="1" src="3-ortho_files/image007.gif" v:shapes="_x0000_s5093" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 139px; margin-top: 456px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251120472;"><img height="1" src="3-ortho_files/image037.gif" v:shapes="_x0000_s5094" width="2" /></span><span style="height: 1px; left: 0px; margin-left: 138px; margin-top: 466px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251124568;"><img height="1" src="3-ortho_files/image038.gif" v:shapes="_x0000_s5098" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 457px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251129688;"><img height="2" src="3-ortho_files/image039.gif" v:shapes="_x0000_s5103" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 140px; margin-top: 552px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251130712;"><img height="2" src="3-ortho_files/image040.gif" v:shapes="_x0000_s5104" width="5" /></span><span style="height: 3px; left: 0px; margin-left: 146px; margin-top: 551px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 251131736;"><img height="3" src="3-ortho_files/image041.gif" v:shapes="_x0000_s5105" width="6" /></span><span style="height: 3px; left: 0px; margin-left: 151px; margin-top: 538px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251132760;"><img height="3" src="3-ortho_files/image042.gif" v:shapes="_x0000_s5106" width="1" /></span><span style="height: 5px; left: 0px; margin-left: 152px; margin-top: 542px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251133784;"><img height="5" src="3-ortho_files/image043.gif" v:shapes="_x0000_s5107" width="1" /></span><span style="height: 5px; left: 0px; margin-left: 152px; margin-top: 546px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251135832;"><img height="5" src="3-ortho_files/image044.gif" v:shapes="_x0000_s5109" width="1" /></span><span style="color: red; font-size: 26pt;">Knee Joint Examination</span><span style="color: #00007f; font-size: 22pt;"><o:p></o:p></span></div>
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<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Both Knees / Examine both knees (mirror image)<o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Standing<o:p></o:p></span></u></b></div>
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<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Look</u>
<o:p></o:p></span></b></div>
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<span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">From front<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin
→ Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling</span><span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span>
</span><span style="color: black;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → <b>Quadriceps muscle wasting</b> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Bones
→<span style="mso-spacerun: yes;"> </span><b>Genu Varus</b> , <b>Genu
valgum</b><o:p></o:p></span></div>
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<b><span style="color: black;">From side<o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin
→ Scars, sinuses<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT → swelling</span><span style="color: black; font-family: "Symbol";"> <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Bones
→<span style="mso-spacerun: yes;"> </span><b>Genu recurvatum</b> , <b>Flexion
deformity<o:p></o:p></b></span></div>
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<b><span style="color: black;">From back (popliteal fossa)<o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin
→ Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling (+/-) pulsatile<b><span style="mso-spacerun: yes;"> </span></b><o:p></o:p></span></div>
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<b><span style="color: #00007f;">2-<span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">Walk</span></u><span style="color: navy;"> (Gait)</span></b><span style="color: #00007f;"> </span><span dir="RTL" lang="AR-EG" style="color: #00007f;">امشى لحد الباب وارجع</span><span dir="LTR"></span><span dir="LTR"></span><span lang="AR-EG" style="color: #00007f;"><span dir="LTR"></span><span dir="LTR"></span> </span><span style="color: #00007f;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Normal</span><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;">OR</span><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Antalgic</span><span style="color: #00007f;"> <span style="mso-spacerun: yes;"> </span><u><span style="mso-spacerun: yes;"> </span></u></span><span style="color: black;"><o:p></o:p></span></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 58.5pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: -9.0pt;">
<b><u><span style="color: #00007f; font-size: 14pt;">Supine</span></u></b><span style="mso-spacerun: yes;"> </span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: #00007f;">3-<span style="mso-spacerun: yes;"> </span><u>Feel<span style="mso-spacerun: yes;"> </span></u></span><span style="mso-spacerun: yes;"> </span><u><span style="color: #00007f;"><o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 121.5pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Tenderness (Bony Land Marks & soft tissue): <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 121.5pt; margin-right: 28.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -27.0pt;">
<span style="color: black;">→ quadriceps ms, quadriceps tendon, patella (patellar
grinding test in 2 directions), patellar tendon, tibial tuberosity <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 121.5pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -27.0pt;">
<span style="color: black;">→ med. femoral condyle, med.tibial condyle, lat.
femoral condyle, lat. Tibial condyle. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 121.5pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -27.0pt;">
<span style="color: black;">→ med. collateral lig., lat. Collateral lig. →
head of fibula<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 121.5pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: 33.7pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Effusion:<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Start
by<span style="mso-spacerun: yes;"> </span>Patellar tap test (moderate
effusion)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: 78.7pt;">
<span style="color: black;">if patellar tap –ve → Fluid shift test [Stroke test]
(small effusion ) <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: 78.7pt;">
<span style="color: black;">if patellar tap +ve → Fluctuation test (large
effusion) <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: navy;">4-<span style="mso-spacerun: yes;"> </span></span><u><span style="color: #00007f;">Move </span></u><span style="color: #00007f;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 12.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: .75in 119.3pt; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Extension (Active then Passive) → range & Pain
(N= 0<sup>o</sup>)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 12.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: .75in 119.3pt; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Flexion (Active then Passive) → range & Pain (N=
0-135<sup> o</sup>) (buttocks to heels 1.5 cm) <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<b><span style="color: navy;">5-<span style="mso-spacerun: yes;"> </span><u>Measure</u></span></b><span style="color: black;"><span style="mso-tab-count: 1;"> </span>Quadriceps
Circumference (15 cm above patella) → equal/ wasting on (Rt/Lt) side <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 69.8pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -69.8pt;">
<span style="color: black;"></span><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: #00007f;"><o:p> </o:p></span><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5111" width="5" /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 47.3pt; margin-right: -24.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="height: 5px; left: 0px; margin-left: 526px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251138904;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5112" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 532px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251139928;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5113" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 536px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251140952;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5114" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 542px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251141976;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5115" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 547px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251143000;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5116" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 552px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251144024;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5117" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 557px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251145048;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5118" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 562px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251146072;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5119" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 567px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251147096;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5120" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 573px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251148120;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5121" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 577px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251149144;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5122" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 582px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251150168;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5123" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 588px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251151192;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5124" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 593px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251152216;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5125" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 598px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251153240;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5126" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 603px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251154264;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5127" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 608px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251155288;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5128" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 614px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251156312;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5129" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 619px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251157336;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5130" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 623px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251158360;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5131" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 629px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251159384;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5132" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 634px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251160408;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5133" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 639px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251161432;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5134" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 644px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251162456;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5135" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 649px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251163480;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5136" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 654px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251164504;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5137" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 660px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251165528;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5138" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 664px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251166552;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5139" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 670px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251167576;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5140" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 675px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251168600;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5141" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 680px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251169624;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s5142" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 685px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251170648;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5143" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 690px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251171672;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5144" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 695px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251172696;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5145" width="5" /></span><span style="height: 5px; 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position: absolute; width: 5px; z-index: 252194648;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6153" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 695px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252195672;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6154" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 701px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252196696;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s6155" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 705px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252197720;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6156" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 710px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252198744;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6157" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 716px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252199768;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6158" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 721px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252200792;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s6159" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 726px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252201816;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6160" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 731px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252202840;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6161" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 736px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252203864;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6162" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 742px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252204888;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6163" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 747px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252205912;"><img height="5" src="3-ortho_files/image055.jpg" v:shapes="_x0000_s6164" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 751px; margin-top: 478px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252206936;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6165" width="5" /></span><b><span style="color: #00007f;">6- <span style="mso-tab-count: 1;"> </span><u>Tests<span style="mso-spacerun: yes;">
</span></u></span></b></div>
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<b><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><u>Knee stability tests </u><o:p></o:p></span></b></div>
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<b><span style="color: black; font-family: "Symbol";">1-</span></b><span style="color: black; font-family: "Symbol";"> </span><b><span style="color: black;">Active</span></b><b><span style="color: black; font-family: "Symbol";"> </span><span style="color: black;">Straight
Leg Raising test (SLR) </span></b><span style="color: black;">→ +ve = weak
extensor apparatus/ –ve<o:p></o:p></span></div>
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<span style="height: 5px; left: 0px; margin-left: 564px; margin-top: 411px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252220248;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6178" width="5" /></span><b><span style="color: black; font-family: "Symbol";">2-</span></b><span style="color: black; font-family: "Symbol";"> </span><b><span style="color: black;">Medial & Lateral Collateral ligaments</span></b><span style="color: black;"> (at 20°) <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Stress valgus</span><span style="color: black; font-size: 9pt;">1</span><span style="color: black;"> Knee 0°: support leg medial and
push on lateral knee <b><i>medially</i></b>. <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Stress valgus</span><span style="color: black; font-size: 9pt;">1</span><span style="color: black;"> Knee
20°:<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <span style="mso-spacerun: yes;"> </span>no opening joint= -ve = intact<o:p></o:p></span></div>
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<span style="color: black;">→ opening joint= +ve → confirm by other side
(if bilat.=laxity, unilat.=torn)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Stress varus: Knee 0°: support leg lateral and push on
medial knee <b><i>laterally</i></b>.<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Stress varus</span><span style="color: black; font-size: 9pt;"> </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Knee 20°:<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→<span style="mso-spacerun: yes;"> </span>no opening joint= -ve = intact<o:p></o:p></span></div>
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<span style="color: black;">→ opening joint= +ve → confirm by other side (if
bilat.=laxity, unilat.=torn)<o:p></o:p></span></div>
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<b><span style="color: black; font-family: "Symbol";">3-</span></b><span style="color: black; font-family: "Symbol";"> </span><b><span style="color: black;">Anterior & Posterior Cruciate ligaments</span></b><span style="color: black;"> (at 90° + sit on pt. toes)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> posterior sag test: -ve/ +ve → PCL injury at sagged
side (Rt/Lt)<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Posterior drawer test: push tibia (for PCL)<o:p></o:p></span></div>
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<span style="height: 5px; left: 0px; margin-left: 538px; margin-top: 396px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252221272;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s6179" width="5" /></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Anterior
drawer test: pull tibia (for ACL) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Lachman test<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Pivot shift (Painful- only idea)<o:p></o:p></span></div>
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<b><u><span style="color: #00007f;">Mac Murray test</span></u></b><u><span style="color: #00007f;">
</span></u><span style="color: black; font-size: 9pt;">2 </span><u><span style="color: #00007f;">(<b>for medial & lateral menisci</b>)</span></u><span style="color: #00007f;"> not sure test<u><o:p></o:p></u></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Med. meniscus: maximum flex</span><span style="color: black; font-family: "Bookman Old Style", "serif";">→ </span><span style="color: black;">ext. rot with extension<span style="mso-spacerun: yes;"> </span>→
click or pain = +ve<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="height: 5px; left: 0px; margin-left: 594px; margin-top: 388px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251412312;"><img height="5" src="3-ortho_files/image054.jpg" v:shapes="_x0000_s5388" width="5" /></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Lat.
meniscus: maximum flex</span><span style="color: black; font-family: "Bookman Old Style", "serif";">→ </span><span style="color: black;">int.rot. with extension →
click or pain = +ve<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<div class="separator" style="clear: both; text-align: center;">
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-size: 9pt;"></span><span style="color: black;"><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">Prone</span></u></b><b><span style="color: #00007f; font-size: 14pt;"><span style="mso-spacerun: yes;">
</span></span></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f; font-size: 14pt;">مفيش وقت</span></b><b><span style="color: #00007f; font-size: 14pt;"><o:p></o:p></span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span>Back of knee
(popliteal fossa)<span style="color: black;"> 1- Flexed → Popliteal
region<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;">2- Extended → Palpate for bursa</span></div>
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<br /></div>
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<br /></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: <o:p></o:p></span></u></b></div>
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<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of joint above (hip)
& joint below (ankle).</div>
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<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of neurovascular state
of both LLs.</div>
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<span style="mso-list: Ignore;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Ask for X-ray</div>
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<span style="mso-list: Ignore;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examin back of knee (popliteal fossa)<span style="color: black;"> 1- Flexed </span><span style="color: black; font-family: "Bookman Old Style", "serif";">→</span><span style="color: black;"> Popliteal region<span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: black;">2- Extended </span><span style="color: black; font-family: "Bookman Old Style", "serif";">→</span><span style="color: black;"> Palpate for bursa</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
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<span style="color: red; font-size: 13pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="color: black; font-size: 7pt;">1</span><span style="color: black; font-size: 10pt;"> Grasp knee with one hand (heels on lateral side of the knee),
grasp lower tibia with the other hand, push the tibia laterally <o:p></o:p></span></div>
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<span style="color: black; font-size: 7pt;">2</span><span style="color: black; font-size: 10pt;"> Leg is flexed, loosen hamstring by rotatory mvt, Foot
internally/externally rotated, and Hip is adducted, clicks or <o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">pain are felt while leg is smoothly
extended. If +ve compare because bilat.= lax & unilat.= inj. meniscus</span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="color: red; font-size: 24pt;">Shoulder examination </span><span style="color: red; font-size: 18pt;">(rare)</span><span style="color: red; font-size: 24pt;"><o:p></o:p></span></div>
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<b><u><span style="color: navy;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: navy;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: black;">Expose upper half of body &both shoulders & <u>examine
from behind pt.</u><o:p></o:p></span></div>
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<b><span style="color: navy;">1-<span style="mso-spacerun: yes;"> </span><u>Look<o:p></o:p></u></span></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Skin →Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swelling</span><span style="color: black; font-family: "Symbol";"><span style="mso-tab-count: 1;"> </span> <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Muscles → Swelling or Wasting (Deltoid,
Supraspinatus, Infraspinatus, Trapezius, Pectoralis) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Bone → Deformity
(Sterno-clav. j., Clavicle, Acromio-clav. j., winging scapula,). <o:p></o:p></span></div>
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<b><span style="color: navy;">2-<span style="mso-spacerun: yes;"> </span><u>Feel</u></span></b><u><span style="color: #323299;"> </span></u><span style="color: black;">Bony land marks
& soft tissue (for tenderness)</span><span style="color: #323299;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Sternoclavicular j., clavicle, +/- coracoid, acromioclavicular,
acromion, spine of scapula (if protruding= wasting supra- &
infra-spinatus), supraspinatus, infraspinatus, head of humerus,<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-size: 10pt;">(coracoid is 1.5 inch
below lateral end of clavicle</span><span style="color: black;"> </span><span style="color: black; font-size: 10pt;">in deltopectoral groove)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";"></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<b><span style="color: navy;">3-<span style="mso-spacerun: yes;"> </span><u>Move </u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Forward
flexion → range & Pain (N=180°) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Extension
→ range & Pain (N=60°)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Abduction → range & Pain (N=180°)<span style="mso-spacerun: yes;"> </span>→ <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>0-15° = supraspinatus, <o:p></o:p></span></div>
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<span style="color: black;">15-90°
= deltoid (gleno-humeral j. mainly)<o:p></o:p></span></div>
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<span style="color: black;">90-180°
= trapezius, Rhomboides & Levator scapulae (scapulo-thoracic j. mainly)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Adduction → (N= blocked by body)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Medial (internal) rotation → range & Pain (N=80°)
fix elbow at body & forearm inside <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Lateral (external) rotation → range & Pain
(N=80°) fix elbow at body & forearm outside <o:p></o:p></span></div>
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<span style="color: black;"></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<b><span style="color: navy;">4-<span style="mso-spacerun: yes;"> </span><u>Muscle strength </u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Pectoralis major ☺”Push your hands in your waist.” <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Trapezius
☺“Raise your shoulders.” <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Serratus Anterior<span style="mso-spacerun: yes;">
</span>☺“Push against the wall.” <o:p></o:p></span></div>
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<b><span style="color: navy;"><span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Special tests<o:p></o:p></span></u></b></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Painful arc (supraspinatus tendonitis)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Apprehension test (for recurrent shoulder dislocation) -if
asked only<o:p></o:p></span></div>
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<b><span style="color: #323299; font-size: 18pt;">Reduction of Dislocated Shoulder</span><span style="color: #323299;"> (TEAR) <o:p></o:p></span></b></div>
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<span style="color: black;">Traction<span style="mso-spacerun: yes;"> </span>- External rotation -<span style="mso-spacerun: yes;"> </span>Adduction - Rotation (Internal) <o:p></o:p></span></div>
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<span style="color: red; font-size: 26pt;">Elbow Examination </span><span style="color: red; font-size: 18pt;">(very rare)</span><span style="color: red; font-size: 14pt;"><o:p></o:p></span></div>
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<b><u><span style="color: #00007f;">Introduce
yourself</span><span style="color: #323299;"> <o:p></o:p></span></u></b></div>
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<b><u><span style="color: navy;">Exposure:</span></u></b><span style="color: black;"> Up to shoulder & hand supinated (palms up)<o:p></o:p></span></div>
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<b><span style="color: navy;">1-<span style="mso-tab-count: 1;"> </span><u>Look </u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Skin → Scars, sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT →
swellings (joint or localized olecranon bursa)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Muscles ( flexors & extensors forearm) → Wasting<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Bone → Deformity Cubitus valgus = exaggerated
carrying angle (N= 10-15° valgus)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>Cubitus varus = decreased carrying angle<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>Cubitus recurvatum = hyperextension elbow<o:p></o:p></span></div>
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<b><span style="color: navy;">3-<span style="mso-tab-count: 1;"> </span><u>Feel<span style="mso-spacerun: yes;">
</span>TT</u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Temperature <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Tenderness: over bony prominences & ulnar n.<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">- <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Olecranon
bursitis<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">- <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Tennis elbow:
pain over common extensor origin (lat. Epicondyle) due to extensor use<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">- <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Golfer’s
elbow: pain over common flexor origin (med. Epicondyle) due to flexor use<o:p></o:p></span></div>
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<b><span style="color: navy;">4-<span style="mso-tab-count: 1;"> </span><u>Move </u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span>
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Flexion→ range & Pain (N= 145 degrees)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Extension<span style="mso-spacerun: yes;"> </span>→
range & Pain (N hyperextension upto 15 degrees)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>pronation & supination (start at mid-prone
position)<o:p></o:p></span></div>
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<b><span style="color: navy;"><span style="mso-list: Ignore;">5-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Special tests<span style="mso-spacerun: yes;"> </span></span></u><span style="color: navy;">(elbow stability tests)</span></b><span style="color: #323299;">
</span><b>(elbow extended because no locking unlike knee)<o:p></o:p></b></div>
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<b><span style="color: #323299;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Stress valgus test: elbow extended, support wrist and push
on lateral elbow <b><i>medially</i></b></span><b><i><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></i><u><span style="color: #323299;"><o:p></o:p></span></u></b></div>
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<b><span style="color: #323299;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Stress varus test: elbow extended, support wrist and push
on medial elbow <b><i>laterally<o:p></o:p></i></b></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>If opening in med.side →</span><span style="color: black; font-family: "Symbol";"> </span><span style="color: black;">+ve valgus test, lat. Side → +ve varus test<o:p></o:p></span></div>
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<br /></div>
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<span style="color: red; font-size: 26pt;">Hand Examination </span><span style="color: red; font-size: 16pt;">(Rheumatoid or Nerve inj.)</span><span style="color: red; font-size: 26pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce
yourself</span><span style="color: #323299;"> <o:p></o:p></span></u></b></div>
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<b><u><span style="color: navy;">Exposure:</span></u></b><span style="color: black;"> Up to elbows & hand supinated<o:p></o:p></span></div>
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<b><span style="color: navy;">1-<span style="mso-tab-count: 1;"> </span><u>Look </u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Skin → Scars (esp, palm & wrist), sinuses<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>SCT → swellings </span><span style="color: black; font-family: "Symbol";">&</span><span style="color: black;"> nodules(imp)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Muscles → Wasting (Dorsal interossei, Thenar,
Hypothenar)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span>
</span><span style="color: black;">Bone → Deformity (Ulnar dev. MPJ & compensatory
radial dev. wrist </span><span style="color: black; font-size: 10pt;">1</span><span style="color: black;">, MPJ swellings </span><span style="color: black; font-size: 10pt;">2</span><span style="color: black;">, finger drop, hyper-extended
finger, Swan-neck </span><span style="color: black; font-size: 10pt;">3</span><span style="color: black;">, Boutonniere deformity </span><span style="color: black; font-size: 10pt;">4</span><span style="color: black;">, Z-thumb </span><span style="color: black; font-size: 10pt;">5</span><span style="color: black;">, Mallet
finger </span><span style="color: black; font-size: 10pt;">6</span><span style="color: black;">, Piano-key </span><span style="color: black; font-size: 10pt;">7</span><span style="color: black;">)<o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: navy;">2-<span style="mso-tab-count: 1;"> </span><u>Feel<span style="mso-spacerun: yes;">
</span>TT</u><o:p></o:p></span></b></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Temperature <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Tenderness: Joints, knuckles, tendons.<o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: navy;">3-<span style="mso-tab-count: 1;"> </span><u>Move (wrist, MPJ, PIPJ)</u></span><u><span style="color: #323299;"> </span></u>Active then Passive (to complete range)<span style="color: black;"> </span></b><span style="color: black; font-family: "Symbol";"><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Wrist: flexion, extension & circular movement<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Fingers movements:
- Flexion & Extension (at MPJ)<span style="mso-spacerun: yes;"> </span>- Abduction
& Adduction (acc. to middle finger axis) (Middle finger has abd. on 2 sides
& no add.)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Thumb movements (hand on table): - Abduction (upward) &
Adduction<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>- Flexion & Extension
(at IPJ)<span style="mso-spacerun: yes;"> </span>& Opposition<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Tendon: FDS & FDP<o:p></o:p></span></div>
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<b><span style="color: navy;">4-<span style="mso-spacerun: yes;"> </span><u>Nerve</u><o:p></o:p></span></b></div>
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<b><span style="color: navy;">5-<span style="mso-spacerun: yes;"> </span><u>Special tests </u><span style="mso-spacerun: yes;"> </span>(tests for carpal tunnel syndrome & nerve
injury)<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 88.7pt;" valign="top" width="118"><div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 28.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 6.8pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: red; font-size: 21pt;">Ulnar n. inj. <o:p></o:p></span></div>
</td>
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<span style="color: red; font-size: 19pt;">Median n. inj. <o:p></o:p></span></div>
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<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.7pt;" valign="top" width="190"><div class="MsoNormal" style="line-height: 28.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 124.2pt; text-autospace: none;">
<span style="color: red; font-size: 19pt;">Radial n. inj.<o:p></o:p></span></div>
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<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 88.7pt;" valign="top" width="118"><div class="MsoNormal" style="line-height: 11.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy;">Look <o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 13.3pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Claw hand <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Wasted hypothenar eminence <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Wasted interossie (guttered dorsum of
hand) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="1" width="2"></td>
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<td></td>
<td><div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_VCgeS8dQGVP_MyvykzKgGrZ0AhRif1DDW2ZQcMUTNLrMQ78oTLDtyAQGRXKfLgfaGIdgJ-kCERX00ngR5lGEsCXEe8f72kJvZvpZQzK9gDFopGpSDX8fjwVh8hAdhmc0EF8v_yfDSeM/s1600/image078.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="86" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_VCgeS8dQGVP_MyvykzKgGrZ0AhRif1DDW2ZQcMUTNLrMQ78oTLDtyAQGRXKfLgfaGIdgJ-kCERX00ngR5lGEsCXEe8f72kJvZvpZQzK9gDFopGpSDX8fjwVh8hAdhmc0EF8v_yfDSeM/s200/image078.gif" width="200" /></a></div>
<span style="color: black; font-size: 10pt;"><o:p> </o:p></span></td></tr>
</tbody></table>
</td><td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Ape hand (thenar wasting)</span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-xCwI8JDqyDXQSfIv7KbgEEd8y6GxAa6wse63tD8AiyPqM6FNsnoc3KcdIRUJsrclXaiksWNMkYvStgqUBTxeo9NhA8hoDd3ZZVp6dGXTYA7retw-F132al1SZACeBMZCxRJpE6NjJPU/s1600/image080.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-xCwI8JDqyDXQSfIv7KbgEEd8y6GxAa6wse63tD8AiyPqM6FNsnoc3KcdIRUJsrclXaiksWNMkYvStgqUBTxeo9NhA8hoDd3ZZVp6dGXTYA7retw-F132al1SZACeBMZCxRJpE6NjJPU/s1600/image080.jpg" /></a></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.7pt;" valign="top" width="190"><div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Wrist drop <o:p></o:p></span></div>
<div class="separator" style="clear: both; text-align: center;">
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<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 88.7pt;" valign="top" width="118"><div class="MsoNormal" style="line-height: 16.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy;">Sensory </span></b></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy;">Assessment <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">(autonomus area of<span style="mso-spacerun: yes;"> </span>nerve)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 12.0pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Loss of sensation of<span style="mso-spacerun: yes;"> </span>Little finger <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 6.8pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="17" width="72"></td>
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<td></td>
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<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
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<div class="MsoNormal" style="margin-right: 6.8pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198"><br />
<div class="MsoNormal" style="line-height: 16.65pt; margin-left: 9.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -9.0pt;">
<span style="color: black; font-size: 10pt;">- Loss
of sensation of index finger <o:p></o:p></span></div>
<div class="separator" style="clear: both; text-align: center;">
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<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="44" width="63"><br /></td>
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<br />
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.7pt;" valign="top" width="190"><br />
<div class="MsoNormal" style="line-height: 16.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none; text-indent: -4.5pt;">
<span style="color: black; font-size: 10pt;">-Loss of sensation of 1</span><span style="color: black; font-size: 7pt;">st</span><span style="color: black; font-size: 10pt;"> dorsal interosseus space </span></div>
<div class="MsoNormal" style="line-height: 16.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none; text-indent: -4.5pt;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiF1HIP0tTu4wwjDdnFxL34-wMY6HdKjNL-KwVfuIT6HQJNoZkr3niHQYY5w_z_tWFNcspFagyqJaoOtn2qCbwcVa41_Qc85VG7SobDN-jXUTSSUWEEN2WdwVVpTD-8wWVTSxftE5Px4W4/s1600/image094.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiF1HIP0tTu4wwjDdnFxL34-wMY6HdKjNL-KwVfuIT6HQJNoZkr3niHQYY5w_z_tWFNcspFagyqJaoOtn2qCbwcVa41_Qc85VG7SobDN-jXUTSSUWEEN2WdwVVpTD-8wWVTSxftE5Px4W4/s1600/image094.jpg" /></a><span style="color: black; font-size: 10pt;"><o:p> </o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 139.9pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 16.65pt; margin-left: 9.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -9.0pt;">
<br /></div>
</td>
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<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 88.7pt;" valign="top" width="118"><div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy;">Motor <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy; font-size: 11pt;">Assessment
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 10.0pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Palmar interossie (card test) </span><span style="color: black; font-size: 8pt;">9</span><span style="color: black; font-size: 10pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Dorsal interossie (spread test) </span><span style="color: black; font-size: 8pt;">10</span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-right: 6.8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Adductor pollicis (froment test)</span><span style="color: black; font-size: 8pt;"> 11</span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
<div class="separator" style="clear: both; text-align: center;">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198"><div class="MsoNormal" style="line-height: 10.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Opponens pollicis</span><span style="color: black; font-size: 7pt;"> 12<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="24" width="44"><br /></td>
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</tbody></table>
<span style="color: black; font-size: 9pt;"><o:p> </o:p></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRcQBUZovHrgfNIBg3b3uwqrDP59W00MNICcBxPsSfx9hDd35J5xS_IUxzYp1g2IC7Ot7PqQ6pN9yyQhvq_Z2o8EDXp3TZPu4dbJhsxCwSL9hSBYKatB1tYxY35nGPcHofKKe6G_bLXzY/s1600/image096.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRcQBUZovHrgfNIBg3b3uwqrDP59W00MNICcBxPsSfx9hDd35J5xS_IUxzYp1g2IC7Ot7PqQ6pN9yyQhvq_Z2o8EDXp3TZPu4dbJhsxCwSL9hSBYKatB1tYxY35nGPcHofKKe6G_bLXzY/s1600/image096.jpg" /></a><br />
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;"><o:p> </o:p></span><span style="color: black; font-size: 9pt;"><o:p> </o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;"><o:p> </o:p></span><span style="color: black; font-size: 10pt;">-Abductor pollicis brevis </span><span style="color: black; font-size: 8pt;">13</span><span style="color: black; font-size: 10pt;"> (hand on table) </span></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6Znf7AirQVdjjrM1aO2d8AkKQ1S47zAg5iMBDF3xGSwwzSSY38sEWrkf8Omb9Ry0v4eM6Unkbz_vSFoe6NjPqjnfi_qrMLgpwnaE4ujZU6ihmu8ZjhfzKXAezO6zbduNuJGOqFk4OALI/s1600/image099.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6Znf7AirQVdjjrM1aO2d8AkKQ1S47zAg5iMBDF3xGSwwzSSY38sEWrkf8Omb9Ry0v4eM6Unkbz_vSFoe6NjPqjnfi_qrMLgpwnaE4ujZU6ihmu8ZjhfzKXAezO6zbduNuJGOqFk4OALI/s1600/image099.gif" /></a></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;"><o:p> </o:p></span></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 13.5pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -13.5pt;">
<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span><b><span style="mso-spacerun: yes;"> </span>+</b>
Phallen test </span><span style="color: black; font-size: 8pt;">14</span><span style="color: black; font-size: 10pt;"> & Tinnel test </span><span style="color: black; font-size: 8pt;">15</span><span style="color: black; font-size: 10pt;"> (in carpal tunnel synd.)</span><span style="color: black;"><o:p> </o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.7pt;" valign="top" width="190"><div class="MsoNormal" style="line-height: 10.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 135.4pt 139.9pt; text-autospace: none;">
<b><span style="color: black; font-size: 10pt;">Fix
proximal joint then</span></b></div>
<div class="MsoNormal" style="line-height: 10.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 135.4pt 139.9pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Finger
ext. at MPJ → Lost </span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 135.4pt 139.9pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">-Wrist
ext. → Weak or Lost (acc.to level)</span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 135.4pt 139.9pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- Finger
ext. at PIPJ → preserved extension by lumbricals (supplied by median &
ulnar n.) </span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOVjifjQWgUnyS96N_rmT63YpaHsy0-oyDuHcBc1tj5-zCvjB_6nnLkfli7AvMVGFKY1QrRIOJ67ZIzPr7eFPzD-8qFSf3Dm97Sl-zOdG2K0BcR4YjO08I_ozSnXTSndYgvq7rtd1psAg/s1600/image101.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOVjifjQWgUnyS96N_rmT63YpaHsy0-oyDuHcBc1tj5-zCvjB_6nnLkfli7AvMVGFKY1QrRIOJ67ZIzPr7eFPzD-8qFSf3Dm97Sl-zOdG2K0BcR4YjO08I_ozSnXTSndYgvq7rtd1psAg/s1600/image101.jpg" /></a></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 135.4pt 139.9pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;"><br /></span></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 13.5pt; margin-right: 2.3pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -13.5pt;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="152" width="47"></td></tr>
<tr><td></td><td></td></tr>
</tbody></table>
<span style="color: black; font-size: 10pt;"><br clear="all" style="mso-column-break-before: always; mso-special-character: line-break;" />
</span></td>
</tr>
<tr style="height: 47.65pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 47.65pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 88.7pt;" valign="top" width="118"><div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -43.5pt;">
<b><span style="color: navy;">Level of inj</span></b><b><span style="color: navy; font-size: 11pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-right: -2.2pt; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black;">(If asked only)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 47.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 162.4pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- Scar<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 162.4pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- Ulnar paradox<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 162.4pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- FCU<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-right: 14.7pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 162.4pt; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- med. ½ FDP</span><span style="color: black;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 47.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198"><div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- Scar<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- FDS<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="PT" style="color: black; font-size: 10pt;">- lat. ½ FDP<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="PT" style="color: black; font-size: 10pt;">- Pronator teres & quadratus</span><span lang="PT" style="color: black;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 47.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 142.7pt;" valign="top" width="190"><div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">- Scar<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 8.1pt; margin-right: -2.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -8.1pt;">
<span style="color: black; font-size: 10pt;">- Wrist ext.→ weak in post. Interosseus inj. &
Lost in main radial inj.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 8pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="color: black; font-size: 10pt;">1 <u>Ulnar deviation of fingers (MPJ)
& compensatory radial deviation of Wrist</u> (Zig-Zag mech.) (pathognomonic
to rheumatoid hand)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 42.15pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">2 <u>MPJ
swellings (nodules or subluxation of head metacarpals)</u> <o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span style="color: black; font-size: 10pt;">3 <u>Swan-neck</u>: rupture tendon FDS → PIPJ extended &
DIPJ flexed by FDP (compens)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="color: black; font-size: 10pt;">4 <u>Boutonniere deformity</u>: rupture
central slip of extensor expansion → PIPJ flexed & DIPJ extended by 2
distal slips<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -1.25in;">
<span style="color: black; font-size: 10pt;">5 <u>Z-thumb</u>:<span style="mso-spacerun: yes;"> </span>rupture Fl.Poll.longus tendon → MPJ
flexed & IPJ extended<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -1.25in;">
<span style="color: black; font-size: 10pt;">6 <u>Mallet finger</u>: rupture extensor
tendons → DIPJ flexed & cannot be extended except passively (IPJ
normal)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.5in; text-indent: -171.0pt;">
<span style="color: black; font-size: 10pt;">7 <u>Trigger finger</u> (Stenosing
tenosynovitis): inflamm.nodule prevent active extension of finger PIPJ &
DIPJ(cannot be extended except passively with lag & snap)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -1.25in;">
<span style="color: black; font-size: 10pt;">8 <u>Piano key sign</u>: subluxation of
lower radio-ulnar joint → popup lower ulna<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.35pt; margin-right: 42.5pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">9<span style="mso-spacerun: yes;"> </span><b>Card test:</b> Piece of paper between
fingers - PAD <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 11.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 42.15pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">10 <b>Spread test:</b> Prevent pushing of
spread fingers - DAP <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 42.15pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">11 <b>Fromet’s test: </b>Piece of paper
between index & thumb & try to catch against resistance → Flex.
instead abd, thumb<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 11.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 42.15pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">12 <b>Opponens polices:</b> Oppose
patient’s thumb & little finger, ask him to stop you from pulling the
fingers apart<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: -39.0pt;">
<span style="color: black; font-size: 10pt;">13<span style="mso-spacerun: yes;"> </span><b>Abd.poll.br..:</b>
Hand on table & Abd. Thumb against resistance<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -39.0pt;">
<span style="color: black; font-size: 10pt;">14 <b>Phalen
test:</b> flex. Wrist → tingeling & pain<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -39.0pt;">
<span style="color: black; font-size: 10pt;">15</span><span style="color: black; font-size: 8pt;"> </span><span style="height: 3px; left: 0px; margin-left: 563px; margin-top: 95px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252269400;"><img height="3" src="3-ortho_files/image103.gif" v:shapes="_x0000_s6410" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 95px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252270424;"><img height="3" src="3-ortho_files/image104.gif" v:shapes="_x0000_s6411" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 95px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252271448;"><img height="3" src="3-ortho_files/image104.gif" v:shapes="_x0000_s6412" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 563px; margin-top: 125px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252272472;"><img height="3" src="3-ortho_files/image105.gif" v:shapes="_x0000_s6413" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 125px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252273496;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6414" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 23px; margin-top: 290px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252274520;"><img height="3" src="3-ortho_files/image107.gif" v:shapes="_x0000_s6415" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 120px; margin-top: 290px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252275544;"><img height="3" src="3-ortho_files/image104.gif" v:shapes="_x0000_s6416" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 359px; margin-top: 290px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252276568;"><img height="3" src="3-ortho_files/image107.gif" v:shapes="_x0000_s6417" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 563px; margin-top: 290px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252277592;"><img height="3" src="3-ortho_files/image108.gif" v:shapes="_x0000_s6418" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 290px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252278616;"><img height="3" src="3-ortho_files/image107.gif" v:shapes="_x0000_s6419" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 23px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252279640;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6420" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 120px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252280664;"><img height="3" src="3-ortho_files/image109.gif" v:shapes="_x0000_s6421" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 359px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252281688;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6422" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 563px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252282712;"><img height="3" src="3-ortho_files/image110.gif" v:shapes="_x0000_s6423" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252283736;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6424" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 23px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252284760;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6425" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 23px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252285784;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6426" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 120px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252286808;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6427" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 359px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252287832;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6428" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 563px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252288856;"><img height="3" src="3-ortho_files/image110.gif" v:shapes="_x0000_s6429" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252289880;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6430" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 743px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 252290904;"><img height="3" src="3-ortho_files/image106.gif" v:shapes="_x0000_s6431" width="2" /></span><b><span style="color: black; font-size: 10pt;">Tinnel test:</span></b><span style="color: black; font-size: 10pt;">
tapping on median n. under flexor retinaculum → tingeling & pain<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-54159959305179525662012-01-26T07:57:00.001-08:002012-01-26T07:57:36.201-08:00clinical- abdomen & inguinoscrotal discussion<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-size: 24.0pt;">ABDOMEN</span></b></div>
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<b><span style="font-size: 18.0pt;">Abdominal Examination & signs CLD</span></b></div>
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<br /></div>
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<b><span style="font-size: 14.0pt;">What are signs of CLD?</span></b></div>
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<span style="font-size: 14.0pt;">Clubbing:<span style="color: black;"> Obliteration of
angle between nail & nail bed – chr. disease</span></span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Palmar erythema: <span style="color: black;">(sign of decompensated
CLD) in hypothenar, thenar, head of metacarpals & tip fingers</span></span></div>
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<span style="font-size: 14.0pt;">Flapping tremors: sign decompansated CLD</span></div>
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<span style="font-size: 14.0pt;">Dupuytren’s contracture:<span style="color: black;">
nodular or cord like fibrosis of palmar fascia of ring +/- little finger in
(alcohol, CLD, DM, drug, manual workers) – D.D. ulnar claw hand</span></span></div>
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<span style="font-size: 14.0pt;">Jaundice: sign decompensated CLD - seen in sclera</span></div>
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<span style="color: black; font-size: 14.0pt;">Hepatic fetor: sign decompansated CLD</span></div>
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<span style="color: black; font-size: 14.0pt;">Spider naevi: is sign CLD- central
arteriole with radiating branches – in H & N (distribution of SVC)- > 6 in
distribution SVC is pathological</span></div>
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<span style="color: black; font-size: 14.0pt;">Gyaencomastia: is sign CLD- other causes: physiological-
drugs (cimitidine-spironolactone)- hormonal ttt – tumors secr hs (testicular or
adrenal)</span></div>
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<span style="color: black; font-size: 14.0pt;">Encephalopathy</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What
are signs of decompansated CLD?</span></b></div>
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<span style="color: black; font-size: 14.0pt;">Edema</span></div>
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<span style="color: black; font-size: 14.0pt;">Ascites</span></div>
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<span style="color: black; font-size: 14.0pt;">Jaundice</span></div>
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<span style="color: black; font-size: 14.0pt;">Flapping
tremors</span></div>
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<span style="color: black; font-size: 14.0pt;">Encephalopathy</span></div>
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<span style="color: black; font-size: 14.0pt;">Bleeding</span></div>
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<span style="color: black; font-size: 14.0pt;">Fetor
hepaticus</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What
are signs P.H.?</span></b><span style="color: black; font-size: 14.0pt;">
Splenomegaly, ascites & caput medusa (rare)</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What
are the porto-systemic shunts?<span style="mso-spacerun: yes;">
</span>………………………..</span></b></div>
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<span style="color: black; font-size: 14.0pt;">In abdominal
palpation keep hand & forearm at same level</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">Where is
traub’s area?</span></b><span style="color: black; font-size: 14.0pt;"> Lower rib
cage ant. to MAL</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>( Above: 6<sup>th</sup>
rib, below: costal margin, lat.: MAL )</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">Difference
between splenic & renal swelling?</span></b><span style="color: black; font-size: 14.0pt;"> Splenic swelling has following ccc</span></div>
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<span style="color: black; font-size: 14.0pt;">cannot insinuate hand between it &
C.M.</span></div>
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<span style="color: black; font-size: 14.0pt;">not felt in renal angle</span></div>
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<span style="color: black; font-size: 14.0pt;">continous with dullness over Traub’s area </span></div>
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<span style="color: black; font-size: 14.0pt;">cannot get above it</span></div>
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<span style="color: black; font-size: 14.0pt;">no area of resonance above it </span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>renal swelling is the reverse</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What</span></b><span style="color: black; font-size: 14.0pt;"> <b>is diagnosis of this case (CLD)?</b>
Example,</span></div>
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<span style="color: black; font-size: 14.0pt;">Tinge of
jaundice, pallor, clubbing, Liver enlarged- Rt lobe 5 cm below C.M., well
defined edge, smooth surface, firm consistency, Lt lobe 5 Cm below C.M. ,……….,
liver span is 18 cm, spleen enlarged 7 cm below C.M., no masses felt</span></div>
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<span style="color: black; font-size: 14.0pt;">→ <u>Case
of HSM propably CLD</u></span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">Evaluation
of CLD?</span></b></div>
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<span style="color: black; font-size: 14.0pt;">Lab: FBC (anemia from bleeding or chr.ds, thrombocytopenia,
leucopenia from splenomegaly)</span></div>
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<span style="color: black; font-size: 14.0pt;">T.Bilirubin ↑ (mixed but mainly indirect)</span></div>
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<span style="color: black; font-size: 14.0pt;">AST, ALT ↑</span></div>
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<span style="color: black; font-size: 14.0pt;">Alb. ↓</span></div>
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<span style="color: black; font-size: 14.0pt;">Bleeding profile</span></div>
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<span style="color: black; font-size: 14.0pt;">Abdominal U/S: Liver size (enlarged/shrunken), spleen
(N/enlarged), P.V. (P.H.), HCC</span></div>
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<span style="color: black; font-size: 14.0pt;">UGI Endoscopy</span></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What
are the Lethal complications CLD?</span></b></div>
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<span style="color: black; font-size: 14.0pt;">hematemesis</span></div>
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<span style="color: black; font-size: 14.0pt;">encephalopathy</span></div>
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<span style="color: black; font-size: 14.0pt;">HCC (malignant change)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="color: black; font-size: 14.0pt;">SBP (spontaneous bac. </span><span lang="PT" style="color: black; font-size: 14.0pt; mso-ansi-language: PT;">Peritonitis)
C/O: F & abdominal pain</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: .2in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What is
ttt CLD?</span></b></div>
<div class="MsoNormal" style="margin-right: .2in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">If
compensated → liver supportive ttt</span></div>
<div class="MsoNormal" style="margin-right: .2in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">If
uncompensated → liver transplantation (according to Child score: 5items: Bil,
Alb, INR, encephalopathy & ascites)</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: .2in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What is
Koilonychia? </span></b><span style="color: black; font-size: 14.0pt;">Spoon shaped
nails in iron deficiency anaemia </span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What is
Leuconychia? </span></b><span style="color: black; font-size: 14.0pt;">White nails
(due to hypoalbuminemia)</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">How to
suspect Ascites?</span></b><span style="color: black; font-size: 14.0pt;"> LL edema
(Gen.exam.) & full flanks by inspection</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">How to
examine for ascites? </span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Mild → U/S,<span style="mso-spacerun: yes;"> </span>Moderate → shifting dullness,<span style="mso-spacerun: yes;"> </span>Severe→ fluid thrill</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">Causes of
clubbing?</span></b></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">GIT: liver cirrhosis, Inflamm.B.D., malabs.</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Resp.: Bronchial carcinoma, mesothelioma, suppurative lung
ds</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Cardiac: cong. Cyanotic ht. ds, IEC</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Familial & occupational</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What does
oral pigmentation indicate?</span></b><span style="color: black; font-size: 14.0pt;">
</span><span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;">Peutz Jhegar syndrome = oral pigmentation + intestinal polyps</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What does
supraclavicular L.N. indicate?</span></b><span style="color: black; font-size: 14.0pt;"> Abdominal malignancy (e.g, stomach & pancreas)</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What are
diseases of umbilicus?</span></b></div>
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<span style="color: black; font-size: 14.0pt;">PUH</span></div>
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<span style="color: black; font-size: 14.0pt;">Metastatic
nodules</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Discharge (urine
or pus)</span></div>
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<span style="color: black; font-size: 14.0pt;">Dilated veins
(caput medusa) = P.H.</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What are
causes of Hepatomegaly?</span></b></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Inf.: viral→hepatitis B & C, CMV, IMN (EBV), Bac→T.B.,
abscess, Protozoa→ Bilharz., amoeba, malaria</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Neopl.: 1ry (HCC), 2ries, lymphoma, leukemia</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Metab. & storage ds: Alcohol, Glycogen storage d, <st1:city w:st="on"><st1:place w:st="on">Wilson</st1:place></st1:city>, Hemochromatosis</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">CHF</span></div>
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<b><span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></b></div>
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<b><span style="color: black; font-size: 14.0pt;">What are
causes of Splenomegaly?</span></b></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Inf.: viral→ CMV, IMN (EBV), Bac→ <span style="mso-spacerun: yes;"> </span>abscess, Protozoa→ Bilharz., malaria,
Leishmaniasis (Kala azar)</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Neopl.: lymphoma, leukemia</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Metab. & storage ds: amyloidosis & sarcoidosis</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Blood ds: Hemolytic anemia</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What are
causes of massive Splenomegaly?</span></b></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">CML</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Malaria</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Kala azar (Leishmaniasis)</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Myelofibrosis</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What are
causes of HSM?</span></b></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Portal hypertension</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Inf.: viral→ CMV, IMN (EBV), Bac→ <span style="mso-spacerun: yes;"> </span>abscess, Protozoa→ Bilharz., malaria</span></div>
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<span style="color: black; font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-size: 14.0pt;">Neopl.: lymphoma, leukemia</span></div>
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<br /></div>
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<br /></div>
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<b><span style="color: black; font-size: 14.0pt;">What are causes of ascites?</span></b></div>
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<span style="color: black; font-size: 14.0pt;">General causes: CLD, CHF (Rt VF), Nephrotic (rare),
Hypoalbuminemia</span></div>
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<span style="color: black; font-size: 14.0pt;">Local causes: abdominal malign., T.B., chylous ascites
(lymphatic obstr.) (rare) </span></div>
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<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
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<b>How to<span style="mso-spacerun: yes;"> </span>interpret
ascetic tap? Taken under complete Aseptic condition </b></div>
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Transudate: protein < 30gm/L, due to CHF or Trauma</div>
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Exudate: protein > 30gm/L, due to Cirrhosis or malign.</div>
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<b>What is ttt ascites?</b></div>
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<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>diuretics</div>
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<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>salt restriction</div>
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<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>weight reduction</div>
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<span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span>Shunts (if above failed): Lee veen shunt to IJV or TIPSS (bet
P.V. & Hep V.)</div>
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<b>What is Portal Hypertension? </b>↑ P.V. pr. > 10mmHg
(N=5-10mmHg)→ reverse or ↓ flow in liver</div>
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<b>Causes P.H.? </b></div>
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Extrahepatic: P.V. or Splenic v. thrombosis</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Intrahepatic: Cirrhosis, CHF, Bilharz.(ova obstr, portal
venules), sarcoidosis</div>
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<b>Indic. Splenectomy? </b>Trauma, Hypersplenism
(hemolytic anemia, ITP, CML)</div>
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<b>Post-splenic blood film? </b>↑plat., ↑ WBCs. Howell
jolly bodies</div>
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<b>Functions of spleen? </b>Immunity (IgM &
opsonization, capsulated orgs as pneumococci, H.inf, Meningococci), Bl.storage,
Fe storage</div>
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<b>Post-splenectomy precautions? </b>Vaccines (Pneumococci,
H.inf, Meningococci), LAP, beware malaria</div>
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<b>What is jaundice?</b> Yellowish discoloration of sclera
& mucus membrane (best seen in soft palate)</div>
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To see jaundice in sclera T.Bil > 50 μmol/L (N= 17
μmol/L)</div>
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<b>Causes Jaundice?</b></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.45in;" valign="top" width="139">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<b>Pre-hepatic</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<b>Hepatic</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
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<b>Post-hepatic</b></div>
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</tr>
<tr style="mso-yfti-irow: 1;">
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<b>Cause</b></div>
</td>
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<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Hemolytic anemia</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Heridetary (Gilbert ds)</div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
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Hepatitis</div>
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Decompansated CLd</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Stone in CBD</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Cancer head of pancreas</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
cholestatic</div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.45in;" valign="top" width="139">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Type Bilirubin</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Unconjugated</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Conjugated (+/- un)</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Conjugated</div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.45in;" valign="top" width="139">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Level Bilirubin</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<span style="color: black;">↑</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑↑↑</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑</div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.45in;" valign="top" width="139">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>ALT</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑↑↑</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑</div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.45in;" valign="top" width="139">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>ALP</b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑↑</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.95in;" valign="top" width="187">
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
↑↑↑</div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Investigation of jaundice case?</b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Lab: </b>FBC, LFT, KFT (hepato-renal), Bl.profile.<b> ,
Radio: </b>U/S (liver size, CBD dilatation), CT</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Causes Post-operative jaundice?</b>
Prehepatic→bl.transfusion, Hep→anesthesia, sepsis, PostH→bilary injury</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>What is Malgaigne bulge?</b> Bulge above lat. Part of
ing.lig. with straining due to weak ms in old</div>
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black; font-size: 18.0pt;">D.D. Abdominal mass</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass <st1:place w:st="on">RIF</st1:place> (Rt iliac fossa)?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">1- GIT: Cecal
carcinoma (presented by persistent anemia +/- mass +/- I.O.)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 45.0pt;">
<span style="color: black; font-size: 14.0pt;">Crohn’s
disease</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">2- Urinary:
Ectopic kidney, transplanted kidney</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">3- Male:
Undescended testis with malignancy</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">4- Female: Ovarian
mass or fibroid uterus</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">5- Inflammation
(appendicular mass, T.B., Psoas abscess, Crohn’s) </span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">6- L.N.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass
LIF?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="IT" style="color: black; font-size: 14.0pt; mso-ansi-language: IT;">1- Sigmoid carcinoma (presentation acute I.O. +/- mass)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="IT" style="color: black; font-size: 14.0pt; mso-ansi-language: IT;">2- Diverticular disease (esp, Diverticular abscess)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass in
epigastrium?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">1- epigastric
hernia</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">2- GIT: Lt lobe
of liver, cancer stomach, cancer pancreas & pseudo-pancreatic cyst </span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">3- Vascular:
AAA</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">4- paraaortic
L.N. (esp, 2ry to testicular tumor)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass in
groin?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">1- Skin &
SCT: lipoma, seb.cyst, impl. Dermoid cyst</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">2- GIT: Hernia
(inguinal or femoral)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">3-
GenitoUrinary T: ectopic testis +/- tumor, transplanted kid.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">4- Vascular:
a.→femoral a. aneurysm, v.→saphena varix, lymphatic→L.N.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">5- ms: psoas
abscess</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What is
tidal percussion?</span></b><span style="color: black; font-size: 14.0pt;"> </span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Percussion of
upper border of liver & differentiate from lung dullness</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Percuss in
intercostals spaces (4<sup>th</sup> opposite nipple in males) or from 2<sup>nd</sup>
(sternal angle)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Dullness found
usually in 5<sup>th</sup> space</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Ask pt. to take
deep inspiration & hold breath</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Percuss again
if change note → liver, if still dull → lung consolidation</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What is
diagnosis of abdominal case?</span></b><span style="color: black; font-size: 14.0pt;"> Example</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Case 1: Mass in
Rt iliac fossa, solid, welll defined edge, smooth surface, firm consistency,
measure 5 X 5 cms, not reducible, not pulsatile. </span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">→<u>Mass in the
<st1:place w:st="on">RIF</st1:place> </u>& Considering age (old) have to
exclude cancer by:</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">1-
Colonoscopy & Biopsy</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">2- CT scan</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">3-
exploration</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">How to
manage abdominal mass suspected to be cancer?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">1-
Colonoscopy & Biopsy</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">2- CT scan</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-size: 14.0pt;">3-
exploration</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose mass <st1:place w:st="on">RIF</st1:place>?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">U/S (to exclude ectopic
kidney, aneurysm, L.N., female causes)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Scrotal examination to
exclude undescended testis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Colonoscopy & biopsy for
suspected cancer cecum</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Abd. Exam. L.N. are multiple,
irregular, rubbery (not in exam)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Abd. Exam. Inflamm.
(appendicular mass) Tender, signs inflamm., irregular, fixed (not in exam)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage ectopic kid.
(mass <st1:place w:st="on">RIF</st1:place>)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Reassurance (not
appendicitis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Abdominal U/S: for diagnosis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">IVU or Renal scan: for
function</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If non-functioning →
nephrectomy ????????</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage tumor in
undescended testis?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">U/S</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">CT abdomen, pelvis, chest
(for metastasis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Tumor markers (α-FP, β-HCG,
LDH)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Prepare for exploration &
orchiectomy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to manage in normally
descended testis? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">U/S</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">CT abdomen, pelvis, chest
(for metastasis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Tumor markers (α-FP, β-HCG,
LDH)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Prepare for radical
orchiectomy (inguinal)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to treat tumor in
normally descended testis?</span></b><span style="font-size: 14.0pt;"> Radical
orchiectomy via inguinal incision</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to treat cecal mass?</span></b><span style="font-size: 14.0pt;"> Exploration & asses resectability</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">if resectable → Rt
hemicolectomy </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">if irresectable → palliative
Ileotransverse anastomosis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">what does groin L.N. mean
with cancer cecum? Infiltration of AAW</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is cryptorchidism?</span></b><span style="font-size: 14.0pt;"> Absent both testes</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is difference between
Undescended testis & Ectopic testis?</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 14.0pt;">Undescended testis</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 221.4pt;" valign="top" width="295">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 14.0pt;">Ectopic testis</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Scrotum</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Undeveloped (not pass ext.
ring)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">developed</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Sites</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div class="MsoNormal" style="margin-left: .5in; mso-list: l13 level1 lfo19; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">abdominal</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l13 level1 lfo19; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Int. ring</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l13 level1 lfo19; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Ing. Canal</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l13 level1 lfo19; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Ext. ring</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal" style="margin-left: .5in; mso-list: l12 level1 lfo20; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Superficial ing. Pouch</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l12 level1 lfo20; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Femoral triangle</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l12 level1 lfo20; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Base of penis</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l12 level1 lfo20; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Perineum</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>How to investigate case of unilat. undescended testis
with prev. exploration? </b></div>
<div class="MsoNormal">
Trans-aortic testic. angiography<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Groin Hernia (Inguinal/ Femoral)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose inguinal
hernia?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Mass in (Rt/Lt/bilat.) groin</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Exp.imp. on cough </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Reducible (Reducible/ not
/Partially)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Example: Rt side oblique
inguinal hernia non-complicated</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is ext. ring or 3 finger
test used now?</span></b><span style="font-size: 14.0pt;"> NO, obsolete due to
pain</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to clinically differentiate
inguinal from femoral hernia?</span></b><span style="font-size: 14.0pt;">
Relation to P.T.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Above & med. → inguinal.
Below & lat. → femoral</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to define P.T.?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>1<sup>st</sup>
bony prominence med. To inguinal lig. (rolled)</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-size: 14.0pt;">OR<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>attachment
of tendon adductor longus (flex, abd & ext.rot. thigh) </span><span dir="RTL" lang="AR-EG" style="font-size: 14.0pt; mso-bidi-language: AR-EG;">رجل على رجل</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to clinically differentiate
oblique from direct hernia?</span></b><span style="font-size: 14.0pt;"> Internal
ring test</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to do int. ring test?</span></b><span style="font-size: 14.0pt;"> Better supine, standing if examiner asked </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">locate ASIS</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">locate P.T. (1<sup>st</sup>
bony prominence med. to ASIS)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">locate mid-point ing.canal
(int.ring) is half way between ASIS & P.T.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">control by 2 fingers</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">stand & cough: if
contolled → indirect (oblique) / if not controlled → direct</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate
inguinal from femoral hernia?</span></b><span style="font-size: 14.0pt;"> </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Inguinal H.</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Femoral H.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Usually male</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Usually female</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Above & med. To P.T.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Below & lat. To P.T.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Usually reducible &
give expansile imp.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Usually irreducible &
no expansile imp.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">globular</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">rounded</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to clinically differentiate
Oblique (indirect) from Direct inguinal hernia?</span></b><span style="font-size: 14.0pt;"> </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Oblique (indirect)
Inguinal H.</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Direct Inguinal H.</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Remnant patent processus
vaginalis</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Weak post. Wall of ing.
canal</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Pass through int. ring</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Pass through post. Wall of
ing. canal</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Pass through inguinal canal
with cord</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Not in canal & not
related to cord</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Can descend to scrotum</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.45in;" valign="top" width="331">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">never</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt inguinal
hernia?</span></b><span style="font-size: 14.0pt;"> Surgery (for fear
complications- as all hernias)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lechnestein Open repair with mesh via inguinal incision (standard)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Laparoscopic H repair: if bilateral or recurrent</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why surgery for hernia?</span></b><span style="font-size: 14.0pt;"> Because it is liable for complications</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is complications of
hernia?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l9 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Irreduciblity & inflammation</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l9 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">strangulation</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l9 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">obstruction of contents (I.O.)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is complication of
hernial operations? </span></b><span style="font-size: 14.0pt;">General &
Specific<b>→</b></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">inf. (suspect mesh=F.B.)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">recurrence (recurrence in repair with mesh is < 2%<span style="mso-spacerun: yes;"> </span>= 0.5-2%)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">hematoma</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">testicular atrophy</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">injury of vas</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">6-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Urinary retention, pain</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">what is rate of recurrence
in repair with mesh?</span></b><span style="font-size: 14.0pt;"> </span><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">< 2%</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass in
groin?</span></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">1- Skin &
SCT: lipoma, seb.cyst, impl. Dermoid cyst</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">2- GIT: Hernia
(inguinal or femoral)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">3-
GenitoUrinary T: ectopic testis +/- tumor, transplanted kid.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">4- Vascular:
a.→femoral a. aneurysm, v.→saphena varix, lymphatic→L.N.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">5- ms: psoas
abscess</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What Qs can you ask for
pt. with inguinal H.? </span></b><span style="font-size: 14.0pt;">ask about ppf</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">bowel problems (ascites & chr.constipation →
straining)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">urinary problems (BPH → straining)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">chest problem (chr. Cough)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">occupation</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>What is position of hernia examination? It can be
examined in 2 positions</b></div>
<div class="MsoNormal">
Standing: should start standing to see & feel hernia
easily</div>
<div class="MsoNormal">
Supine: easier to define anatomical landmarks (But NO time
in exam)</div>
<div class="MsoNormal">
<b>Causes of lost exp.imp. on cough? </b>Omentum
(omentocele), obstruction, strangulation</div>
<div class="MsoNormal">
<b>What is ttt femoral hernia?<span style="mso-spacerun: yes;"> </span></b>Surgery (fo fear complications)</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
Low
approach: (commonest) easy- for elective cases – risk of narrowing femoral v.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
McEvedy
(abdominal): for emergency (strangulated H.)- pfannsteil or midline</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
Inguinal
(rare): if suspect inguinal vs femoral</div>
<div class="MsoNormal">
<b>What is consent for Inguinal H. repair?</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l5 level1 lfo11; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>LA or GA</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l5 level1 lfo11; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>Daucase surg.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l5 level1 lfo11; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>Risk of testicular damage, recurrence, hematoma, retention,
pain, inf.</div>
<div class="MsoNormal">
<b>What are instructions to pt.?</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo12; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>Early mobilization</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo12; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>Keep area clean</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo12; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>Avoid ppf (cough→antitussive, strain→laxative, no wt. lifting)</div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Epigastric Hernia</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is Epigastric hernia?
</span></b><span style="font-size: 14.0pt;">Protrusion fat +/- peritoneal
contents (rare) through linea alba (midway between umbilicus &
xiphisternum)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">The usual content is fat (so
called, Fatty hernia of linea alba)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose any
hernia?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Mass at anatomical site</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Expansile impulse on cough
(=more prominent with cough or straining)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Reducible or partially
reducible or history irreducibility</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose epigastric
hernia?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Mass or fullness above
umbilicus</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Exp.imp. on cough </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Partially reducible (because
it contains omentum)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Defect can be felt /not</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is presentation
of<span style="mso-spacerun: yes;"> </span>pt. with epigastric hernia?</span></b><span style="font-size: 14.0pt;"> Usually dyspepsia +/- mass</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is the ttt of
epigastric hernia?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Repair: longitudinal incision
to repair weak linea alba & repair fatty h. of linea alba</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What Qs can you ask for
pt. with epig.H.? </span></b><span style="font-size: 14.0pt;">ask about ppf as
above</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">D.D. mass in
epigastrium? </span></b><span style="color: black; font-size: 14.0pt;">See above</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">PUH</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is difference between
Umbilical & Para-Umbilical H.?</span></b></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">PUH</span></u><span style="font-size: 14.0pt;">: beside umbilicus pushing ubmbilical scar (crescent)
to side [BUT umb. scar is preserved] – usually > 40ys, ppf are ↑ intra-abd.
Pr. (ascites, preg., COPD, obesity)</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">Umbilical H.:</span></u><span style="font-size: 14.0pt;"> Hernia through umbilicus itself (umbilical scar is
lost) – in neonate resolve by time (usually regress before puberty) – ttt: if
not corrected → Mayo oper.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose PUH (para-umbilical
hernia)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Mass above umbilicus + umb.
scar preserved + scaly skin + dilated vs?????</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Exp.imp. on cough </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Reducible ( reducible/ not) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to identify contents
of hernia?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Palpation →gurgling = intest.
/ doughy → omentum</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Auscultation → bowel sounds</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">X-ray lat. → intest. Gases</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are complications of
PUH? </span></b><span style="font-size: 14.0pt;">(if huge)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l16 level1 lfo13; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Irreduciblity (if huge) & inflammation & ulceration (in huge
PUH)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l16 level1 lfo13; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Strangulation (rare due to wide defect) (if huge)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l16 level1 lfo13; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">obstruction of contents (I.O.) (if huge)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt PUH? </span></b><span style="font-size: 14.0pt;">Surgery</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Mayo oper.</span></b><span style="font-size: 14.0pt;">= dissection sac, reduction &overalp lower edge
over upper edge + mesh</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">- If uncomplicated → Elective
surgery (for fear complications) <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">- If huge & irreducible →
semi-urgent surgery</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Incisional Hernia</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">What is incisional H.? </span></b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Protrusion peritoeal content through weak abd. Scar
(partial wound dehiscence= skin intact)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">What are ppf. Of Incisional H.?</span></b></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Pre-oper: old, immunocompromised, cancer, abd. Distension (ascites, HSM)</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Oper.: poor technique, drain through same stab (should be through separate
stab)</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Post-oper: inf., hematoma, chest inf & atelectasis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">What is ttt Incisional H.?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Surg: if fit, after
control of ppf. → repair with mesh (good dissection sac, reduction contents,
cut sac, closure in layers +/- drain)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Conservative: if unfit
with persistent ppf. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>What are other types of H. you know & their anatomy?</b></div>
<div class="MsoNormal">
Spigelian, Lumbar (greater or lesser triangle), Gluteal,
Obturator, Sciatic</div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="IT" style="font-size: 18.0pt; mso-ansi-language: IT;">Stoma</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 6.0in; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">What type of stoma is this (Spot
diagnosis)?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 6.0in; text-autospace: none;">
<span style="color: black; font-size: 14.0pt;">Rt side: ileostomy, urostomy (bag contains urine) or
colostomy</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lt side: descending colostomy
(after Hartman’s or abdomino-perineal resection)</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 14.0pt;">How to
examine stoma? </span></b><span style="color: black; font-size: 14.0pt;">Comment on</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Site, </span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">abdominal scar, </span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">stoma itself (mucosa, spout or flush with skin, type (end, loop, 2 separate
openings))</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">content (urine, stool, intest.contents)</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Bag</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="IT" style="font-size: 18.0pt; mso-ansi-language: IT;">Varicocele</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">What is varicocele? </span></b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Dilated tortous pampiniform plexus of vs of testis<b> </b>[Rt
→ Rt testicular (gonadal) v. → drain to IVC] & [Lt → Lt testicul. v. → drain
to Lt renal v.]</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">How to diagnose varicocele?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Inguinoscrotal swelling or
fullness (Rt/ Lt/ Bilat.)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Sensation bag worms</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Thrill on cough</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Evacuated on elevation of
scrotum (1ry)</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">Example:</span></u><span style="font-size: 14.0pt;"> Rt side 1ry varicocele</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is thrill? </span></b><span style="font-size: 14.0pt;">Transmitted pulsation</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types of
varicocele?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1ry varicocele: 15% of male
at puberty (98% Lt side)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2ry varicocele: renal tumor,
pelvic tumor or retroperitoneal tumor or fibrosis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why 1ry varicocele more
common on Lt side (98%)?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l15 level1 lfo15; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lt testicular v. more vertical</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l15 level1 lfo15; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lt testicular v. liable to compression by colon</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l15 level1 lfo15; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lt testicular v. longer</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l15 level1 lfo15; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lt testicular v. has no valves at its termination</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is presentation of
varicocele (what bring pt. to clinic)?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l18 level1 lfo14; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">pain</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l18 level1 lfo14; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">infertility</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to investigate<span style="mso-spacerun: yes;"> </span>pt.?</span></b><span style="font-size: 14.0pt;">
varicocele is clinical diagnosis but</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Scrotal Duplex</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Semen analysis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt varicocele?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Surgery: because it worsen
with age (till surgery use Conservative: scrotal support & avoid long
standing)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Open Surgery</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Laparoscopic ligation</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Transfemoral embolization</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are approaches for Open
varicocelectomy?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">high approach (Balomo): (complics: hematoma, recurrence, 2ry hydrocele)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Inguinal approach: not done now</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l10 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Subinguinal:</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Hydrocele</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is Hydrocele? </span></b><span style="font-size: 14.0pt;">Accumulation of excess fluid in part or whole of
processus vaginalis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose hydrocele?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Non-tender purely scrotal
swelling</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Fluctuant (cystic)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Translucent (Transimmunable)
(clear) or not (due to complication)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">No testicular masses</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Example: Rt side 1ry vaginal
Hydrocele not complicated</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types hydrocele?</span></b></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">1ry:</span></u><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>due to
patent processus vaginalis (4 types)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo16; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Vaginal: fluid in tunica vaginalis</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo16; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Encysted Hyd. Of cord: fluid in unobliterated part of proc.vag. around
cord</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo16; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Cong Hyd.: fluid in all proc. vag. & communicating with abdomen</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo16; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Infantile Hyd.: fluid in all proc. vag. & NOT communicating with
abdomen</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">2ry:</span></u><span style="font-size: 14.0pt;"> <span style="mso-spacerun: yes;"> </span>Post-oper.
(varicocele, hernia), inf. or testicular tumor</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why some hydroceles are
not translucelt (transimmunable)?</span></b><span style="font-size: 14.0pt;">
Complications</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are complications of
hydrocele?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Inf. , hge, rupture (rare)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why this hydrocele 1ry (no
tumors)?</span></b><span style="font-size: 14.0pt;"> Age (old) & no
testicular masses</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What if bilat. Hydrocele?</span></b><span style="font-size: 14.0pt;"> Do abdominal examination</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why not aspirate hydrocele
anymore?</span></b><span style="font-size: 14.0pt;"> NO, due to high incidence
inf. & recurrence</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to differentiate hydrocele,
encysted hydrocele of cord & spermatocele (sperm cyst)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">hydrocele: purely scrotal,
not separable from testis, fluctuant, translucent / not</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Encysted H cord: scrotal,
separable with space bet. It & testis,……..</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Spermatocele: scrotal,
separable from testis by small gap,……….</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt Hydrocele? Ask
pt. How it affect his life</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l20 level1 lfo17; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Conservative</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l20 level1 lfo17; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Surgery: Lord (placation) or Jaboulay (excision excess sac)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l20 level1 lfo17; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Aspiration: → recurrence & inf. </span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Epididymal Cyst (Spermatic cyst) (Spermatocele)</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is epididymal cyst?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Cyst in head of epididymis
(retention cyst)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If full with sperms called
Spermatocele (opaque) may be complication of vasectomy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt Epididymal
cyst?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo18; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Conservative: for fear fibrosis → infertility</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo18; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Surgery: if pain or cosmetic by Excision (rarely may need
epididymectomy)</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Pilonidal sinus</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is pilonidal sinus?</span></b><span style="font-size: 14.0pt;"> Sinus +/- inf. At site of a hair in natal cleft</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt pilonidal
sinus? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Conservative: good hygiene,
shave, keep dry</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Surgery: drainage if abscess</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is complication of
drainage pilonidal sinus & how to treat?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Recurrence & ttt by open
technique</span></div>
<div class="MsoNormal">
<br /></div>
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span><br /></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6547265390554783573.post-83595798614247917322012-01-26T07:56:00.001-08:002012-01-26T07:56:28.546-08:00Clinical- Abdomen examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<span style="height: 2px; left: 0px; margin-left: 145px; margin-top: 361px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251556331;"><img height="2" src="1-abdoment_files/image001.gif" v:shapes="_x0000_s4889" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 147px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251557355;"><img height="2" src="1-abdoment_files/image002.gif" v:shapes="_x0000_s4890" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 361px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251558379;"><img height="1" src="1-abdoment_files/image003.gif" v:shapes="_x0000_s4891" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 138px; margin-top: 359px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251561451;"><img height="1" src="1-abdoment_files/image003.gif" v:shapes="_x0000_s4894" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 366px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251563499;"><img height="2" src="1-abdoment_files/image004.gif" v:shapes="_x0000_s4896" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 369px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251564523;"><img height="1" src="1-abdoment_files/image005.gif" v:shapes="_x0000_s4897" width="3" /></span><span style="height: 1px; left: 0px; margin-left: 145px; margin-top: 369px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251565547;"><img height="1" src="1-abdoment_files/image003.gif" v:shapes="_x0000_s4898" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 358px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251568619;"><img height="2" src="1-abdoment_files/image006.gif" v:shapes="_x0000_s4901" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 140px; margin-top: 572px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251569643;"><img height="2" src="1-abdoment_files/image007.gif" v:shapes="_x0000_s4902" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 146px; margin-top: 571px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 251570667;"><img height="4" src="1-abdoment_files/image008.gif" v:shapes="_x0000_s4903" width="6" /></span><span style="height: 2px; left: 0px; margin-left: 151px; margin-top: 560px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251571691;"><img height="2" src="1-abdoment_files/image006.gif" v:shapes="_x0000_s4904" width="1" /></span><span style="height: 6px; left: 0px; margin-left: 152px; margin-top: 562px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251572715;"><img height="6" src="1-abdoment_files/image009.gif" v:shapes="_x0000_s4905" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 152px; margin-top: 568px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251574763;"><img height="4" src="1-abdoment_files/image010.gif" v:shapes="_x0000_s4907" width="1" /></span><span style="color: red; font-size: 26pt;">Abdominal Examination<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 28.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><u><span style="color: #00007f;">Introduce yourself <o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u>submammary area to bikini line (ideally to
midthigh)<span style="color: #00007f; font-size: 21pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 28.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: #00007f; font-size: 21pt;">General Examination </span><b>“ I will
start by general examination”</b><span style="color: #00007f; font-size: 21pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt 499.5pt 508.5pt 517.5pt; text-autospace: none; text-indent: -.75in;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span>1-<span style="mso-tab-count: 1;"> </span>Hands
(Clubbing</span><span style="color: black; font-size: 10pt;">1</span><span style="color: black;"> (tangentially)– Koilonychia=spooning nail</span><span style="color: black; font-size: 9pt;">2 </span><span style="color: black;">(tangentially)–
Pallor – Palmar erythema</span><span style="color: black; font-size: 10pt;">3 </span><span style="color: black;">– Dupuytren contracture</span><span style="color: black; font-size: 10pt;">4 </span><span style="color: black;">– Flapping tremors) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<span style="color: black;">2-<span style="mso-tab-count: 1;"> </span>Eyes – retract both lower eyelids together (Jaundice in
sclera– Pallor in conjunctiva) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<span style="color: black;">3-<span style="mso-tab-count: 1;"> </span>Mouth (Fetor Hepaticus – Cyanosis – Pigmentation of Peutz Jhugar
synd.) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<span style="color: black;">4-<span style="mso-tab-count: 1;"> </span>Chest & Neck (Supra-clavicular L.N.s (abd. malignancy) –
Spider naevi</span><span style="color: black; font-size: 10pt;">5</span><span style="color: black;"> – Gyaencomastia</span><span style="color: black; font-size: 10pt;">6</span><span style="color: black;">)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<span style="color: black;">5-<span style="mso-spacerun: yes;"> </span>LL (edema)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 31.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: #00007f; font-size: 21pt;">Local Examination <o:p></o:p></span></div>
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<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><u>Inspection</u></span></b><u><span style="color: #00007f;"> </span></u><b><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span>3 POSITIONS</span></b><span style="color: #00007f;"><o:p></o:p></span></div>
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<b><u><span style="color: black;">Foot
of bed</span></u></b><span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Symmetry<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Contour
(scaphoid/ normal/ distended flanks) <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>mass<o:p></o:p></span></div>
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<b><u><span style="color: black;">Rt
Side (on knees</span></u></b><u><span style="color: black;"> <b>=Tangential)</b></span></u><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Movement with
resp.<span style="mso-spacerun: yes;"> </span>→ moves freely<o:p></o:p></span></div>
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<b><span style="color: black;"><span style="mso-spacerun: yes;">
</span></span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Epigastric
pulsation </span><span dir="RTL" lang="AR-EG" style="color: black;">اكتم نفسك</span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> → no</span><span style="color: black;"><o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span style="color: black; font-family: "Symbol";">· </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Visible peristalsis → no<b><u><o:p></o:p></u></b></span></div>
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<b><u><span style="color: black;">Rt
Side (standing) </span></u><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Subcostal angle <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>Skin (Scars, Dilated veins, Redness) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Divarication of recti (</span><span dir="RTL" lang="AR-EG" style="color: black;">هم برأسك</span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span>)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Umbilicus: site (N / shifted
downwards), shape (N / Everted), H, scars.</span><span style="color: black;"><span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
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<span style="height: 367px; left: 0px; margin-left: 408px; margin-top: 581px; mso-ignore: vglayout; position: absolute; width: 372px; z-index: 251555307;"></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Hair
distribution: masculine (triangle apex up) or feminine (apex down)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Hernial orifices (expose & cough): intact<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b><span style="color: #00007f;">2-<span style="mso-tab-count: 1;"> </span><u>Palpation</u><span style="mso-spacerun: yes;"> </span></span></b>On
knees & hand at level of elbow<b><span style="color: #00007f;"><o:p></o:p></span></b></div>
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<b><u><span style="color: black;">A-<span style="mso-spacerun: yes;"> </span>Superficial :</span></u></b><span style="color: black;"> rest hand on abdomen<o:p></o:p></span></div>
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<span style="color: black;">&
feel by phalanx 4 fingers the 9 quadrants <o:p></o:p></span></div>
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<span style="color: black;">(<b>for
tenderness & superficial masses)<span style="mso-spacerun: yes;"> </span></b></span><span style="color: black; font-size: 9pt;">7<o:p></o:p></span></div>
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<b><u><span style="color: black;">B-<span style="mso-spacerun: yes;"> </span>Deep:</span></u></b><span style="color: black;"> rest hand on abdomen <o:p></o:p></span></div>
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<span style="color: black;">&
press by phalanx 4 fingers <o:p></o:p></span></div>
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<b><span style="color: black;">9
quadrants & Organs(for deep masses)<o:p></o:p></span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> 9
Quadrants: Mass</span></b><span style="color: black;"> <b>3S TT ESCRSS</b>: </span><span style="color: black; font-size: 10pt;">mass is felt …cm <o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">below C.M., …X…cm, edge (well defined), surface (smooth/irreg),<o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">consistency (soft/firm/hard) – attachment (mobile in 2 directions)
<o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">not attached to skin & </span><span dir="RTL" lang="AR-EG" style="color: black; font-size: 10pt;">هم برأسك</span><span dir="LTR"></span><span style="color: black; font-size: 10pt;"><span dir="LTR"></span>(intra/extra-abdominal)-
<o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">reducible (/not) – pulsatile (/not) – expansile imp. on cough
(/not)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Rt lobe liver</span></b><span style="color: black;">: start at RIF (Rt iliac
fossa) & upward <b>+</b> <span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span></span><span dir="RTL" lang="AR-EG" style="color: black;">خد نفس</span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span>& feel during inspiration<span dir="RTL" lang="AR-SA"><o:p></o:p></span></span></div>
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<span dir="RTL" lang="AR-SA" style="color: black;"><span style="mso-spacerun: yes;"> </span></span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>→ ESC </span><span style="color: black; font-size: 10pt;">(not felt / felt …cm below C.M.), edge (well defined),
surface (smooth/irreg), consistency (soft/firm/hard) </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>CONFIRM BY
PERCUSSION & <b>TIDAL PERCUSSION</b><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Lt lobe liver</span></b><span style="color: black;">: start in midline above
umbilicus & upward <b>+</b> <span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span></span><span dir="RTL" lang="AR-EG" style="color: black;">خد نفس</span><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span>& feel during
inspiration<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ ESC</span><span style="color: black; font-size: 10pt;"> (not felt / felt …cm below C.M.), edge (well defined),
surface (smooth/irreg), consistency</span><span style="color: black;"> </span><span style="color: black; font-size: 10pt;">(soft/firm/hard) </span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>CONFIRM BY
PERCUSSION<o:p></o:p></span></div>
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<br /></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Spleen</span></b><span style="color: black;">: start at RIF to below umbilicus
then toward Lt hypochondrium<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>If not felt → pt. on lat. position,
Lt hand support lower ribs laterally & palpate by Rt hand<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>If not felt → percussion Traub’s area (Lt
thumb on lower rib & ant. to MAL). if dull → percuss below till RIF<span style="mso-spacerun: yes;"> </span>CONFIRM BY PERCUSSION & <b>Differentiate
from kidney</b><o:p></o:p></span></div>
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<span style="color: black;">→
ESC </span><span style="color: black; font-size: 10pt;">(not felt / felt …cm
below C.M.), edge (well defined), surface (smooth/irreg), consistency
(soft/hard)</span><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Kidneys</span></b><span style="color: black;"> (Bimanual examination): Lt hand on
renal angle & Rt hand on lumbar (laterally)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black;">→
ESC …..<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 18.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: #00007f;">3-<span style="mso-tab-count: 1;"> </span><u>Percussion </u><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black;">a-<span style="mso-spacerun: yes;"> </span><b>Liver </b>(Upper border → Tidal
percussion) [OR with palpation] </span><span dir="RTL" lang="AR-EG" style="color: black;">خد نفس و اكتمه <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black;">b<b>-<span style="mso-spacerun: yes;"> </span>Spleen<span style="mso-spacerun: yes;">
</span>[</b>OR with palpation]<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -.75in;">
<span style="color: black;">c-<span style="mso-spacerun: yes;"> </span><b>Ascites (Shifting dullness)</b> just
above umbilicus downwards then from midline laterally <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -.75in;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→<span style="mso-spacerun: yes;"> </span>If not dull→ no ascites<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -.75in;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span>If dull → lat.
position, wait 30 secs & percuss again, <o:p></o:p></span></div>
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<span style="color: black;">→
If change note → +ve shifting dullness = ascites, <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 9.0pt;">
<span style="color: black;">→
If still dull <span style="mso-spacerun: yes;"> </span>→ <span style="mso-spacerun: yes;"> </span>-ve shifting dullness = fixed dullness<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black;">d-<span style="mso-spacerun: yes;"> </span>Bladder<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 18.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 84.0pt; text-autospace: none;">
<b><span style="color: #00007f;">4-<span style="mso-tab-count: 1;"> </span><u>Auscultation </u><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">LIF → Bowel
sounds <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>over Liver → Bruit (HCC or alcoholic
hepatitis) <span style="mso-spacerun: yes;"> </span>or Venous hum (P.H.) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>over Epigastrium → Bruit (AAA)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: </span></u></b><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 103.5pt; margin-right: 56.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-list: l21 level1 lfo6; mso-pagination: none; tab-stops: 1.0in list 1.25in left 103.5pt; text-autospace: none; text-indent: -22.5pt;">
<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Auscultation of abdomen</div>
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<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Examination of genitalia & PR
(DRE) (+PV in females) & back</div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">1 Clubbing
= Obliteration of angle between nail & nail bed – chr. disease<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">2 Koilonychia
= Spooning of nails in iron deficiency anaemia <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">3 Palmar
erythems (sign of liver decompensation) in hypothenar, thenar, head of
metacarpals & tip fingers <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">4 Dupuytren
contracture = nodular or cord like fibrosis of palmar fascia of ring +/- little
finger in (alcohol, CLD, DM, drug, manual workers) – D.D. ulnar claw hand<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">5 Spider
naevi is sign CLD- central arteriole with radiating branches – in H& N
(area drainage SVC)- > 5 is pathological<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">6
Gynecomastia is sign CLD- other causes: structural- drugs
(cimitidine-spironolactone)- hormonal ttt – tumors secr hs<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 9pt;">7 <b>Midclavicular
plane</b>: Between mid clavicular point & mid point of inguinal
ligament<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 9pt;">Transpyloric
plane</span></b><span style="color: black; font-size: 9pt;">: (L1) midway between
suprasternal notch & symphysis pubis <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 9pt;">Intertubercular
plane</span></b><span style="color: black; font-size: 9pt;">: (L4) between the
highest points of iliac crest <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b><span style="color: black; font-size: 9pt;">Subcostal
plane</span></b><span style="color: black; font-size: 9pt;">: (L3) lowermost
limit of costal margin <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
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<br /></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-39058962696601342682012-01-26T07:54:00.000-08:002012-01-26T07:55:16.460-08:00Clinical- Inguinoscrotal examination<div dir="ltr" style="text-align: left;" trbidi="on">
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left: 0px; margin-left: 139px; margin-top: 656px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251065296;"><img height="2" src="2-scrotal_files/image009.gif" v:shapes="_x0000_s4938" width="2" /></span><span style="height: 1px; left: 0px; margin-left: 138px; margin-top: 667px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251069392;"><img height="1" src="2-scrotal_files/image010.gif" v:shapes="_x0000_s4942" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 668px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251070416;"><img height="1" src="2-scrotal_files/image011.gif" v:shapes="_x0000_s4943" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 658px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251074512;"><img height="2" src="2-scrotal_files/image012.gif" v:shapes="_x0000_s4947" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 140px; margin-top: 729px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251075536;"><img height="2" src="2-scrotal_files/image013.gif" v:shapes="_x0000_s4948" width="5" /></span><span style="height: 3px; left: 0px; margin-left: 146px; margin-top: 727px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 251076560;"><img height="3" src="2-scrotal_files/image014.gif" v:shapes="_x0000_s4949" width="6" /></span><span style="height: 3px; left: 0px; margin-left: 151px; margin-top: 715px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251077584;"><img height="3" src="2-scrotal_files/image015.gif" v:shapes="_x0000_s4950" width="1" /></span><span style="height: 5px; left: 0px; margin-left: 152px; margin-top: 719px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251078608;"><img height="5" src="2-scrotal_files/image016.gif" v:shapes="_x0000_s4951" width="1" /></span><span style="height: 5px; left: 0px; margin-left: 152px; margin-top: 723px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251080656;"><img height="5" src="2-scrotal_files/image017.gif" v:shapes="_x0000_s4953" width="1" /></span><span style="color: red; font-size: 26pt;">Scrotal & Inguinoscrotal swellings </span><span style="color: red; font-size: 18pt;">(Standing)</span><span style="color: red; font-size: 26pt;"><o:p></o:p></span></div>
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<br /></div>
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<span style="color: red; font-size: 26pt;">Groin Hernia </span><span style="color: red; font-size: 18pt;">(Inguinal / Femoral) <span style="mso-spacerun: yes;"> </span></span><u><span style="color: red; font-size: 13pt;">Answer 3 questions </span></u></div>
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<b><u><span style="color: #00007f;">Introduce
yourself </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></b><strong><em><span style="color: black;"> - Can I
get above it?<span style="mso-spacerun: yes;"> </span></span></em></strong><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><span style="color: #00007f;"> </span>upto
groin<span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><em><strong>- Is
it separate from </strong></em></span><span style="color: black;"><em><strong>testis?</strong></em><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><b><u><span style="color: #00007f;">Inspection (from the Front - Patient Standing)</span></u></b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span><em><strong>- Does it
transilluminate?</strong></em></span></div>
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<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span>Swelling <b>5S</b> </span><span style="color: black;">→</span><span style="color: black;">☺”I can see a (Rt./Lt./Bilateral) groin/
Inguinoscrotal swelling, <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;">OR
fullness at (Rt./Lt./Bilateral) scrotal neck” <o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-tab-count: 1;"> </span>Cough </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> →
expansile impulse on cough (becomes more prominent) <o:p></o:p></span></div>
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<span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Scrotum & back scrotum → 2 full
compartments, symmetrical, with median raphe. <b>No dilated veins</b>, no <u>scars
(ask)</u> or sinuses)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>d-<span style="mso-spacerun: yes;">
</span>Penis → No Hypospadius, Episapdius, Meatal stenosis </span><u><span style="color: #00007f;"><o:p></o:p></span></u></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Palpation </span></u></b>Ask about pain<span style="mso-spacerun: yes;"> </span>2T<b><u><span style="color: #00007f;"><o:p></o:p></span></u></b></div>
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<span style="color: #323299; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><b><u><span style="color: #00007f;">from the Front - Patient Standing</span></u></b><span style="color: #00007f;"><o:p></o:p></span></div>
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<span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>2 testes: Size (average size/small),
Consistency (N/soft).<o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Scrotal Neck test & cord </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> → I cannot
get above swelling → inguinoscrotal<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;">
</span>→ Swelling above my hands → inguinal <o:p></o:p></span></div>
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<span style="color: black;">+ expansile impulse on
cough<o:p></o:p></span></div>
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<span style="color: #323299; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><b><u><span style="color: #00007f;">From the Side -Patient Standing </span></u><span style="color: #00007f;">(for Hernia)<o:p></o:p></span></b></div>
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<span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>Hand on swelling (if groin swelling only) </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> →
expansile impulse on cough <o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Other side: hand on groin </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> → NO
expansile impulse on cough = no hernia <o:p></o:p></span></div>
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<b><span style="color: navy;">3-<span style="mso-spacerun: yes;"> </span><u>Special test</u></span></b><b><span style="color: navy; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><u><span style="color: navy;">Standing</span></u><span style="color: navy;"> (for time) OR <u>Supine</u>
(better)</span></b><span style="color: navy;"><o:p></o:p></span></div>
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<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span><b>Relation to P.T.</b> (better supine): above& med.PT=
Inguinal/ below& lat.PT= femoral <o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span><b>Reducibility</b> (ask pt. if
reducible).<span style="mso-spacerun: yes;"> </span>If reducible → try
reduce standing. <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>If fail → try reduce supine. <o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>If fail → ask pt. reduce it<b> <o:p></o:p></b></span></div>
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<span style="color: black;">c-<b><span style="mso-spacerun: yes;"> </span>Internal ring test</b> (better supine):
Pubic tubercle - ASIS → mid-point ing.canal (int.ring). close by 2
fingers. If controlled → Indirect / If not controlled→ Direct <o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: #00007f;">Auscultation</span></b><span style="color: #00007f;"> </span>(if suspect strangulation)</div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination by: </span></u></b><span style="color: black;"><o:p></o:p></span></div>
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<span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>Examination other side</div>
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<span style="mso-list: Ignore;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>Examine Abd. & Ask about ppf:<span style="mso-spacerun: yes;"> </span>Chest problems: chr.bronchitis. </div>
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<span style="mso-spacerun: yes;">
</span>Bowel problems: constipation.</div>
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<span style="mso-spacerun: yes;">
</span>Urinary problems: BPH.</div>
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<span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span>Occupation: wt lefting.</div>
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<br /></div>
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<span style="color: red; font-size: 26pt;">Varicocele<o:p></o:p></span></div>
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<b><u><span style="color: #00007f;">Introduce
yourself <o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><span style="color: #00007f;"> </span>upto
groin<span style="color: black;"> </span><u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></u></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Inspection (from the Front - Patient Standing)<o:p></o:p></span></u></b></div>
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<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span>Swelling 5S</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>→</span><span style="color: black;">☺”I can see a (Rt./Lt./Bilateral) Inguinoscrotal
swelling/fullness” <o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-tab-count: 1;"> </span>Cough </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> →
expansile impulse on cough <o:p></o:p></span></div>
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<span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Scrotum & back scrotum → 2 full
compartments, <b>A</b>symmetrical, with median raphe. <b>multiple dilated veins
on Lt scrotum</b>, no <u>scars (ask)</u> or sinuses.) <o:p></o:p></span></div>
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<span style="color: black;">d-<span style="mso-spacerun: yes;"> </span>Penis → No Hypospadius, Episapdius,
Meatal stenosis</span><u><span style="color: #00007f;"><o:p><span style="text-decoration: none;"></span></o:p></span></u></div>
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<b><span style="color: #00007f;">2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><u><span style="color: #00007f;"> </span></u>Ask about pain<span style="mso-spacerun: yes;"> </span>2T<u><span style="color: #00007f;"><o:p></o:p></span></u></div>
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<b><span style="color: navy; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">from the Front - Patient Standing</span></u><span style="color: navy;"><o:p></o:p></span></b></div>
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<span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>2 testes: Size (average sie/small),
Consistency (N/soft).<o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Scrotal Neck test & cord </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> → I cannot
get above swelling → inguinoscrotal & <b>sensation bag warms</b> &
cough → thrill<b><o:p></o:p></b></span></div>
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<b><span style="color: navy; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">From the Side -Patient Standing </span></u><span style="color: #00007f;">(for Hernia)</span><span style="color: navy;"><o:p></o:p></span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>a-<span style="mso-tab-count: 1;"> </span>Both
sides : hand on groin </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><b><span lang="AR-EG" style="color: black; font-size: 14pt;"><span dir="LTR"></span> </span></b><span style="color: black;">→ NO expansile
impulse on cough = intact hernial orifices<o:p></o:p></span></div>
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<b><span style="color: navy;">3-<span style="mso-spacerun: yes;"> </span><u>Special test</u></span></b><b><span style="color: navy; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><u><span style="color: navy;">Supine</span></u><span style="color: navy;"><o:p></o:p></span></b></div>
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<span style="color: black;">Elevate scrotum (to
evacuate veins). If ↓ →1ry varicocele <o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination by: </span></u></b><span style="color: black;"><o:p></o:p></span></div>
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1- Examination other side</div>
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<br /></div>
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<span style="color: red; font-size: 25pt;">Scrotal
Swelling </span><span style="color: red; font-size: 16pt;">(Hydrocele,
Spermatocele, Encysted H cord)<o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce yourself <o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><span style="color: #00007f;"> </span>upto
groin<span style="color: black;"> </span><u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span><b><o:p></o:p></b></span></u></div>
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<b><span style="color: #00007f;"><span style="mso-list: Ignore;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Inspection (from the Front - Patient Standing)<o:p></o:p></span></u></b></div>
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<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span>Swelling 5S </span><span style="color: black;">→</span><span style="color: black;">☺”I can
see a (Rt./Lt./Bilateral) scrotal swelling” <o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-tab-count: 1;"> </span>Cough<span style="mso-spacerun: yes;">
</span></span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span> →</span><span style="color: black;">☺”→ NO expansile impulse on cough <o:p></o:p></span></div>
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<span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Scrotum & back scrotum (2 full
compartments, symmetrical, with median raphe, no <u>scars(ask)</u> or sinuses.)<o:p></o:p></span></div>
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<span style="color: black;">d-<span style="mso-spacerun: yes;"> </span>Penis → No Hypospadius, Episapdius,
Meatal stenosis <o:p></o:p></span></div>
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<b><span style="color: navy;">2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><u><span style="color: navy;"> </span></u>Ask about pain<span style="mso-spacerun: yes;">
</span>2T<u><span style="color: navy;"><o:p></o:p></span></u></div>
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<b><span style="color: navy; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">from the Front - Patient Standing</span></u><span style="color: navy;"><o:p></o:p></span></b></div>
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<span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>2 testes: Size (average sie/small),
Consistency (N/soft).<o:p></o:p></span></div>
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<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Scrotal Neck test → I can get above
swelling → purely scrotal<o:p></o:p></span></div>
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<span style="color: black;">c-<span style="mso-spacerun: yes;"> </span><b>relation to testis</b>: can be separated
from testis → encysted H - Spermatocele<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>/ cannot be separated from testis →
vaginal hydrocele<b><o:p></o:p></b></span></div>
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<b><span style="color: navy; font-family: "Symbol";">·<span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">From the Side -Patient Standing </span></u><span style="color: #00007f;">(for Hernia)</span><span style="color: navy;"><o:p></o:p></span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>c-<span style="mso-tab-count: 1;"> </span>Both
sides : hand on groin </span><b><span dir="RTL" lang="AR-EG" style="color: black; font-size: 14pt;">كح</span></b><span dir="LTR"></span><b><span lang="AR-EG" style="color: black; font-size: 14pt;"><span dir="LTR"></span> </span></b><span style="color: black;">→ NO expansile
impulse on cough = intact hernial orifices<o:p></o:p></span></div>
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<b><span style="color: #323299;">3-<span style="mso-spacerun: yes;"> </span></span><u><span style="color: navy;">Special
test</span></u></b><span style="color: navy; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><b>·
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></b></span><b><u><span style="color: navy;">Standing</span></u></b><span style="color: #323299; font-family: "Symbol";"><o:p></o:p></span></div>
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a-<span style="color: #323299; font-family: "Symbol";"> </span><b>Bipolar fluctuation</b>: +ve → cystic
swelling<span style="color: #323299; font-family: "Symbol";"><o:p></o:p></span></div>
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b- <b>Transillumination test</b> (torsh laterally &
light off or opaque tube by examiner) →</div>
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<span style="mso-spacerun: yes;"> </span>if +ve →
hydrocele</div>
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<span style="mso-spacerun: yes;"> </span>if –ve → may
be complicated hydrocele (common) or solid swell. (rare in exam)<span style="color: #00007f;"><o:p></o:p></span></div>
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<br /></div>
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<span style="color: red; font-size: 15pt; line-height: 150%;">Contents of Spermatic Cord<o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">3 Arteries</span></b><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
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<b><span style="color: black;">3 Nerves</span></b><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
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<b><span lang="PT" style="color: black;">3 Tubes</span></b><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
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</tr>
<tr style="height: 40.45pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 40.45pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 177.55pt;" valign="top" width="237"><div class="MsoNormal" style="margin-left: 21.35pt; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt 508.5pt; text-autospace: none; text-indent: -21.35pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Testicular artery (Aorta) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Artery to vas (Inferior Vesical a.) <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Cremasteric artery (Inf. Epigasteric a.)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 40.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 137.45pt;" valign="top" width="183"><div class="MsoNormal" style="margin-left: .25in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt 508.5pt; text-autospace: none; text-indent: -3.35pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Ilioinguinal nerve <span style="mso-spacerun: yes;"> </span>(infront cord)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Cremasteric nerve <o:p></o:p></span></div>
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<span style="color: black; font-size: 10pt;">(branch genitofemoral n.)<o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Sympathetic fibers <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 40.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 146.05pt;" valign="top" width="195"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: .05in 12.6pt 119.3pt 155.85pt 508.5pt; text-autospace: none; text-indent: -29.45pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Vas deferens<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: .05in 12.6pt 119.3pt 155.85pt 508.5pt; text-autospace: none; text-indent: -29.45pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">·</span><span lang="PT" style="color: black; font-family: "Symbol"; font-size: 10pt;"> <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Pampiniform plexus of vs <o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">·</span><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;">Lymphatic vessels<o:p></o:p></span></div>
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</tbody></table>
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<br /></div>
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<br /></div>
</div>
</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6547265390554783573.post-46634609484386564802012-01-14T16:20:00.001-08:002012-01-14T16:20:25.588-08:00clinical - vascular discussion<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-size: 20.0pt;">VASCULAR</span></b></div>
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<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">ISCHEMIA</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes of chr.
ischemia = causes of ischemic ulcer?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Atherosclerosis (commonest cause) – Large vessel ds</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Thrombangitis obliterans (Beurger ds) – Large vessel
ds</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">DM – Large (cause atherosclerosis) & Small vessel
ds</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">PAN – Small vessel ds</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">Rh.Arthritis – </span><span style="font-size: 14.0pt;">Small vessel ds</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are risk factors of
ischemia?</span></b><span style="font-size: 14.0pt;">
Smoking-ISHD-DM-HTN-hyperlipidemia</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is presentation of
PVD (peripheral vascular disease)= chr. ischemia?</span></b></div>
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<tbody>
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<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .7in;" valign="top" width="67">
<div class="MsoNormal">
<br /></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Claudication pain</span></b></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Rest pain</span></b></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Critical ischemia</span></b></div>
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<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Site</span></b></div>
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<div class="MsoNormal">
<span style="font-size: 14.0pt;">Aorta & CIA → Buttocks</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">EIA → Thigh</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Femoral → Calf</span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Forefoot & Toes</span></div>
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<div class="MsoNormal">
<span style="font-size: 14.0pt;">1-Ulcer or gangrene</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2-Rest pain > 2ws</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3-Ankle pr <50 </span><span style="font-size: 10.0pt;">mmHg</span></div>
<div class="MsoNormal">
<br /></div>
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<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .7in;" valign="top" width="67">
<div class="MsoNormal">
<b><span style="font-size: 10.0pt;">What </span></b><b><span style="font-size: 14.0pt;">↑</span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal">
<span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">Exercise (fixed distance)</span></div>
<div class="MsoNormal">
<span lang="FR" style="mso-ansi-language: FR;">(d.t.
accumulation metab.)</span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Rest & Sleep</span></div>
<div class="MsoNormal">
(d.t. ↓ COP, V.D. skin bl.v)</div>
</td>
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<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .7in;" valign="top" width="67">
<div class="MsoNormal">
<b><span style="font-size: 10.0pt;">What </span></b><b><span style="font-size: 14.0pt;">↓</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">rest</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Walk & hang leg out bed</span></div>
</td>
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<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .7in;" valign="top" width="67">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">TTT</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Conservative</span></div>
</td>
<td colspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 3.95in;" valign="top" width="379">
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Angioplasty +/- stent (if short
segment)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Bypass Graft (if long segment)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Amputation (if failed)</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is definition of
critical ischemia?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">European working group
definition</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-size: 14.0pt;">presence ofarterial ulcer or gangrene <b>OR</b></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-size: 14.0pt;">rest pain ≥ 2 weeks relieved only by opioids <b>OR</b></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-size: 14.0pt;">absolute ankle pr. < 50mmHg</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Other features</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-size: 14.0pt;">ABPI < 0.5</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-size: 14.0pt;">Burger vangle < 30<sup>o</sup></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Examination</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Scars?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ts Lt to umbilicus: Lumbar
sympathectomy or retroperitoneal approach to aorta</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ts (as above) & long.
Bilaterally at skin crease: aorto-bifemoral bypass</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Long. at skin crease: femoral
embolectomy</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Long. at skin crease &
popliteal fossa: femoro-popliteal bypass with synthetic graft</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Multiple scars from skin
crease downwards to knee: </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>multiple stab avulsion (for V.V.) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">or </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>femoro-popliteal bypass with vein graft
(natural)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Where to feel pulses UL?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Subclavian: just behind
mid-clavicle from behind</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Axillary: bicepital groove
(medial humerus) bimanual</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Brachial: med. bicepital
aponeurosis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Radial: lat. to FCR- radial
bone</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ulnar: lat. to FCU – pisiform
bone</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Where to feel pulses LL?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">AAA: above umbilicus, just Lt
midline</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Femoral: midinguinal point
(midway SP & ASIS) at skin crease</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Popliteal: knee 160 degrees
(relax muscles) in popliteal fossa (variable site)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Posterior tibial: midway
between med. malleolus & tendo-achilis</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Dorsalis pedis: lat. to ext.
hallucis longus tendon on navicular bone</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Commonest sites of leg
ischemic ulcers?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">heel </span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">head of metatarsals</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">between toes</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">sole</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is Burger test practical?</span></b><span style="font-size: 14.0pt;"> NO, now replaced by ABPI (ankle-brachial pr. Index)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is capillary filling a
good test for ischemia? </span></b><span style="font-size: 14.0pt;">NO, because
may be normal due to return of venous blood</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to measure &
interpret ABPI?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Measure ankle pr. by cuff
above med. malleolus & hear post. Tibial by doppler</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Measure brachial pr. By
doppler</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Divide ankle / brachial pr.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If >1 → DM (rigid vessel
wall)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If 0.9 – 1 → normal</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If 0.5 -0.9 → chronic
ischemia</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">If < 0.5 → critical
ischemia</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why in DM pulse felt till
late &ABPI is higher than even Normal >1?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Because of calcification of
vessel wall</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. & management</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Diagnosis of case of
Ischemia?</span></b><span style="font-size: 14.0pt;"> Example,</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Color & trophic changes,
ulcer with punched out edge, necrotic floor & deep, Beurger angle < 30o,
sluggish capi. Circulation, pulses not felt below femoral</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ Critical ischemia LL for
ABPI & Angiography</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to diagnose pt. with
ischemia?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">angiography (goldstandard)- now CT angio.</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Duplex (less invasive)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What to do for pt. with
only femoral pulse felt? </span></b><span style="font-size: 14.0pt;">(Common on
exam)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Angiography (standard)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Which artery is commonest
to be occluded? </span></b><span style="font-size: 14.0pt;">Superficial femoral</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of chronic
ischemia in most cases ?</span></b><span style="font-size: 14.0pt;"> in most of
cases superficial femoral occluded → Femoro-popliteal bypass<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is value for
angiography?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l5 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">diagnostic: site (aorto-iliac, femoral-popliteal or distal) &
extent of thrombus & distal run-off (=good collaterals =good prognosis)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l5 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">therapeutic: ballon angioplasty +/- stent (if short segment)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are precautions of
angiography in DM pt.?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">ensure normal S.Cr., good hydration & non-ionized
dye (usually mild renal impairment)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">stop metformin (cause lactic acidosis with dye)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of ischemia?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="color: black; font-size: 14.0pt;">Conservative ttt: (if claudication pain) </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="color: black; font-size: 14.0pt;">→ stop smoking, control DM, HTN & hypercholest, regular
aspirin 75mg, analgesia acc. to analgesic ladder </span><span style="color: black; font-size: 11.0pt;">(paracetamol→NSAIDS oral→IM→oral opioids →IM)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="color: black; font-size: 14.0pt;">Surgery with conservative ttt: (if
claudic. & failed conservative OR critical ischemia OR rest pain)</span></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="color: black; font-size: 14.0pt;">→ </span><span style="font-size: 14.0pt;">Angioplasty +/- stent (if
short segment)</span></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Bypass Graft (if long segment)</span></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Amputation (if failed or no distal
run-off)</span></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Lumbar sympathectomy (if ischemic ulcer)</span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are contraindications
of sympathectomy?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">DM (autosympathectomy) & Gangrene</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of this pt.
with clasudication pain & trophic changes?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Conservative ttt</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of this pt.
with ischemic ulcer?<span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Angioplasty +/- stent (if
short segment)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Bypass Graft (if long
segment)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Amputation (if failed)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types of bypass
grafts? </span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">natural: saphenous v.</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l6 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">synthetic: Dacron <b>or</b> PTFE (Gortex)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. claudication pain?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- Vascular: PVD or DVT or
PTS</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- Neurological: spinal
stenosis (spinal claudication) or sciatica</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- Musculoskeletal: pathology
of hip, knee orankle (e.g, osteoarthritis)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>Pathology of ischemia by DM? Mixed</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>Vasculopathy: Macro- angiopathy & Micro- angiopathy </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>Periph. Neuropathy:</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>Inf.: → Macro & Micro- angiopathy</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>Which type of DM is worest?</b></div>
<div class="MsoNormal">
IDDM (type I) because:</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
usually<span style="mso-spacerun: yes;"> </span>P.N. (poorvresponse to surg.)</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
↓
immunity → more inf.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
More
plat. Aggregation</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>Ask this pt. with diabetic toe 1 question? </b>Are you on
insulin or not?</div>
<div class="MsoNormal">
If on insulin (type I) → amputation (no ischemia but
neuropathy=bad prognosis)</div>
<div class="MsoNormal">
If on oral hypoglycemics (type II) → angioplasty (ischemia
due to vasculopathy)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What is thoracic outlet syndrome?<span style="mso-spacerun: yes;"> </span></b>……</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What if auscultate over carotid & bruit is heared?</b></div>
<div class="MsoNormal">
Do duplex if carotid stenosis for intervention → angioplasty
or endarterectomy</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What is endarterectomy. How it is done?</b></div>
<div class="MsoNormal">
Done in carotid thrombosis <b>only</b></div>
<div class="MsoNormal">
Peel Intima & part of media (leave part of media +
adventitia)</div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 20.0pt;">PTS (Post-Thrombotic syndrome)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Cause PTS? </span></b><span style="font-size: 14.0pt;">DVT</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">deep v. system reflux post-DVT (90%)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">deep v. system obstruction post-DVT (10%)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Presentation of PTS?</span></b><span style="font-size: 14.0pt;"> pain & Signs chr.venous insuffeciency=chronic
skin changes (edema, eczema, hyperpigmentation, lipodermatosclerosis, V.V.,
venous ulcer)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Ask pt. 2 questions?</span></b><span style="font-size: 14.0pt;"> heparin inj. or oral anticoagulant (=DVT) &
operations</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Examination</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is
lipodermatosclerosis?</span></b><span style="font-size: 14.0pt;"> Skin & SCT
Subfascial fibrosis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Ccc of venous ulcer?</span></b><span style="font-size: 14.0pt;"> Floor healthy granulation tissue</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Edge
sloping (means healing)</span></div>
<div class="MsoNormal" style="text-indent: 1.75in;">
<span style="font-size: 14.0pt;">Shallow</span></div>
<div class="MsoNormal" style="text-indent: 1.75in;">
<span style="font-size: 14.0pt;">Area
surrounding → signs chr.v. insuffeciency</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Diagnosis of case PTS?</span></b><span style="font-size: 14.0pt;"> Example,</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Edema of Rt LL, dark
periphery, purple central area, with multiple ulcers with floor of healthy
granulation tissue & sloping edge, also there is a punch of v.v.s </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">propably a case of PTS. </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">I would like to examine pulse
(to exclude mixed pathology) & ask pt. to stand to examine for v.v.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to investigate case
venous ulcer or case of PTS or deep system?</span></b><span style="font-size: 14.0pt;"> Duplex </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Other rare options
(ambulatory venous pr., venography, varicography)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Another method to asses
deep system (clinically)? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Perthe’s test or modified
perthe’s test (close superficial system by tourniquet & walk or tip toe →
pain) (not used because painful)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Role of duplex in PTS? </span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">diagnostic: for deep system patency & competence
(exclude DVT which contraindicate surg.) & superficial system SFJ &
perforator competence</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">therapeutic: superficial system (not in PTS)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">(it is contraindicated to
treat 2ry V.V. (V.V. + prev. DVT) because surgery worsen v.ischemia) So, any
case of V.V. + ulcer → do duplex</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes of Venous
ulcer?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">PTS</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">V.V.</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Muscle pump failure (NM ds, stroke, stiff ankle)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Can varicose vein cause
this picture (ulcer) without PTS?</span></b><span style="font-size: 14.0pt;">
Yes, severe V.V.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How is treatment different
between varicose ulcer due to PTS or 1ry V.V.?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">varicose ulcer due to PTS →
compression dressing (4 layer bandage)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">varicose ulcer due to 1ry
V.V. → surgery for v.v.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><span style="font-size: 14.0pt;">What is treatment of venous ulcer ?</span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<u><span style="font-size: 14.0pt;">1- Conservative:</span></u></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 81.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -.75in;">
<span style="font-size: 14.0pt;">1-<span style="mso-spacerun: yes;"> </span>Elevation of leg </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 81.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -.75in;">
<span style="font-size: 14.0pt;">2-<span style="mso-spacerun: yes;"> </span>Compression bandage (Four-layer bandage) </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 81.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -.75in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>& after ulcer healing use G II
compression stocking for life (for V.V.)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 45.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -45.0pt;">
<u><span style="font-size: 14.0pt;">2- Surgical:</span></u><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>ulcer base
excision & skin grafting (after biopsy from edge to exclude marjolin ulcer
= SCC)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are differences
between types of ulcers?</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 14.0pt;">Venous</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 14.0pt;">Ischemic</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 14.0pt;">Neuropathic</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Size</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">large</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Small</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">medium</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Site</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Gaiter area</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Distal & pr. area</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Pr. area</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Shape</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">irregular</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Edge</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">sloping</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Punched out</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Punched out</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.4pt;" valign="top" width="103">
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Surrounding</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>CVI</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Trophic & color changes
& lost pulse</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 131.4pt;" valign="top" width="175">
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lost sensation</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>What are the 4 layers of 4 layer bandage (not used now)?</b></div>
<div class="MsoNormal">
1- non-adherent & absorbable (wool)</div>
<div class="MsoNormal">
2- crepe bandage </div>
<div class="MsoNormal">
3- blue line</div>
<div class="MsoNormal">
4- tape (plaster)</div>
<div class="MsoNormal">
Exchange / week</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What are results of conservative management for ulcer (4
layer bandage)?</b></div>
<div class="MsoNormal">
Very good <u>at 3ms</u>→ 50-70% healing & <u>at 12 ms</u>
80-90% healing</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What is venous gangrene?</b></div>
<div class="MsoNormal">
Rare complication of Iliofemoral DVT:</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
Phlegmasia
alba dolens: white leg</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
Phlegmasia
cerula dolens: blue leg</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
Gangrene:
in foot or extend to leg (due to acute ischemia)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What are types granulation tissue?</b></div>
<div class="MsoNormal">
Healthy: red, not bleed easy, flat & Unhealthy: blue,
bleed easy & raised</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Varicose Vein</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is pathogenesis V.V.?
</span></b><span style="font-size: 14.0pt;">fibrous tissue invades intima &
media & broke ms tone</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><span style="font-size: 14.0pt;">What are tributaries of Saphenous vein ?</span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">1-<span style="mso-tab-count: 1;"> </span>Superficial
circumflex iliac </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">2-<span style="mso-tab-count: 1;"> </span>Superficial
inferior epigastric </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">3-<span style="mso-tab-count: 1;"> </span>Superficial
external pudendal </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">4-<span style="mso-tab-count: 1;"> </span>Deep
external pudendal </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">5-<span style="mso-tab-count: 1;"> </span>Antero-lateral
& postero-medial veins of the thigh </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Examination</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is fegan test (sign)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">palpation of fascial defects</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Where is the SFJ
(saphenofemoral junction) by doppler?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1 cm below & medial to
femoral a. (mid-inguinal point = midway bet. S.P. &ASIS)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">OR 4 cm below & lat. to
P.T. (1<sup>st</sup> prominrnce med. to ing. Lig. Or attachment of adductor
longus by abd. & ext.rot. hip) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to asses SFJ
incompetence?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">palpation =thrill</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">tourniquet test</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Doppler</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to use Doppler to
asses SFJ (saphenofemoral junction) incompetence?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Carried by examiner or in
your pocket (not by pt.)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">At site of thrill: Locate
artery (below skin crease) then vein just below &med. (1cm)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Squeeze quadriceps (punch of
veins) or ask pt. to cough</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Hear 2<sup>nd</sup> sound (bidirectional
flow)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to use Doppler to asses
SPJ (sapheno-popliteal j.) incompetence?</span></b><span style="font-size: 14.0pt;">
(rare)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Flex knee (to relax muscles)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Locate artery in midline
& vein lies beside artery</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">Diagnosis, D.D. &
management</span></u></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is Diagnosis of v.v.
case?</span></b><span style="font-size: 14.0pt;"> Example</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">v.v. at medial side of leg at
distribution LSV, pigmentation in gaiter area, no v.v. in course SSV,
incompetent SFJ by thrill, tourniquet test & Doppler</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">V.V. with incompetent SFJ
& competent perforators</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are indications of
duplex in V.V.? </span></b><span style="font-size: 14.0pt;">Some surgeons perform
it as routine but</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">history DVT</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">venous ulcer</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">recurrent V.V.</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">pre-operative: for perforators & SPJ (both are
variable anatomicaly)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">if cannot determine SFJ incompetence</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is role of duplex in
V.V.?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">diagnostic: for deep system patency & competence (exclude DVT which
contraindicate surg.) & Superficial system SFJ & perforator competence</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l8 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">therapeutic: site of perforators & SPJ for surg. (both are variable
anatomicaly)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-right: 68.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><span style="font-size: 14.0pt;">What is treatment of v.v.?</span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">1- <u>Conservative:</u> graduated pr. Compression
stockings G II & lifestyle modification (exercise & ↓ weight & ↓
standing)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">2- <u>Surgical </u></span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 27.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">1<b>-</b><span style="mso-tab-count: 1;"> </span>Open surgery:</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 27.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>For
LSV →SF Ligation (Trendlenberg oper. (ligate LSV 1 cm from fem. v.)+ Stripping
till just below knee (avoid saph.n.) + Multiple avulsions. </span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 27.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -27.0pt;">
<b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-size: 14.0pt;">For
SSV do SP ligation & avulsion (no stripping to avoid sural inj.)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-left: 45.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 27.0pt; text-autospace: none; text-indent: -45.0pt;">
<span style="font-size: 14.0pt;">2-<span style="mso-tab-count: 1;"> </span>Injection sclerotherapy (cosmetic) use
ethanolamine oleate or sclerovein</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<span style="font-size: 14.0pt;">3-<span style="mso-spacerun: yes;">
</span>injection of foam</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<span style="font-size: 14.0pt;">4-<span style="mso-spacerun: yes;">
</span>Subcutaneous Endosc. Perforator Surg. (SEPS) for severe skin changes or
ulcer</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<span style="font-size: 14.0pt;">5-<span style="mso-spacerun: yes;">
</span>Radiofrequency (intraluminal)…. new</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<span style="font-size: 14.0pt;">6-<span style="mso-spacerun: yes;">
</span>Laser (intraluminal)…. New</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<b><span style="font-size: 14.0pt;">What is treatment of this case (severe
V.V. + SFJ incomp. + perforator incomp.)?</span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<span style="font-size: 14.0pt;">Surgery (skip conservative) ….most of exam
cases</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 459.0pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><span style="font-size: 14.0pt;">Why stripping of LSV till just below knee? </span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">To avoid inj. saphenous v. (near LSV in leg) →
parathesia & numbness med. leg</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Why no stripping of SSV? </span></b><span style="font-size: 14.0pt;">To avoid inj. sural n. → parathesia & numbness
lat. leg</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>What to tell pt. about his surgery (consent for
stripping)?</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>daycase</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>no driving 1 wk</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>may not improve skin changes</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span>may not improve aching pain</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";"> </span></span>risk inj. saphenous or sural n.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">6-<span style="font: 7.0pt "Times New Roman";"> </span></span>risk DVT</div>
<div class="MsoNormal" style="margin-left: .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo8; mso-pagination: none; tab-stops: list .5in; text-autospace: none; text-indent: -.25in;">
<span style="mso-list: Ignore;">7-<span style="font: 7.0pt "Times New Roman";"> </span></span>risk recurrent vs (20 % at 5 years)</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>What are common sites for perforators?</b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Mid-thigh, Above med. malleolus by 2, 4, 6 & Above
lat. malleolus by 1, 3, 5 inches</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>Where is gaiter area?</b> Lower 2/3 of leg</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<b>What is Klippel Trenauny syndrome? </b></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
Severe V.V. in abnormal site (e.g, lat.thigh)+ giant limb+
portwine stain</div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">AVF</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is diagnosis?</span></b><span style="font-size: 14.0pt;"> </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Dilated pulsatile vessels on
front of forearm, scar over it, thrill over it, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ <u>Surgically induced AVF
for dialysis</u> +/- venous hypertension</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is AVF ?</span></b><span style="font-size: 14.0pt;"> type of vascular malformation</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is the most dangerous
AV malformations?</span></b><span style="font-size: 14.0pt;"> <st1:place w:st="on"><st1:state w:st="on">Berry</st1:state></st1:place> aneurysm → subarachnoid</span></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span>hemmorhage</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is its ttt?</span></b><span style="font-size: 14.0pt;"> Transfemoral embolization or coiling</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to access carotid
(e.g, transluminal angioplasty)?</span></b><span style="font-size: 14.0pt;">
Transfemoral</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Where are the sites of
surg. AVF? </span></b><span style="font-size: 14.0pt;">Start by non-dominant hand
& distal first</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Radiocephalic</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Brachiocephalic</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Brachiobasilic (need superficialization<b>)</b></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Direct: end to side (better),
side to side </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Graft: bridge or loop (natural=saphenous
or <span style="mso-spacerun: yes;"> </span>synthetic graft=PTFE)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to know dominant
artery of hand?</span></b><span style="font-size: 14.0pt;"> Allen test </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What to do before AVF?</span></b><span style="font-size: 14.0pt;"> Allen test (in exam done on examiner hand not pt.)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Elevate hand & make a
fist</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Press to close On site of
radial & ulnar artery </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ask pt. to open & close
fist many times till hand blanches(evacuate blood)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Release one of them &
notice refilling time (usually 6 secs radial)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Compare time of refilling
between radial & ulnar, the longer the time the less dependent is the
artery</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is usual dominant
artery of hand?</span></b><span style="font-size: 14.0pt;"> Ulnar artery</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What if radial is the
dominant?</span></b><span style="font-size: 14.0pt;"> Do brachiocephalic (instead
of radio-cephalic)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is there is ulno-basilic.
Why?</span></b><span style="font-size: 14.0pt;"> NO, because</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">difficult access of canula
(applied from lat. Side) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">basilic v. is deep in most of
its course</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are complications?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- Failure (thrombosis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- Inf.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- Rupture & bleeding</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">4- Steal syndrome (ischemia
due to blood stealed to veins)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Ttt→ ligation of distal vein</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">5- high COP HF</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt steal
syndrome?</span></b><span style="font-size: 14.0pt;"> ligation of distal vein</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>How to determine degree of shunt & general effect of
AVF?</b></div>
<div class="MsoNormal">
Branham test: measure carotid pulse before & closure
fistula by cuff</div>
<div class="MsoNormal">
If pulse ↓ > 10 = general effect (Lt to Rt shunt)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What else you want to do?</b></div>
<div class="MsoNormal">
Ask about hemodialysis or prev. transplantation</div>
<div class="MsoNormal">
Examine neck for prev. access & abdomen for
transplantation scar</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What does thrill & needle marks indicate?</b>
Functioning AVF</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What does pulsation indicate?</b> Distal obstruction</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What is Parkes Weber synd.?</b> Multiple AVF + limb
hypertrophy</div>
<div align="center" class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="font-size: 18.0pt;">Lyphedema</span></b></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<b><span style="font-size: 14.0pt;">What is your diagnosis & why?</span></b><span style="font-size: 14.0pt;"> Lymphedema of LL because:</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">In dorsum of foot</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">Unhealthy skin (due to recurrent lymphangitis →
obstructed lymphatics → ↑ lymphedema)</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">Preserved ankle crease</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="font-size: 14.0pt;">+/- Fungal inf. (between toes)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes of
lymphedema?</span></b></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Congenital = Millor’s ds (congenita- precox- tarda)</span></div>
<div class="MsoNormal">
<span lang="IT" style="font-size: 14.0pt; mso-ansi-language: IT;">Acquired: 1- inf. </span><span style="font-size: 14.0pt;">(filariasis =
W.Bancrofti)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>2- trauma</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>3- iatrogenic: after
radiotherapy or oper. (block dissection axilla or groin)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>4- neoplastic</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is the ttt?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Conservative only: leg
elevation & foot hygiene & stockings & ttt cellulites (AB)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">(Now no role for lymphovenous
shunts or debulking)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are degrees of
stockings?</span></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">G I</span></b><span style="font-size: 14.0pt;"> (1<sup>st</sup> degree): pressure 10 - 20 mmHg →
prophylactic against DVT</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">G II</span></b><span style="font-size: 14.0pt;"> (2<sup>nd</sup> degree): pr. 20 - 30 mmHg → ttt V.V.</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">G III </span></b><span style="font-size: 14.0pt;">(3<sup>rd</sup> degree): pr. 30 – 40 mmHg → ttt
lymphedema</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are complic.
lymphedema? </span></b><span style="font-size: 14.0pt;">Lymphangitis
(cellulites), tinea pedis, vesicles</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. LL edema (Swollen
leg)?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">A- General causes: Heart
failure, Hepatic, Nephrotic, hypoAlb., Hypothyroidism</span></div>
<div class="MsoNormal">
<span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">B- Local causes: Venous: PTS, V.V., klippel trenaunay synd.</span></div>
<div class="MsoNormal" style="text-indent: 99.0pt;">
<span style="font-size: 14.0pt;">Lymphedema</span></div>
<div class="MsoNormal" style="text-indent: 99.0pt;">
<span style="font-size: 14.0pt;">Cong.
AVF</span></div>
<div class="MsoNormal" style="text-indent: 99.0pt;">
<span style="font-size: 14.0pt;">Angioedema</span></div>
<div class="MsoNormal" style="text-indent: 99.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are difference
between Venous edema & Lymphedema?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Venous edema: in ankle,
unilat.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Lymphedema: in dorsum of
foot, preserved crease & bilat.</span></div>
<br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-48341541478896454012012-01-14T16:18:00.000-08:002012-01-14T16:18:58.205-08:00clinical - vascular examination<div dir="ltr" style="text-align: left;" trbidi="on">
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@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoHeader, li.MsoHeader, div.MsoHeader
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoFooter, li.MsoFooter, div.MsoFooter
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";}
/* Page Definitions */
@page WordSection1
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 8.65pt 33.3pt;}
div.WordSection1
{page:WordSection1;}
@page WordSection2
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 8.65pt 33.3pt;}
div.WordSection2
{page:WordSection2;}
@page WordSection3
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 23.3pt 33.3pt;}
div.WordSection3
{page:WordSection3;}
@page WordSection4
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 23.3pt 33.3pt;}
div.WordSection4
{page:WordSection4;}
@page WordSection5
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 23.3pt 33.3pt;}
div.WordSection5
{page:WordSection5;}
@page WordSection6
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 8.65pt 33.3pt;}
div.WordSection6
{page:WordSection6;}
@page WordSection7
{size:594.65pt 842.0pt;
margin:33.3pt 6.65pt 8.65pt 33.3pt;}
div.WordSection7
{page:WordSection7;}
/* List Definitions */
ol
{margin-bottom:0in;}
ul
{margin-bottom:0in;}
-->
</style>
<br />
<div class="WordSection1">
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
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position: absolute; width: 5px; z-index: 251219535;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 508px; margin-top: 391px; position: absolute; width: 4px; z-index: 251220559;"><img height="4" src="vasc_files/image007.jpg" width="4" /></span><span style="height: 4px; left: 0px; margin-left: 512px; margin-top: 391px; position: absolute; width: 5px; z-index: 251221583;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 518px; margin-top: 391px; position: absolute; width: 5px; z-index: 251222607;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 523px; margin-top: 391px; position: absolute; width: 5px; z-index: 251223631;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 528px; margin-top: 391px; position: absolute; width: 4px; 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left: 0px; margin-left: 558px; margin-top: 391px; position: absolute; width: 5px; z-index: 251230799;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 564px; margin-top: 391px; position: absolute; width: 5px; z-index: 251231823;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 569px; margin-top: 391px; position: absolute; width: 4px; z-index: 251232847;"><img height="4" src="vasc_files/image007.jpg" width="4" /></span><span style="height: 4px; left: 0px; margin-left: 574px; margin-top: 391px; position: absolute; width: 5px; z-index: 251233871;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 579px; margin-top: 391px; position: absolute; width: 5px; z-index: 251234895;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 584px; margin-top: 391px; position: absolute; width: 5px; z-index: 251235919;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 590px; margin-top: 391px; position: absolute; width: 5px; z-index: 251236943;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 595px; margin-top: 391px; position: absolute; width: 4px; z-index: 251237967;"><img height="4" src="vasc_files/image007.jpg" width="4" /></span><span style="height: 4px; left: 0px; margin-left: 599px; margin-top: 391px; position: absolute; width: 5px; z-index: 251238991;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 605px; margin-top: 391px; position: absolute; width: 5px; z-index: 251240015;"><img height="4" src="vasc_files/image006.jpg" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 610px; margin-top: 391px; position: absolute; 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left: 0px; margin-left: 595px; margin-top: 468px; position: absolute; width: 4px; z-index: 252067407;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 599px; margin-top: 468px; position: absolute; width: 5px; z-index: 252068431;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 605px; margin-top: 468px; position: absolute; width: 5px; z-index: 252069455;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 610px; margin-top: 468px; position: absolute; width: 5px; z-index: 252070479;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 615px; margin-top: 468px; position: absolute; width: 4px; z-index: 252071503;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 620px; margin-top: 468px; position: absolute; width: 5px; z-index: 252072527;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 625px; margin-top: 468px; position: absolute; width: 5px; z-index: 252073551;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 630px; margin-top: 468px; position: absolute; width: 5px; z-index: 252074575;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 636px; margin-top: 468px; position: absolute; width: 4px; z-index: 252075599;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 640px; margin-top: 468px; position: absolute; width: 5px; z-index: 252076623;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 646px; margin-top: 468px; position: absolute; width: 5px; z-index: 252077647;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 651px; margin-top: 468px; position: absolute; width: 5px; z-index: 252078671;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 656px; margin-top: 468px; position: absolute; width: 4px; z-index: 252079695;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 661px; margin-top: 468px; position: absolute; width: 5px; z-index: 252080719;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 666px; margin-top: 468px; position: absolute; width: 5px; z-index: 252081743;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 671px; margin-top: 468px; position: absolute; width: 5px; z-index: 252082767;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 677px; margin-top: 468px; position: absolute; width: 4px; z-index: 252083791;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 681px; margin-top: 468px; position: absolute; width: 5px; z-index: 252084815;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 686px; margin-top: 468px; position: absolute; width: 5px; z-index: 252085839;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 692px; margin-top: 468px; position: absolute; width: 5px; z-index: 252086863;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 697px; margin-top: 468px; position: absolute; width: 4px; z-index: 252087887;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 702px; margin-top: 468px; position: absolute; width: 5px; z-index: 252088911;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 707px; margin-top: 468px; position: absolute; width: 5px; z-index: 252089935;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 712px; margin-top: 468px; position: absolute; width: 5px; z-index: 252090959;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 718px; margin-top: 468px; position: absolute; width: 5px; z-index: 252091983;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 723px; margin-top: 468px; position: absolute; width: 4px; z-index: 252093007;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 727px; margin-top: 468px; position: absolute; width: 5px; z-index: 252094031;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 733px; margin-top: 468px; position: absolute; width: 5px; z-index: 252095055;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 738px; margin-top: 468px; position: absolute; width: 5px; z-index: 252096079;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 743px; margin-top: 468px; position: absolute; width: 4px; z-index: 252097103;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 748px; margin-top: 468px; position: absolute; width: 5px; z-index: 252098127;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 753px; margin-top: 468px; position: absolute; width: 5px; z-index: 252099151;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 758px; margin-top: 468px; position: absolute; width: 5px; z-index: 252100175;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 764px; margin-top: 468px; position: absolute; width: 4px; z-index: 252101199;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 492px; margin-top: 473px; position: absolute; width: 5px; z-index: 252102223;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 497px; margin-top: 473px; position: absolute; width: 5px; z-index: 252103247;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 502px; margin-top: 473px; position: absolute; width: 5px; z-index: 252104271;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 508px; margin-top: 473px; position: absolute; width: 4px; z-index: 252105295;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 512px; margin-top: 473px; position: absolute; width: 5px; z-index: 252106319;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 518px; margin-top: 473px; position: absolute; width: 5px; z-index: 252107343;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 523px; margin-top: 473px; position: absolute; width: 5px; z-index: 252108367;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 528px; margin-top: 473px; position: absolute; width: 4px; z-index: 252109391;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 533px; margin-top: 473px; position: absolute; width: 5px; z-index: 252110415;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 538px; margin-top: 473px; position: absolute; width: 5px; z-index: 252111439;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 543px; margin-top: 473px; position: absolute; width: 5px; z-index: 252112463;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 549px; margin-top: 473px; position: absolute; width: 4px; z-index: 252113487;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 553px; margin-top: 473px; position: absolute; width: 5px; z-index: 252114511;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 558px; margin-top: 473px; position: absolute; width: 5px; z-index: 252115535;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 564px; margin-top: 473px; position: absolute; width: 5px; z-index: 252116559;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 569px; margin-top: 473px; position: absolute; width: 4px; z-index: 252117583;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 574px; margin-top: 473px; position: absolute; width: 5px; z-index: 252118607;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 579px; margin-top: 473px; position: absolute; width: 5px; z-index: 252119631;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 584px; margin-top: 473px; position: absolute; width: 5px; z-index: 252120655;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 590px; margin-top: 473px; position: absolute; width: 5px; z-index: 252121679;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 595px; margin-top: 473px; position: absolute; width: 4px; z-index: 252122703;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 599px; margin-top: 473px; position: absolute; width: 5px; z-index: 252123727;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 605px; margin-top: 473px; position: absolute; width: 5px; z-index: 252124751;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 610px; margin-top: 473px; position: absolute; width: 5px; z-index: 252125775;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 615px; margin-top: 473px; position: absolute; width: 4px; z-index: 252126799;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 620px; margin-top: 473px; position: absolute; width: 5px; z-index: 252127823;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 625px; margin-top: 473px; position: absolute; width: 5px; z-index: 252128847;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 630px; margin-top: 473px; position: absolute; width: 5px; z-index: 252129871;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 636px; margin-top: 473px; position: absolute; width: 4px; z-index: 252130895;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 640px; margin-top: 473px; position: absolute; width: 5px; z-index: 252131919;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 646px; margin-top: 473px; position: absolute; width: 5px; z-index: 252132943;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 651px; margin-top: 473px; position: absolute; width: 5px; z-index: 252133967;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 656px; margin-top: 473px; position: absolute; width: 4px; z-index: 252134991;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 661px; margin-top: 473px; position: absolute; width: 5px; z-index: 252136015;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 666px; margin-top: 473px; position: absolute; width: 5px; z-index: 252137039;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 671px; margin-top: 473px; position: absolute; width: 5px; z-index: 252138063;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 677px; margin-top: 473px; position: absolute; width: 4px; z-index: 252139087;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 681px; margin-top: 473px; position: absolute; width: 5px; z-index: 252140111;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 686px; margin-top: 473px; position: absolute; width: 5px; z-index: 252141135;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 692px; margin-top: 473px; position: absolute; width: 5px; z-index: 252142159;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 697px; margin-top: 473px; position: absolute; width: 4px; z-index: 252143183;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 702px; margin-top: 473px; position: absolute; width: 5px; z-index: 252144207;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 707px; margin-top: 473px; position: absolute; width: 5px; z-index: 252145231;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 712px; margin-top: 473px; position: absolute; width: 5px; z-index: 252146255;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 718px; margin-top: 473px; position: absolute; width: 5px; z-index: 252147279;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 723px; margin-top: 473px; position: absolute; width: 4px; z-index: 252148303;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 727px; margin-top: 473px; position: absolute; width: 5px; z-index: 252149327;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 733px; margin-top: 473px; position: absolute; width: 5px; z-index: 252150351;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 738px; margin-top: 473px; position: absolute; width: 5px; z-index: 252151375;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 743px; margin-top: 473px; position: absolute; width: 4px; z-index: 252152399;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span><span style="height: 5px; left: 0px; margin-left: 748px; margin-top: 473px; position: absolute; width: 5px; z-index: 252153423;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 753px; margin-top: 473px; position: absolute; width: 5px; z-index: 252154447;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 758px; margin-top: 473px; position: absolute; width: 5px; z-index: 252155471;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="height: 5px; left: 0px; margin-left: 764px; margin-top: 473px; position: absolute; width: 4px; z-index: 252156495;"><img height="5" src="vasc_files/image009.jpg" width="4" /></span></div>
<div align="center" class="MsoNormal" style="line-height: 30.65pt; margin-right: 14.7pt; text-align: center; text-autospace: none;">
<span style="color: red; font-size: 24pt;">Peripheral vascular Disease (Ischemia)</span></div>
</div>
<span style="color: red; font-family: "Times New Roman", "serif"; font-size: 24pt;"><br clear="all" style="page-break-before: auto;" />
</span>
<br />
<div class="WordSection2">
<div class="MsoNormal" style="line-height: 34.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
<span style="color: #323299; font-size: 22pt;">History</span><span style="color: red; font-size: 24pt;"> </span></div>
</div>
<span style="color: red; font-family: "Times New Roman", "serif"; font-size: 24pt;"><br clear="all" style="page-break-before: auto;" />
</span>
<br />
<div class="WordSection3">
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
<span style="color: #00007f; font-size: 10pt;">1- </span><u><span style="color: #323299; font-size: 10pt;">Risk Factors</span></u><span style="color: black; font-size: 10pt;"> (smoking, DM, HTN, IHD, Hyperlipidaemia) </span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
<span style="color: #00007f; font-size: 10pt;">2- </span><u><span style="color: #323299; font-size: 10pt;">Intermittent Claudication </span></u></div>
<div class="MsoNormal" style="line-height: 14.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><u><span style="color: black; font-size: 10pt;">Site </span></u></div>
<div class="MsoNormal" style="line-height: 10.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 51.0pt;">
<span style="color: black; font-size: 10pt;">a- Buttocks
(Aorto-iliac) </span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 51.0pt;">
<span style="color: black; font-size: 10pt;">b- Thigh
(Iliac) </span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 51.0pt;">
<span style="color: black; font-size: 10pt;">c- Calf
(Femoral) </span></div>
<div class="MsoNormal" style="line-height: 14.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><u><span style="color: black; font-size: 10pt;">Severity</span></u><span style="color: black; font-size: 10pt;">: Claudication distance </span></div>
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<span style="color: #00007f; font-size: 10pt;">3- </span><u><span style="color: #323299; font-size: 10pt;">Rest Pain </span></u></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><u><span style="color: black; font-size: 10pt;">Site:</span></u><span style="color: black; font-size: 10pt;"> Forefoot </span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><u><span style="color: black; font-size: 10pt;">Severity:</span></u><span style="color: black; font-size: 10pt;"> Hang the leg out of bed / Type of
analgesia </span></div>
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<span style="color: #00007f; font-size: 10pt;">4- </span><u><span style="color: #323299; font-size: 10pt;">Functions </span></u></div>
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<span style="color: black; font-size: 9pt;"> Lifestyle –
Shopping – Walking aids – Limping </span></div>
</div>
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</span>
<br />
<div class="WordSection4">
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<span style="height: 86px; left: 0px; margin-left: 491px; margin-top: 392px; position: absolute; width: 279px; z-index: 252157519;"></span><span style="color: red; font-size: 22pt;">Ischemia LL Examination</span></div>
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<span style="height: 2px; left: 0px; margin-left: 509px; margin-top: 426px; position: absolute; width: 241px; z-index: 252158543;"><img height="2" src="vasc_files/image011.gif" width="241" /></span><b><u><span style="color: #00007f;">Introduce
yourself</span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"> </span>Upto
groin & lower abdomen</div>
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<b><span style="color: #00007f;">1- <u>Inspection </u></span></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f;">من تحت لفوق </span></b></div>
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<span dir="LTR"></span><span style="color: black; font-family: "Symbol";"><span dir="LTR"></span>· </span><span style="color: black;">Color
changes in sole (<u>Pallor</u> – Rubor – Cyanosis) </span></div>
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</span>
<br />
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<br /></div>
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<br /></div>
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<span style="height: 5px; left: 0px; margin-left: 574px; margin-top: 415px; position: absolute; width: 5px; z-index: 251399759;"><img height="5" src="vasc_files/image008.jpg" width="5" /></span><span style="color: red; font-size: 13pt;">Critical
Limb Ischemia </span></div>
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<span style="color: black; font-size: 10pt;">1-Rest Pain > 2 weeks </span></div>
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<span style="color: black; font-size: 10pt;">2-Ulcer or Gangrene </span></div>
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<span style="color: black; font-size: 10pt;">3-ABPI < 0.5 </span></div>
</div>
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</span>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Trophic changes: - Loss of Hair </span></div>
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<span style="color: black;">- Brittle nails </span></div>
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<span style="color: black;">- Taper toes </span></div>
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<span style="color: black;">- Interdigital fungal
inf. (open between toes)</span></div>
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<span style="color: black;">- Ulcer (heel, head
metatars, bet.toes, sole) →3S FED SS </span></div>
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<span style="color: black;">- Heel ulcer (elevate
leg)</span></div>
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<span style="color: black;">- Gangrene – amutated
toe </span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Venous guttering </span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Scar of previous operation (leg,
groin, abdomen)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><b><span style="color: black;">Burger’s test</span></b><span style="color: black;"> (</span><span style="color: black; font-size: 10pt;">Lower limb</span><span style="color: black;">)
<span dir="RTL"></span><span dir="RTL" lang="AR-SA"><span dir="RTL"></span> </span>OR<span dir="RTL"></span><span dir="RTL" lang="AR-SA"><span dir="RTL"></span> </span></span></div>
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<span style="color: black;">1- Elevate one LL till
pallor (+/-) venous guttering & notice degree (look from side)</span></div>
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<span style="color: black;"> If < 30 degrees
→ critical ischemia</span></div>
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<span style="color: black;"> If > 30 degrees
→ chronic ischemia</span></div>
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<span style="color: black;">2- Hang both LL out of
the bed till rubor (+/-) venous refilling (due to accumulation metabolites)
& notice time </span></div>
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<span dir="LTR"></span><b><span style="color: #00007f;"><span dir="LTR"></span>2- <u>Palpation</u></span></b><span style="color: #00007f;"> Ask about pain </span></div>
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<span style="color: black; font-family: "Symbol";">· <b>TT</b>
(</span><span style="color: black;">Temperature from distal to proximal &
compare (very imp…) </span><span style="color: black; font-family: "Symbol";">& </span><span style="color: black;">Tenderness)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><b><span style="color: black;">Capillary refill time</span></b><span style="color: black;">:
press on big toe away from nail ( </span><span style="color: black; font-size: 10pt;">Normal: 2-3 sec</span><span style="color: black;">) </span></div>
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<b><span style="color: #00007f;">3- <u>Pulses</u></span></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;">(one side as
examiner ask & compare only femoral)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Abdominal aorta ( above umbilicus & just Lt to midline)
- normally not felt</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Femoral by 3 fingers (midinguinal point bet SP & ASIS
in skin crease) <b><u>(compare)</u></b></span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Popliteal: </span>knee 160 degrees
(relax muscles) fix knee by 2 thumbs & feel by rest of fingers meeting
laterally in popliteal fossa (difficult & variable site)- be lat.</div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Posterior tibial: midway between med. malleolous &
tendo-achilis </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Dorsalis pedis: </span>lat. to ext. hallucis longus tendon
on navicular bone –may be absent</div>
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<b><span style="color: #00007f;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Auscultations</span><span style="color: black;"> </span></u></b><span style="color: black;">(over Femoral
artery for bruit = stenosis) +/- carotid </span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: </span></u></b></div>
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1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span><span dir="LTR"></span> Performing ABPI.</div>
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<span style="color: black;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span><span style="color: black;">Examination of
other pulses</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; text-autospace: none;">
<br /></div>
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<span style="color: red; font-size: 27pt;">Diabetic Foot</span></div>
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<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure: </span></u><span style="color: #00007f;"> </span></b>Upto groin</div>
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<b><span style="color: navy;">1- <u>Inspection</u> </span></b>as Ischemia (Color
& Trophic changes, scars, Burger angle) +</div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Local amputation. </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Charcot’s joint. </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Signs of PN (Burns – injuries – Ingrowing toe nail). </span></div>
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<b><span style="color: navy;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span></span></b><span dir="LTR"></span><b><span style="color: navy;"> <u>Palpation</u></span></b><span style="color: navy;"> Ask about pain </span>as Ischemia (TT, capillary
refilling).</div>
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<b><span lang="PT" style="color: navy;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span></span></b><span dir="LTR"></span><b><u><span lang="PT" style="color: #00007f;">Pulses</span></u></b><u><span lang="PT" style="color: #00007f;"> </span></u><span lang="PT" style="color: black;"> </span><span lang="PT">as Ischemia (Aorta, Femoral, Popliteal, Post. Tibial, dorsalis pedis<span style="color: navy;">)</span><span style="color: black;">.</span></span></div>
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<b><span style="color: navy;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Sensation</span></u></b><span style="color: black;"> (PN) → stock hypothesia </span><span dir="RTL" lang="AR-EG" style="color: black;">من تحت لفوق </span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: </span></u></b></div>
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1 Performing ABPI (in DM > 1).</div>
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<span style="color: black;">2- Examination of
other pulses</span></div>
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<span style="color: black;">3- Neurological
examin. & fundus examin.</span></div>
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<br /></div>
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<br /></div>
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<span style="color: red; font-size: 24pt;">Ischemia UL</span></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"> </span>Upto
groin & lower abdomen</div>
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<b><span style="color: #00007f;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Inspection
</span></u></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f;">من تحت لفوق </span></b></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Color changes in sole (Pallor – Rubor – <u>Cyanosis</u>)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Trophic changes: - Loss of Hair - Brittle nails -
Nicotine stain (edge 2 adj.fingers)</span></div>
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<span style="color: black;">- scar or Ulcer (vasospastic
ds) - Gangrene </span></div>
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<b><span style="color: #00007f;">2- <u>Palpation</u></span></b><span style="color: #00007f;"> Ask about pain </span></div>
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<span style="color: black; font-family: "Symbol";">· <b>TT</b>
(</span><span style="color: black;">Temperature from distal to proximal &
compare (very imp…) </span><span style="color: black; font-family: "Symbol";">& </span><span style="color: black;">Tenderness)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><b><span style="color: black;">Capillary refill time</span></b><span style="color: black;">:
press on thumb away from nail ( </span><span style="color: black; font-size: 10pt;">Normal: 2-3 sec</span><span style="color: black;">) </span></div>
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<b><span style="color: #00007f;">3- <u>Pulses</u></span></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;">(one side as
examiner ask & compare only femoral)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Radial ( Lat. Fl.carpi radialis) </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Ulnar (Lat. Fl.carpi ulnaris) <b><u> </u></b></span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Brachial (Lat. biceps aponeurosis): </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Posterior tibial: midway between med. malleolous &
tendo-achilis </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Subclavian (behind middle 1/3 clavicle)</span></div>
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<b><span style="color: #00007f;">4- <u>Special
tests</u></span></b><span style="color: black; font-family: "Symbol";"> </span><b><span style="color: black;">Allen’s test</span></b><b><span style="color: black; font-size: 9pt;"> </span></b><span style="color: black; font-size: 9pt;">1</span><span style="color: black;"> & <b>Addison test</b></span></div>
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<b><span style="color: #00007f;">5- <u>Auscultations</u></span><u><span style="color: black;"> </span></u></b><span style="color: black;">(over carotid
Fartery for bruit = stenosis) </span></div>
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<span style="color: black; font-size: 7pt;">1</span><span style="color: black; font-size: 10pt;"> <b>Allen test</b>: A test for integrity of the radial & ulnar
arteries, pt. make a fist then the examiner compresses the patient's radial and
ulnar arteries at the wrist. The patient is then asked to open and close the
hand rapidly until the palm appears white. The examiner then releases either
the radial or the ulnar artery and looks for return of pink colour and
circulation to the hand. The test is then repeated releasing the other artery.
Colour returns to pink 6 seconds if circulation through that artery is
adequate. Compare radial & ulnar to determine dominant artery of hand </span></div>
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<span style="color: red; font-size: 24pt;">Post-Thrombotic
Syndrome (PTS)</span></div>
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<b><u><span style="color: navy;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: navy;">Exposure: </span></u><span style="color: navy;"> </span></b>Upto groin</div>
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<b><span style="color: navy;">1- <u>Inspection</u></span></b></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Inverted champagne bottle appearance (due to
lipodermatosclerosis)</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Ulcer: 3S FED SS → </span><span style="color: black; font-size: 10pt;">ulcer in gaiter area), …X… cm, edge sloping, floor (healthy
/ necrotic),…..</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Signs Chr.Venous Insuffeciency around ulcer: Edema, Eczema,
Hyperpigmentation, Lipodermatosclerosis (area of subfascial fibrosis &
ischemis), V.V.</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Secondary Varicose Veins (need to be examined while
standing later)</span></div>
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<b><span style="color: navy;">2- <u>Palpation</u></span></b><span style="color: navy;"> Ask about pain</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">TT</span></div>
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<span style="color: black; font-family: "Symbol";">· E</span><span style="color: black;">dema & level </span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Ulcer: TEBS (NEVER)</span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: </span></u></b></div>
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1- E<span style="color: black;">xamination of Pulse & ABPI &
sensation (exclude ischemic & neuropathic & mixed ulcer for priority of
ttt) </span></div>
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2- Examination for <span style="color: black;">V.V. (while standing) </span></div>
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<span style="color: red; font-size: 24pt;">Varicose Veins Examination (standing)</span></div>
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<b><u><span style="color: navy;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: navy;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"> </span>Upto
groin </div>
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<b><span style="color: #00007f;">1- <u>Inspection</u> (standing) </span></b><b><span dir="RTL" lang="AR-EG" style="color: #00007f;">لف قدامى</span></b></div>
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<span dir="LTR"></span><span style="color: black; font-family: "Symbol";"><span dir="LTR"></span>· </span><span style="color: black;">V.V.
& its site (med. Side → LSV (long saph.v.) & lat. Side →
SSV(short saph.v.)</span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Signs CVI (ulcer, pigmentation, eczema
(purple), Lipodermatosclerosis</span><sup><span style="color: black; font-size: 10pt;">1</span></sup><span style="color: black;">)</span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Blow-out (site of perforator)
(fascial defects) </span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">SFJ</span><span style="color: black; font-family: "Symbol";"> (= </span><span style="color: black;">Saphina varix at skin crease)
</span><span style="color: black;">+ thrill on cough<span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span> </span><span dir="LTR"></span><span dir="LTR"></span> <span dir="RTL" lang="AR-EG">كح</span><span dir="LTR"></span><span lang="AR-EG"><span dir="LTR"></span> </span></span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Scar of previous oper. (leg – groin)</span></div>
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<span style="color: black;">→</span><span style="color: black; font-size: 10pt;">☺”I can see dilated elongated
tortuous veins on the -------aspect of the (leg/thigh) along the distribution
of the (long/short) Saphenous venous system. I can see also (Blow outs
/Ulcer/Eczema/ lipodermatosclerosis 1) “</span></div>
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<br /></div>
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<b><span style="color: navy;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Palpation</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;">Ask about pain</span></div>
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<span style="color: black; font-family: "Symbol";">·
TT (</span><span style="color: black;">Temp. </span><span style="color: black; font-family: "Symbol";">& </span><span style="color: black;">Tenderness)
</span><span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Edemal & Level</span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Fascial defects (at sites of perforators) (Blow-outs)
(Fegan test) </span><span style="color: black; font-size: 9pt;">2</span></div>
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<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">SFJ: feel thrill with cough →
incompetent SFJ </span></div>
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<span style="color: black; font-family: "Symbol";">·
I</span><span style="color: black;">nguinal L.N. (vertical & horizontal
groups)</span></div>
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<span style="color: black; font-size: 10pt;">☺” I am palpating the
vein to feel the blow outs 2, the SF junction, cough please, I can feel a
thrill, now will proceed to...” </span></div>
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<br /></div>
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<b><span style="color: navy;">3-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Percussion
(Tapping test)</span></u></b></div>
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<br /></div>
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<b><span style="color: navy;">4-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Tests </span></u><span style="color: black;"> </span></b></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Tapping test</span><span style="color: black; font-size: 9pt;">
3 </span><span style="color: black;">(percuss vein below by index & receive
by index other hand) → +ve</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 28.5pt;">
<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Tourniquet test</span><span style="color: black; font-size: 9pt;"> 4 </span><span style="color: black; font-size: 10pt;">see below</span></div>
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<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Doppler </span><span style="color: black; font-size: 8pt;">5</span><span style="color: black;">(SF junction – SP junction), examiner or u carry it (not
pt.)- locate artery (midinguinal point below crease)- locate vein just 1 cm below
& med. to artery – squeeze quadriceps (or ask pt. to cough) → hear bidirectional
flow → incompetent SFJ</span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish
my examination by: </span></u></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 56.7pt; margin-top: 0in; text-autospace: none;">
1-
Auscultating over V.V. for bruit = AVF.</div>
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<span style="color: black;">2- Examination of Abdomen & PR (for 2ry
V.V.)</span></div>
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<span style="color: black;">3- Exclude ischemia (examine pulse &
ABPI) </span></div>
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<br /></div>
</div>
<span style="color: black; font-family: "Times New Roman", "serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
<div class="WordSection7">
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<br /></div>
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<br /></div>
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<span style="color: black; font-size: 6pt;">1</span><span style="color: black; font-size: 9pt;"> </span><b><span style="color: black; font-size: 10pt;">Lipodermatosclerosis</span></b><span style="color: black; font-size: 10pt;">= skin changes due to Chronic venous
hypertension = sclerosis of skin & subcutaneous fat by fibrin deposition ,
tissue death and scarring </span></div>
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<span style="color: black; font-size: 10pt;">2 <b>Blow-out</b>=
Fascial defect at site of perforator veins (which communicate between
superficial & deep venous systems)</span></div>
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<span style="color: black; font-size: 10pt;">3 <b>Tap
test</b> = Percuss the vein with one hand and feel the thrill with the other.
Repaet on reverse </span></div>
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<span style="color: black; font-size: 10pt;">4 <b>Tourniquet
test</b> = Patient lies down, squeeze his L.L. to evacuate the veins, apply the
tourniquet below the SF junction and make him stand up. Wait 30 secs If the
vein doesn’t fill/fills slowly then the defect is from the SF junction,
otherwise the defect is from the perforators. If partially controlled then
↑ = both SFJ & perforators.</span></div>
<div class="MsoNormal" style="margin-left: 58.5pt; text-indent: -9.0pt;">
<span style="color: black; font-size: 10pt;">5 <b>Doppler </b>= </span><b><span style="font-size: 10.0pt;">to asses SFJ incompetence→ </span></b><span style="font-size: 10.0pt;">Carried by examiner or in your pocket (not by pt.) - At
site of thrill: Locate </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -49.5pt;">
<span style="font-size: 10.0pt;"> artery (below skin crease) then
vein just below &med. (1cm) - Squeeze quadriceps (punch of veins) or ask
pt. </span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-indent: -49.5pt;">
<span style="font-size: 10.0pt;"> to cough - Hear 2<sup>nd</sup>
sound (bidirectional flow)</span></div>
<div class="MsoNormal">
<span style="font-size: 10.0pt;">
= <b>to asses SPJ incompetence</b> (rare) - Flex knee (to relax muscles) - Locate
artery in midline & vein lies beside</span></div>
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<br /></div>
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<span style="color: red; font-size: 25pt;">Surgical A-V fistula </span><span style="color: red; font-size: 18pt;">(spot diagnosis)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 50.7pt; margin-top: 0in; text-autospace: none; text-indent: .25in;">
<b><u><span style="color: navy;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: navy;">Exposure:</span><span style="color: blue;"> </span></u><span style="color: blue;"> </span></b>to elbow (area lymph drainage)</div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: -24.0pt;">
<b><span style="color: navy;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span></b><span dir="LTR"></span><b><u><span style="color: navy;">Inspection</span></u><span style="color: navy;"> </span></b></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<span style="color: black;">→ ☺”dilated
pulsatile vessels in the forearm, with an overlying scar” </span></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-right: 14.7pt; text-autospace: none; text-indent: 49.5pt;">
<b><span style="color: navy;">2- <u> Palpation</u></span></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"> Ask about pain</span><span style="color: black;"> ”there is a thrill that can be felt, the distal limb is
well perfused”</span></div>
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<span style="color: black;"> </span><span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Feel synthetic material or
loop graft (only if examiner asked) </span></div>
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<br /></div>
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<span style="color: black;"> </span></div>
<div style="border: solid windowtext 1.0pt; margin-left: 48.25pt; margin-right: .2in; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none;">
<span style="color: #00007f; font-size: 10pt;">1- Indications </span><span style="color: black; font-size: 10pt;">: Renal failure (for regular
haemodialysis) </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none;">
<span style="color: #00007f; font-size: 10pt;">2- <u>Site</u></span><span style="color: black; font-size: 10pt;">: Upper Limb (start by non-dominant hand
& distal first) </span></div>
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<span style="color: #00007f; font-size: 10pt;">3- <u>Types </u></span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Direct: End to side (better) <b>OR</b> Side
by side (venous hypertension) </span></div>
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<span style="color: black; font-family: "Symbol"; font-size: 10pt;">·</span><span lang="FR" style="color: black; font-family: "Symbol"; font-size: 10pt;"> </span><span lang="FR" style="color: black; font-size: 10pt;">Bridge graft a- Autologous
: Saphenous vein </span></div>
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<span lang="FR" style="color: black; font-size: 10pt;">
</span><span style="color: black; font-size: 10pt;">b- Synthetic: PTFE </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Loop graft </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none;">
<span style="color: #00007f; font-size: 10pt;">4- <u>Complications </u></span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Nerve injury (especially radial &
median) </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Infection (especially in synthetic) </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Thrombosis & Occlusion </span></div>
<div class="MsoNormal" style="border: none; padding: 0in; text-autospace: none; text-indent: 37.25pt;">
<span style="color: black; font-family: "Symbol"; font-size: 10pt;">· </span><span style="color: black; font-size: 10pt;">Steal phenomenon: Claudication due to
inadequate perfusion</span></div>
</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; text-align: center; text-autospace: none;">
<span style="color: red; font-size: 25pt;">Lymphedema </span><span style="color: red; font-size: 18pt;">(spot diagnosis)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 50.7pt; margin-top: 0in; text-autospace: none; text-indent: .25in;">
<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure: </span></u><span style="color: #00007f;"> </span></b>Upto groin</div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 66.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;">1-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span></span></b><span dir="LTR"></span><b><span style="color: #00007f;"> <u>Inspection</u> </span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; text-autospace: none;">
Lymphedema of LL
because:</div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 68.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<span style="font-family: "Symbol";">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>In dorsum of foot</div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 28.2pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<span style="font-family: "Symbol";">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Unhealthy skin & mottled (due to
recurrent lymphangitis) </div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 28.2pt; margin-top: 0in; text-autospace: none;">
(recurrent lymphangitis → obstructed lymphatics →
↑ lymphedema)</div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 68.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<span style="color: black; font-family: "Symbol";">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>Preserved ankle crease </div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 68.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<span style="color: black; font-family: "Symbol";">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;">
</span></span><span dir="LTR"></span>+/- Fungal inf. (between toes)</div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 66.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: -.25in;">
<b><span style="color: #00007f;">2-<span style="font-family: "Times New Roman"; font-size: 7pt; font-style: normal; font-variant: normal; font-weight: 400; line-height: normal;"> </span></span></b><span dir="LTR"></span><b><u><span style="color: #00007f;">Palpation</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;">Ask about pain</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Edema & level</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Symbol";">·
</span><span style="color: black;">Inguinal L.N.</span></div>
<div class="MsoNormal" style="line-height: 20.0pt; margin-right: 68.7pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="text-indent: 45.0pt;">
<br /></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-45645071552589258252012-01-14T16:15:00.001-08:002012-01-14T16:15:24.329-08:00clinical - Breast discussion<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<b><span style="font-size: 18.0pt;">BREAST</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is the commonest site of breast cancer?</span></b><span style="font-size: 14.0pt;">
Upper outer quadrant</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are positions for breast examination?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u><span style="font-size: 14.0pt;">Inspection:</span></u><span style="font-size: 14.0pt;"> 45<sup>o</sup> with hands beside →elevation hands
(axilla & arm) → hand on waist (pect.maj. cont. for teethering)→ pt.
elevate br. (for big breasts- usual in <st1:place w:st="on"><st1:country-region w:st="on">Egypt</st1:country-region></st1:place>)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u><span style="font-size: 14.0pt;">Palpation:</span></u><span style="font-size: 14.0pt;"> 45<sup>o</sup> with hands beside → hand on waist (for
mass attach to pect.maj.)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to palpate breast? </span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">4
quadrants, areola, axillary tail, back breast</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">By
flat of middle 3 fingers to screen for masses</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">if
find mass → palpate by tip of fingers</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to manage case of breast swelling?</span></b><span style="font-size: 14.0pt;">
Triple assessment</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">clinical: history & examination</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">radiological: <35 years → breast U/S</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: -9.0pt; margin-top: 0in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>>35 years →
mammography</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: -9.0pt; margin-top: 0in;">
<span style="font-size: 14.0pt;">3-
Pathological: FNAC or trucut or excisional biopsy (if small)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are finding in mammography indicating malignant mass?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>microcalcification & speculations (irregular
swelling)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are other investigations (investigation for malignancy)?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Abdominal
U/S (for abdominal mts & Bone Scan (for bone scan)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to treat breast cancer 2cm?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">WLE
(wide local excision) with 1 cm safety margin </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">+
axillary clearance or axillary L.N. sampling</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">+
radiotherapy of breast & axilla (if no clearance & sampling +ve)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to manage treat breast cancer 6cm?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Radio
& Chemotherapy (to downstage & ↓ size tumor)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is diagnosis of breast case? </span></b><span style="font-size: 14.0pt;">Example</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Mass
in the Lt breast lower lateral quadrant, 2X2 cm, </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">ill
defined edge, smooth surface, firm consistency, not teethered or fixed to skin
or underlying muscle, axillary L.N.s not felt,<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">→
<u>case of breast mass for triple assessment</u></span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to treat breast abscess?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Drainage
by radial incision (to avoid interruption of lactating unit)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to differentiate benign from malignant breast mass?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Triple
assessment</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">history: duration & age of pt.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">examination: consistency, relation to skin & ms</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">pathological: FNAC</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">D.D.
Breast mass?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Physiological:
Fibroadenosis (ANDI)→ pain with menstruation</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Tr.:
fat necrosis</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Inf.:
abscess, mastitis</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Neoplastic:
Benign: Fibroadenoma (breast mouse), Duct papilloma, phylloides t.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Malig.: 1ry (ductal
carcinoma or lobular carcinoma) or 2ry</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are pathologies of
nipple?</b> <b><u>7D</u></b>: Destruction, Depression, Deviation, Displacement,
Discoloration, Discharge, Duplication</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What is dimple, buckering,
teethering, fixation?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Dimple= dip in skin, buckering=
multiple dimples, </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
teethering= induced dimpling
& mass can be moved for limited distance independent of skin (d.t.
infiltration or fibrosis of Cooper's ligs)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
fixation= mass can not be moved
independent of skin (d.t. infiltration of skin)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>How to differentiate causes
of nipple retraction?</b> Cong.→ can be everted, cancer→ can not</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Causes of nipple discharge?</b>
<u>Bl.</u>→duct papilloma or carcinoma, <u>watery or green</u>→fibroadenosis, <u>black</u>→
obstructed duct, <u>milk</u>→ lactation or<span style="mso-spacerun: yes;">
</span>gonorrhea, <u>yellow= pus</u>→ acute or chr. Mastitis, </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
N.B. duct ectasia ← <u>any
discharge except bl.</u></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
How to examine post-mastectomy
case?</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u>Insp</u>: (in all positions
as breast) </div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: -9.0pt; margin-top: 0in; text-indent: -9.0pt;">
skin→ scars,
dilated vs, ulcers or nodules= recurrence, radiotherapy marks: erythema &
ink marks (recent) or telangectasia (previous)</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: -9.0pt; margin-top: 0in; text-indent: -9.0pt;">
Ms (axillary
folds): ant.= pectoralis major & post. = latissmus dorsi</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u>Ms examination</u>:
pectoralis maj., L.D., serratus ant. </div>
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Palpation</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">:
continue as breast examination</span>
<br /></div>Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-6547265390554783573.post-61503940321576184272012-01-14T16:14:00.000-08:002012-01-14T16:14:14.368-08:00clinical- breast examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="WordSection1">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<span style="height: 2px; left: 0px; margin-left: 145px; margin-top: 265px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251171387;"><img height="2" src="br_files/image001.gif" v:shapes="_x0000_s1326" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 147px; margin-top: 264px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251172411;"><img height="2" src="br_files/image002.gif" v:shapes="_x0000_s1327" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 265px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251173435;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1328" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 138px; margin-top: 263px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251176507;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1331" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 270px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251178555;"><img height="2" src="br_files/image004.gif" v:shapes="_x0000_s1334" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 273px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251179579;"><img height="1" src="br_files/image005.gif" v:shapes="_x0000_s1335" width="3" /></span><span style="height: 1px; left: 0px; margin-left: 145px; margin-top: 273px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251180603;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1336" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 262px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251183675;"><img height="2" src="br_files/image006.gif" v:shapes="_x0000_s1339" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 140px; margin-top: 404px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251184699;"><img height="2" src="br_files/image007.gif" v:shapes="_x0000_s1344" width="5" /></span><span style="height: 2px; left: 0px; margin-left: 151px; margin-top: 392px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251185723;"><img height="2" src="br_files/image006.gif" v:shapes="_x0000_s1346" width="1" /></span><span style="height: 6px; left: 0px; margin-left: 152px; margin-top: 394px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251186747;"><img height="6" src="br_files/image008.gif" v:shapes="_x0000_s1347" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 152px; margin-top: 400px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251188795;"><img height="4" src="br_files/image009.gif" v:shapes="_x0000_s1349" width="1" /></span><span style="color: red; font-size: 26pt;">Breast Examination<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: .75in 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: .25in;">
<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>to umbilicus (not infront other pt.
& ask for chaperon)<span style="color: #00007f;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: navy;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection (45<sup>o</sup> →
RAISING ARM → ELEVATE BREAST→ HAND ON WAIST</u>) <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><b><u><span style="color: navy;">45<sup>o</sup> Foot of bed</span></u></b><span style="color: black;"> </span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Symmetry → Br. symm.& Nipples same
level </span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> contour → regular/irregular</span><span style="color: black; font-size: 10pt;"> </span><span style="color: black;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: -40.5pt;">
<b><u><span style="color: navy;"><span style="mso-spacerun: yes;"> </span>OR Side</span></u></b><span style="color: black;">
<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>4 Quadrants → Mass/ No<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 24.0pt;">
<span style="color: black; font-family: "Symbol";"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Nipple → </span><span style="color: black; font-size: 10pt;">retraction/ erosion/ discharge</span><span style="color: black;">
& <u>areola</u>→ </span><span style="color: black; font-size: 10pt;">fissure</span><span style="color: black;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.75in; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 27.0pt;">
<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Skin: scar
(ask), stage IV signs (peau d’orange </span><span style="color: black; font-size: 10pt;">1</span><span style="color: black;">, ulcer </span><span style="color: black; font-size: 10pt;">2</span><span style="color: black;">, red,
dimples)</span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 1.0in;">
<b><u><span style="color: navy;">RAISING
ARM </span></u></b><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"><span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span>Axillary tail & Arm for
mass<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Teethering of skin<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 1.0in;">
<b><u><span style="color: navy;">ELEVATE
BREAST</span></u><span style="color: navy;"><span style="mso-spacerun: yes;">
</span></span></b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Back of
breast → Mass/ No<span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Teethering of skin</span><b><u><span style="color: navy;"><o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 1.0in;">
<b><u><span style="color: navy;">HAND
ON WAIST</span></u><span style="color: navy;"><span style="mso-spacerun: yes;">
</span></span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>4 Quadrants →
Mass/ No<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Teethering of skin<o:p></o:p></span></div>
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<b><span style="color: black;">→</span></b><span style="color: black;"> <b>Describe Mass</b>: <b>5S</b><o:p></o:p></span></div>
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<b><span style="color: #00007f;">3-<span style="mso-spacerun: yes;"> </span><u>Palpation (</u></span><u><span style="color: navy;">45<sup>o</sup>→ HAND ON WAIST</span></u><span style="color: navy;">)<span style="mso-spacerun: yes;"> </span></span></b><u><span style="color: navy;">Ask about ds breast & Start by NORMAL breast<o:p></o:p></span></u></div>
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<b>1-<span style="color: #00007f;">
<span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Superficial
palpation:</span></b><span style="color: black;"> for mass (using pulp of middle
3 fingers) & <u>If do not find ask pt.</u><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <b>4
quadrants</b> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <b>Areola</b><o:p></o:p></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <b>Axillary
tail</b> <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> <b>Back of breast</b> (inframammary area)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→<span style="mso-spacerun: yes;">
</span>Mass </span><b>3S TT ESCRS<span style="color: #00007f;"> <o:p></o:p></span></b></div>
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<b><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black;">- <u>S</u>ite,
<u>S</u>hape, <u>S</u>ize<span style="mso-spacerun: yes;">
</span>-<span style="mso-spacerun: yes;"> </span>Temperature, Tenderness<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: black;">-<span style="mso-spacerun: yes;"> </span>Edge → well/ ill defined, <span style="mso-spacerun: yes;"> </span>-<span style="mso-spacerun: yes;"> </span>Surface
→ smooth/ irregular, <o:p></o:p></span></div>
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<span style="color: black;">-<span style="mso-spacerun: yes;"> </span><u>C</u>onsistency → firm/ hard,<span style="mso-spacerun: yes;"> </span>-<span style="mso-spacerun: yes;">
</span>Mobility in 2 planes → mobile/ fixed<o:p></o:p></span></div>
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<span style="color: black;">-<span style="mso-spacerun: yes;"> </span>Relation to <u>S</u>kin (pinch) → teethered
(1 point)/ fixed (all mass)/ not <o:p></o:p></span></div>
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<span style="color: black;">-<span style="mso-spacerun: yes;"> </span>Relation to pectoralis ms</span><span style="color: black; font-size: 10pt;"> 3</span><span style="color: black; font-size: 9pt;"> </span>(<b>Hand on waist) </b><span style="color: black;">→
fixed/ not <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
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<b> 2-<span style="mso-spacerun: yes;"> </span>Axillary & Supra-clavicular L.N.s </b>(support
by ipsilateral hand & palate by contralat. hand<b> </b><span style="color: black;">by tip of fingers & rolling movement)</span></div>
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<b><span style="color: black;">1-</span></b><span style="color: black; font-family: "Symbol";"> <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Anterior group<span style="mso-spacerun: yes;"> </span><b>2-</b> Central group<span style="mso-spacerun: yes;"> </span><b>3-</b> Lateral (humeral) group <span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">4-</span></b><span style="color: black;"> Apical group (bimanual below clavicle) <span style="mso-spacerun: yes;"> </span><b>5-</b> Posterior group (reverse hands)</span></div>
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<b><span style="color: black;">6-</span></b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>Supra-clavicular
L.N. ( pt. shrug shoulders & examine from behind)</span></div>
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<b><span style="color: black;">3-
<span style="mso-spacerun: yes;"> </span>Discharge:</span></b><span style="color: black;"> Ask pt. to express any discharge <o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: navy;">3-</span><span style="color: #323299;"><span style="mso-tab-count: 1;"> </span></span><u><span style="color: #00007f;">Percussion</span></u><span style="color: #00007f;"> </span></b>of
vertebrae → tender/ not (for metastasis)</div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: </span></u></b></div>
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1- Auscultation of lung base
(for malignant lung effusion)</div>
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2- Examination of Abdomen (for
hepatomegaly or ascites due to liver metastasis)</div>
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3- Percussion of back for
tender segment (if not done)</div>
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<span style="color: black; font-size: 10pt;">1 Ulcer = cancer encurise <span style="mso-spacerun: yes;"> </span>2 Peau d’orange = superficial edema
<o:p></o:p></span></div>
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<span style="color: black; font-size: 7pt;">3</span><span style="color: black; font-size: 10pt;"> Ask the patient to put her hands in her waist, move the mass in 2
perpendicular directions, then ask her To press against her hips, move the mass
in 2 directions (inline & perpendicular to the fibres of the pectoral
muscles), if the movement is limited then the mass is fixed to the muscle.</span><span style="height: 2px; left: 0px; margin-left: 145px; margin-top: 361px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251189819;"><img height="2" src="br_files/image001.gif" v:shapes="_x0000_s1360" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 147px; margin-top: 360px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251190843;"><img height="2" src="br_files/image002.gif" v:shapes="_x0000_s1361" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 361px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251191867;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1362" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 138px; margin-top: 359px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251194939;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1365" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 138px; margin-top: 366px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251196987;"><img height="2" src="br_files/image004.gif" v:shapes="_x0000_s1368" width="1" /></span><span style="height: 1px; left: 0px; margin-left: 141px; margin-top: 369px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251198011;"><img height="1" src="br_files/image005.gif" v:shapes="_x0000_s1369" width="3" /></span><span style="height: 1px; left: 0px; margin-left: 145px; margin-top: 369px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251199035;"><img height="1" src="br_files/image003.gif" v:shapes="_x0000_s1370" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 136px; margin-top: 358px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251202107;"><img height="2" src="br_files/image006.gif" v:shapes="_x0000_s1373" width="1" /></span><span style="height: 2px; left: 0px; margin-left: 140px; margin-top: 572px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251203131;"><img height="2" src="br_files/image007.gif" v:shapes="_x0000_s1379" width="5" /></span><span style="height: 4px; left: 0px; margin-left: 146px; margin-top: 571px; mso-ignore: vglayout; position: absolute; width: 6px; z-index: 251204155;"><img height="4" src="br_files/image018.gif" v:shapes="_x0000_s1380" width="6" /></span><span style="height: 2px; left: 0px; margin-left: 151px; margin-top: 560px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251205179;"><img height="2" src="br_files/image006.gif" v:shapes="_x0000_s1381" width="1" /></span><span style="height: 6px; left: 0px; margin-left: 152px; margin-top: 562px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251206203;"><img height="6" src="br_files/image008.gif" v:shapes="_x0000_s1382" width="1" /></span><span style="height: 4px; left: 0px; margin-left: 152px; margin-top: 568px; mso-ignore: vglayout; position: absolute; width: 1px; z-index: 251208251;"><img height="4" src="br_files/image009.gif" v:shapes="_x0000_s1384" width="1" /></span><span style="color: black;"><o:p></o:p></span></div>
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<span style="height: 3px; margin-left: 99px; margin-top: 698px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251209275;"><img height="3" src="br_files/image019.gif" v:shapes="_x0000_s3944" width="3" /></span><span style="height: 3px; margin-left: 99px; margin-top: 698px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251210299;"><img height="3" src="br_files/image019.gif" v:shapes="_x0000_s3945" width="3" /></span><span style="height: 3px; margin-left: 680px; margin-top: 698px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251211323;"><img height="3" src="br_files/image020.gif" v:shapes="_x0000_s3946" width="2" /></span><span style="height: 3px; margin-left: 680px; margin-top: 698px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251212347;"><img height="3" src="br_files/image020.gif" v:shapes="_x0000_s3947" width="2" /></span><span style="height: 2px; margin-left: 99px; margin-top: 922px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251213371;"><img height="2" src="br_files/image021.gif" v:shapes="_x0000_s3948" width="3" /></span><span style="height: 2px; margin-left: 99px; margin-top: 922px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 251214395;"><img height="2" src="br_files/image021.gif" v:shapes="_x0000_s3949" width="3" /></span><span style="height: 2px; margin-left: 680px; margin-top: 922px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251215419;"><img height="2" src="br_files/image022.gif" v:shapes="_x0000_s3950" width="2" /></span><span style="height: 2px; margin-left: 680px; margin-top: 922px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251216443;"><img height="2" src="br_files/image022.gif" v:shapes="_x0000_s3951" width="2" /></span><span style="height: 4px; margin-left: 492px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251217467;"><img height="4" src="br_files/image024.jpg" v:shapes="_x0000_s3952" width="5" /></span><span style="height: 4px; margin-left: 497px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251218491;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3953" width="5" /></span><span style="height: 4px; margin-left: 502px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251219515;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3954" width="5" /></span><span style="height: 4px; margin-left: 508px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251220539;"><img height="4" src="br_files/image027.jpg" v:shapes="_x0000_s3955" width="4" /></span><span style="height: 4px; margin-left: 512px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251221563;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3956" width="5" /></span><span style="height: 4px; margin-left: 518px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251222587;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3957" width="5" /></span><span style="height: 4px; margin-left: 523px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251223611;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3958" width="5" /></span><span style="height: 4px; margin-left: 528px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251224635;"><img height="4" src="br_files/image027.jpg" v:shapes="_x0000_s3959" width="4" /></span><span style="height: 4px; margin-left: 533px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251225659;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3960" width="5" /></span><span style="height: 4px; margin-left: 538px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251226683;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3961" width="5" /></span><span style="height: 4px; margin-left: 543px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251227707;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3962" width="5" /></span><span style="height: 4px; margin-left: 549px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251228731;"><img height="4" src="br_files/image027.jpg" v:shapes="_x0000_s3963" width="4" /></span><span style="height: 4px; margin-left: 553px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251229755;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3964" width="5" /></span><span style="height: 4px; margin-left: 558px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251230779;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3965" width="5" /></span><span style="height: 4px; margin-left: 564px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251231803;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3966" width="5" /></span><span style="height: 4px; margin-left: 569px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 251232827;"><img height="4" src="br_files/image027.jpg" v:shapes="_x0000_s3967" width="4" /></span><span style="height: 4px; margin-left: 574px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251233851;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3968" width="5" /></span><span style="height: 4px; margin-left: 579px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251234875;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3969" width="5" /></span><span style="height: 4px; margin-left: 584px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 251235899;"><img height="4" src="br_files/image026.jpg" v:shapes="_x0000_s3970" width="5" /></span><span style="height: 4px; 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margin-left: 549px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252113467;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4827" width="4" /></span><span style="height: 5px; margin-left: 553px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252114491;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4828" width="5" /></span><span style="height: 5px; margin-left: 558px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252115515;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4829" width="5" /></span><span style="height: 5px; margin-left: 564px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252116539;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4830" width="5" /></span><span style="height: 5px; margin-left: 569px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252117563;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4831" width="4" /></span><span style="height: 5px; margin-left: 574px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252118587;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4832" width="5" /></span><span style="height: 5px; margin-left: 579px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252119611;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4833" width="5" /></span><span style="height: 5px; margin-left: 584px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252120635;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4834" width="5" /></span><span style="height: 5px; margin-left: 590px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252121659;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4835" width="5" /></span><span style="height: 5px; margin-left: 595px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252122683;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4836" width="4" /></span><span style="height: 5px; margin-left: 599px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252123707;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4837" width="5" /></span><span style="height: 5px; margin-left: 605px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252124731;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4838" width="5" /></span><span style="height: 5px; margin-left: 610px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252125755;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4839" width="5" /></span><span style="height: 5px; margin-left: 615px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252126779;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4840" width="4" /></span><span style="height: 5px; margin-left: 620px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252127803;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4841" width="5" /></span><span style="height: 5px; margin-left: 625px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252128827;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4842" width="5" /></span><span style="height: 5px; margin-left: 630px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252129851;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4843" width="5" /></span><span style="height: 5px; margin-left: 636px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252130875;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4844" width="4" /></span><span style="height: 5px; margin-left: 640px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252131899;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4845" width="5" /></span><span style="height: 5px; margin-left: 646px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252132923;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4846" width="5" /></span><span style="height: 5px; margin-left: 651px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252133947;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4847" width="5" /></span><span style="height: 5px; margin-left: 656px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252134971;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4848" width="4" /></span><span style="height: 5px; margin-left: 661px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252135995;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4849" width="5" /></span><span style="height: 5px; margin-left: 666px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252137019;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4850" width="5" /></span><span style="height: 5px; margin-left: 671px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252138043;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4851" width="5" /></span><span style="height: 5px; margin-left: 677px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252139067;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4852" width="4" /></span><span style="height: 5px; margin-left: 681px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252140091;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4853" width="5" /></span><span style="height: 5px; margin-left: 686px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252141115;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4854" width="5" /></span><span style="height: 5px; margin-left: 692px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252142139;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4855" width="5" /></span><span style="height: 5px; margin-left: 697px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252143163;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4856" width="4" /></span><span style="height: 5px; margin-left: 702px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252144187;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4857" width="5" /></span><span style="height: 5px; margin-left: 707px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252145211;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4858" width="5" /></span><span style="height: 5px; margin-left: 712px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252146235;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4859" width="5" /></span><span style="height: 5px; margin-left: 718px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252147259;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4860" width="5" /></span><span style="height: 5px; margin-left: 723px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252148283;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4861" width="4" /></span><span style="height: 5px; margin-left: 727px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252149307;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4862" width="5" /></span><span style="height: 5px; margin-left: 733px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252150331;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4863" width="5" /></span><span style="height: 5px; margin-left: 738px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252151355;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4864" width="5" /></span><span style="height: 5px; margin-left: 743px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252152379;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4865" width="4" /></span><span style="height: 5px; margin-left: 748px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252153403;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4866" width="5" /></span><span style="height: 5px; margin-left: 753px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252154427;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4867" width="5" /></span><span style="height: 5px; margin-left: 758px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 5px; z-index: 252155451;"><img height="5" src="br_files/image028.jpg" v:shapes="_x0000_s4868" width="5" /></span><span style="height: 5px; margin-left: 764px; margin-top: 473px; mso-ignore: vglayout; position: absolute; width: 4px; z-index: 252156475;"><img height="5" src="br_files/image029.jpg" v:shapes="_x0000_s4869" width="4" /></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-16582189506950820752012-01-13T15:10:00.000-08:002012-01-13T15:10:03.988-08:00clinical- neck discussion (Qs and As)<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<b><span style="font-size: 18.0pt;">D.D. neck swelling</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">D.D.
neck swelling?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">1-
Midline swellings: thyroid (solid & moves with swallowing only) &
thyroglossal cyst (cystic +move with prot.tongue & swallowing) & L.N.
(pre-laryngeal & pre-tracheal)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">2-
<st1:place w:st="on">Ant.</st1:place> Triangle: Chemodectoma (= carotid body
tumor solid), Branchial cyst, cold abscess (=collar stud abscess = T.B. L.N.
complication) & L.N. </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">3-
Within sternomastoid: sternomastoid tumor (hematoma)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">4-
Post. Triangle: Pharyngeal pouch (reducible), Cystic hygroma (cystic), L.N.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">5-
Parotid region: Endemic parotitis, parotid ts, obstructing stone</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>[+ swelling from skin & SCT: lipoma,
sebaceous cyst, dermoid cyst]</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Thyroglossal cyst: aetio, diagnostic
signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Def: Remnant patent part of
throglossal tract (attached to foramen cecum of tongue) → moves with protrusion
of tongue & swallowing</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Signs: +ve paget &
transillumination</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: clinical diagnosis +/- U/S
or Ct for extent to tongue</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
ttt: Cis-trunk oper. = excision
with all tract to base tongue & middle part of hyoid bone </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Branchial cyst or sinus or
fistula: aetio, diagnostic signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Def.: Remnants of 2<sup>nd</sup>
pharyngeal arch (lack fusion 2<sup>nd</sup> * 3<sup>rd</sup> arch), in young
adult</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Signs: +ve paget &
transillumination</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
- Sinus= blind end tract lined
by epith. Or granulation tissue</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
- Fistula= abnormal tract
connecting 2 epithelial surfaces</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>Clinically both (sinus & fistula)
are considered sinus</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: clinical diagnosis + FNAC→
cholesterol</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: complete excision</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Chemodectoma (Carotid body t.)
(potato t.): aetio, diagnostic signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Def: Benign t. at carotid
bifurcation infront sternomastoid</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Signs: Pulsatile itself or
transmits pulsation underlying carotid arteries, usually bilat.</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: Angiography
(goldstandard), U/S or CT (for extent)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: small & bilat. →
observe</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>Enlarging or invasive → excision or
radiotherapy</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Cold abscess: aetio,
diagnostic signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Sternomastoid t. : aetio,
diagnostic signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Pharyngeal pouch: aetio,
diagnostic signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Def.: Herniation of pharyngeal
mucosa through ms coat between thyropharyngeus & cricopharyngeus (Kellian
dehiscence) → asymptomatic or dysphagia</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Signs: palpation → squelching
sound</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: Ba swallow (diagnostic)
(can be done routin befor any UGIE) or endosc: if t.</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Complic.: aspiration → chest inf
& rarely neoplasia(1%)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: if small, asympt.→
conservative,<span style="mso-spacerun: yes;"> </span>otherwise → excision open
or endoscopic </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Cystic hygroma: aetio, diagnostic
signs, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Def.: cong. Cystic lymphatic
malformation</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Signs: +ve cross fluctuation
& transillumination</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: <st1:place w:st="on"><st1:city w:st="on">CXR</st1:city>, <st1:state w:st="on">CT</st1:state></st1:place>, MRI
(for extent)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Complic.: obstructed delivery
(at birth), dyspnea or dysphagia (later)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: aspiration or excision (partial
or complete)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<b><span style="font-size: 18.0pt;">Thyroid</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to differentiate between thyroid swelling & thyroglossal cyst?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">By
protrusion of tongue & swallowing:</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">1-
Thyroid swelling: does not move with protrusion tongue & moves with
swallowing</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">2
Thyroglossal cyst: moves with protrusion of tongue & swallowing</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Why
thyroid swelling moves with swallowing? </span></b><span style="font-size: 14.0pt;">Attachment
to pretracheal fascia</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Why
thyroglossal cyst move with swallowing & protrusion tongue? </span></b><span style="font-size: 14.0pt;">Attachment to foramen cecum at base tongue</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Do
we have to test every swelling by protrusion of tongue?</span></b><span style="font-size: 14.0pt;"> NO, if butterfly swelling → not thyroglossal cyst, do
only swallowing to confirm it is thyroid</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
Qs to ask pt. about thyroid status?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Intolerance
of hot weather (hyperthyroidism) or col weather (hypothyroidism)</span></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<span dir="RTL" lang="AR-EG" style="font-size: 14.0pt; mso-bidi-language: AR-EG;">بتحب الصيف
و لا الشتا</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why hyperthyroid pt. (thyrotoxic pt.) have
tachycardia? </span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Because thyroid H. ↑ effect of catecholamines on heart</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Why thyroid swelling moves up & down with
deglutition (swallowing)?</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Due to attachment to pre-tracheal fascia</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">Where to feel carotid pulsation?</span></b><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;"> Anterior to sternomastoid ms
in carotid triangle in ant.triangle of neck</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<span dir="RTL" lang="AR-EG" style="font-size: 14.0pt; mso-bidi-language: AR-EG;">دايما تلاقى
قدامه كوب ماء و زجاجة و رزمة ورق<span style="mso-spacerun: yes;"> </span></span><span style="font-size: 14.0pt; mso-bidi-language: AR-EG;">thyroid<span dir="RTL" lang="AR-EG"><span style="mso-spacerun: yes;"> </span></span><span lang="AR-EG"><span style="mso-spacerun: yes;"> </span><span dir="RTL"><span style="mso-spacerun: yes;"> </span>حالة</span></span></span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is normal relation between cornea & eyelid?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Normal
eye: upper 1/5 cornea covered & lower edge just touching lower lid (no rim)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is n. supply of LPS ms?</span></b><span style="font-size: 14.0pt;"> Only ocular
ms with Dual n. supply</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l7 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Somatic: occulomotor</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l7 level1 lfo4; tab-stops: list .5in left 6.5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Sympathetic:</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<b><span style="font-size: 14.0pt;">What
is difference between exophthalmos & Proptosis?</span></b><span style="font-size: 14.0pt;"> Not imp.</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<b><span style="font-size: 14.0pt;">What
are eye signs in hyperthyroidism?</span></b><span style="font-size: 14.0pt;"> Fix
head while examining</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="font-size: 14.0pt;">Staring
look</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="font-size: 14.0pt;">Infrequent
blinking</span></div>
<div class="MsoNormal" style="margin-left: .25in; tab-stops: 6.5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Lid retraction: rim above cornea (due to spasm of
Muller part of Levator pulpeprae superioris (LPS) due to ↑ sympathetic tone)</span></div>
<div class="MsoNormal" style="margin-left: .25in; tab-stops: 6.5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Apparent exophthalmos: rim below cornea & above =
sclera visible allaround (due to eyeball protrusion)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-left: .25in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 6.5in; text-autospace: none; text-indent: -.25in;">
<span style="color: black; font-size: 14.0pt;">Lack Wrinkling (Joffroy’s sign): when eyeball look upward (due to
exophthalmos not need to wrinkle to extend field) <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-left: 48.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 116.1pt 6.5in; text-autospace: none; text-indent: -48.0pt;">
<span style="color: black; font-size: 14.0pt;">Lid Lag (VonGrave’s sign): upper lid lags while eyeball looks down
(as lid retraction)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-left: 48.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 116.1pt 6.5in; text-autospace: none; text-indent: -48.0pt;">
<span style="color: black; font-size: 14.0pt;">Lack convergance (Mobiu’s sign):<span style="mso-spacerun: yes;">
</span>(due to weakness of med. rectus = converging ms)</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="color: black; font-size: 14.0pt;">Exophthalmos examination from behind while extending head (Naffziger’s)</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>[Naffziger test
replaces the obsolete ophthalmometer to detect mild exophthalmos]<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="font-size: 14.0pt;">NO
ophthalmoplegia = no<span style="mso-spacerun: yes;"> </span>(examine if asked)
cover contralat. Eye & follow my index</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<span style="font-size: 14.0pt;">Normal
Visual acuity = optic n. not infiltrated (examine if asked)</span></div>
<div class="MsoNormal" style="tab-stops: 6.5in;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is diagnosis of Thyroid case?</span></b><span style="font-size: 14.0pt;"> Example</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Thyroid
status: Pt. not warm, hands not sweaty, no fine tremors, no tachycardia, no
water hammer pulse, no pretibial myxedema, no lidlag, no apparent exophthalmous</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Thyroid: butterfly swelling infront lower neck
in ant. triangle 5X7 cm, does not move with protrusion of tongue & moves
with swallowing, edge well defined surface nodular, firm consistency, not
attached to skin or sternomastoid ms, no L.N. enlargement or carotid
displacement or infiltration</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Case
of thyroid enlargement with euthyroid status, propably simple nodular goiter</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">D.D.
Thyroid swelling (Goitre)?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u><span style="font-size: 14.0pt;">Diffuse:</span></u><span style="font-size: 14.0pt;"> Non-toxic→ Simple colloid goitre </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>→ Thyroiditis
(Hashimoto, Riedle's, De Quervain)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Toxic → Grave's disease</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u><span style="font-size: 14.0pt;">Nodular:</span></u><span style="font-size: 14.0pt;"> <span style="mso-spacerun: yes;"> </span>Solitary
Nodule</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Multi-nodular goiter (M.N.G.)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Any
of above may be toxic or malignant or undergo changes</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to investigate case thyroid enlargement?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Lab.:
TSH, T3, T4 & routine Lab for oper.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Neck
U/S: → Solid or Cystic</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">FNAC:
if cystic, if malign. cyst→ total thyroidectomy</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">+/-
Thyroid scan: (for solitary nodule) → Cold or Hot</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">+/-
CXR: (for retrosternal extension)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Ask
pt. Q to suspect malignancy?</span></b><span style="font-size: 14.0pt;"> How long
have the swelling? If Long → benign</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to prepare pt. for thyroidectomy?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Inderal
(either stop gradually before oper. or continue)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Carbimazole
= neomercazole</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Why
some of eye signs not +ve?</span></b><span style="font-size: 14.0pt;"> Because
pt. may be on medical ttt</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is medical ttt hyperthyroidism?</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l0 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Inderal: ↓ effect of thyroid H. on heart</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l0 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Neomercazole: ↓ synthesis thyroid Hs (T3, T4)</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Simple colloid goitre: aetio,
investig., ttt?</b> Commonest cause</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Aetio.: hyperplasia of gl. To
meet demands Thyroid h.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l8 level1 lfo8; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>I deficiency</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l8 level1 lfo8; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>↑ demand: puberty, preg, lactation</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l8 level1 lfo8; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>Goitrogens (Lithium & antithyroid)</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l8 level1 lfo8; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span>↓ Thyroid h. production (rare) </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: no (except if suspect
toxic, malign., retrosternal ext)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: conservative <span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Grave's disease: aetio, investig.,
ttt? </b>Common in female 9:1</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Aetio.: Ab (Ig) against TSH
receptors → persistent stmulation → ↑ thyroid hs</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ccc: thyroid eye ds, pretibial
myxedema, other autoimmune ds (IDDM, pernicious anemia)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: as above</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
TTT: medical: inderal &
neomercazole → Radioactive I (if failed medical)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>Surg.: (failed medical) Bilat.
Subtotal thyroidectomy (leave 4-10gms for T3,4 and PTH)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Multi-nodular goiter (M.N.G.)
: aetio, investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Aetio.: progression from simple
diffuse goiter, Family history +ve, </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Inv.: if suspect toxic, malign.,
retrosternal ext. (as above)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: conservative (if not toxic,
no pr. S/S & not malignant, no cosmetic)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>If toxic→ medical →(fail)→radio I
→(fail)→ Bilat. Subtotal thyroidectomy</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>If pr. S/S → Bilat. Subtotal
thyroidectomy</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>If malign. → Total thyroidectomy (as
below)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Solitary thyroid Nodule: aetio,
investig., ttt?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Aetio.: middle age female</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l2 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>nodule in M.N.G.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l2 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>adenoma (follicular)</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l2 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>cyst (rarely pure but mostly hge into necrotic nodule) → FNAC</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l2 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";"> </span></span>carcinoma</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l2 level1 lfo9; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">5-<span style="font: 7.0pt "Times New Roman";"> </span></span>thyroiditis</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
inv.: all of above</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
ttt: according to cause as
M.N.G. (cold nodule is considered carcinoma till proved otherwise).</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Why FNAC not differentiate follicular
adenoma from carcinoma? </b>Because no capsule presented</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Difference between Grave's ds
& toxic M.N.G.?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Grave's ds: young, eye signs,
associated with autoimmune ds </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
toxic M.N.G.: old, no eye signs,
not<span style="mso-spacerun: yes;"> </span>associated with autoimmune ds, AF is
common </div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are causes
Hyperthyroidism? </b>Grave's ds, toxic M.N.G. & functioning adenoma</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are causes
Hypothyroidism? </b>1ry myxedema & Hashimoto thyroiditis</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What is benign thyroid tumor?
</b>Follicular adenoma (not differentiated from carcinoma by FNAC)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Compare types thyroid
malignancy?</b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Papillary</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Follicular</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Anaplastic</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Medullary</b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.4pt;" valign="top" width="133">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>Lymphoma</b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
75%</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
10%</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
5%</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
8%</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.4pt;" valign="top" width="133">
<div class="MsoNormal" style="margin-right: -9.0pt;">
2%</div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Young</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Middle age</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Old age</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
90% sporadic, 10% familial
(MEN II)</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.4pt;" valign="top" width="133">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Lymph spread</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Bl. spread</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Direct spread</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
From parafollic. cells</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.4pt;" valign="top" width="133">
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
total thyroidectomy</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
total thyroidectomy</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Debulking+radio +chemotherapy</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.35pt;" valign="top" width="132">
<div class="MsoNormal" style="margin-right: -9.0pt;">
total thyroidectomy</div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 99.4pt;" valign="top" width="133">
<div class="MsoNormal" style="margin-right: -9.0pt;">
Chemotherapy</div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b>What is Pemberton sign?</b></div>
<div class="MsoNormal">
Elevation arms 3 mins above head → face congestion &
dizziness = retrosternal extension</div>
<div class="MsoNormal">
<b>How test myopathy with hyperthyroidism? </b>Squat then
stand up</div>
<div class="MsoNormal">
<b>Why ENT examinat. Before thyroidectomy? </b>Medicolegal
(unilat. Cong. Paralysis 2-5%)</div>
<div class="MsoNormal">
<b>How test n. inj. after thyroidectomy? <span style="mso-spacerun: yes;"> </span></b><span dir="RTL" lang="AR-EG" style="mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>قول الحمد لله </span>RLN→
hoarsness & SLN→ weak voice</div>
<div class="MsoNormal">
<b>Cause Exophthalmos? </b>Retro-orbital cell deposition
& edema</div>
<div class="MsoNormal">
<b>Cause congested neck vs with goiter? </b>Retrosternal
extension</div>
<div class="MsoNormal">
<b>Which ms first affected by ophthalmoplegia? </b>Sup.
Rectus (up) & Inf.Obl. (up & out) </div>
<div class="MsoNormal">
<b>What is chemosis? </b>Edema of conjunctiva</div>
<div class="MsoNormal">
<b>Complications of thyroidectomy?</b></div>
<div class="MsoNormal">
Hge & Hematoma → airway obst. (clip remover beside bed)</div>
<div class="MsoNormal">
Hoarsness (RLN inj.) or weak voice (SLN inj.)</div>
<div class="MsoNormal">
Hyperthyroidism (thyroid storm)</div>
<div class="MsoNormal">
Hypothyroidism</div>
<div class="MsoNormal">
Hypoparathyroidism → Hypocalcemia</div>
<div class="MsoNormal">
Wound: inf, hypertrophic scar or keloid</div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Parotid Gland</span></b></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is nerve supply of
masseter ms?</span></b><span style="font-size: 14.0pt;"> Mandibular branch of
trigeminal</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What does facial nerve
supplies? </span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Ms of face: Occiptofrontalis
by Temporal branch</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Orbicularis occuli by Zygomatic
br.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Buccinator by Buccal br. </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Orbicularis oris by
mandibular br.</span></div>
<div class="MsoNormal" style="text-indent: 63.0pt;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>platysma by cervical br.</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">post. Belly of digastric</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Stapedius</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Chorda tympani (taste to ant.
2/3 of tongue)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to diagnose case of parotid enlargment?</span></b><span style="font-size: 14.0pt;">
Example:</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Swelling
in parotid region bilaterally measure 4X4 cm, edge well defined, smooth
surface, soft consistency, ↑ with clenching teeth, cervical L.N.s not felt,
facial n. intact, superficial temp. a. pulsation felt bilaterally</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Case
of bilateral parotid gland enlargment </span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Ask
pt. some questions about his case (Parotid swelling)?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt; text-indent: .25in;">
<span style="font-size: 14.0pt;">How long you have this swelling: if long → benign</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt; text-indent: .25in;">
<span style="font-size: 14.0pt;">You have CLD, Bilhariziasis, alcoholic?</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt; text-indent: .25in;">
<span style="font-size: 14.0pt;">You took radio- or chemotherapy?</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt; text-indent: .25in;">
<span style="font-size: 14.0pt;">How this swelling is affecting your life?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is D.D. of this
swelling?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">skin & SCT: lipoma, sebaceous cyst</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">ms: masseter hypertrophy</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">L.N.: preauricular</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Gl.: parotid enlargement</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are causes (D.D.) of
parotid enlargement? </span></b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><u><span style="font-size: 14.0pt;">unilat.:</span></u></b><span style="font-size: 14.0pt;">
acute inflammation (bac: strept, staph & viral), obstructing stone,
pleomorphic adenoma & other as bilat. (see below)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><u><span style="font-size: 14.0pt;">bilat.:</span></u></b><span style="font-size: 14.0pt;">
chr<span dir="RTL" lang="AR-SA">ذ</span>onic inflammation = endemic parotiditis due
to debilitating ds (CLD, Alcohol (worldwide), Bilhariziasis (<st1:country-region w:st="on"><st1:place w:st="on">Egypt</st1:place></st1:country-region>), mumps,
autoimmune ds (Sjogren, Mickulciz ds)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are ccc Sjogren ds?</span></b><span style="font-size: 14.0pt;"> Parotid
enlargement & eye inflamm. & dry secretions +/- CT disorder (arthritis)
+ high incidence of B-cell lymphoma</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are types of</span></b><span style="font-size: 14.0pt;"> <b>Sjogren ds? </b>1ry
(no CT disorders) &2ry (CT disorders)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are ccc Mickulciz ds?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Parotid
& lacrimal gl. enlargement & dry secretions (dry eye & dry mouth)
due to sarcoidosis, lymphoma or T.B.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to surely identify facial nerve?</span></b><span style="font-size: 14.0pt;">
Nerve stimulation</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are Types, investing.
& ttt of salivary tumors?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Types:</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u>Benign: </u>Pleomorpic
adenoma (mixed t.) & Monomorphic adenoma (commonest is adenolymphoma=
Warthin's tumor)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u>Malignant:</u> Mucoepidermid
carcinoma (parotid) & Adenoid cystic carcinoma (submand. & minor gls)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Investig.: FNAC (exclude malign.
& MRI (if malign. or huge size to asses deep lobe involvement)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
Ttt: Benign + no deep lobe →
Superficial conservative parotidectomy (preserve facial n.)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>Benign + deep lobe involved → Total
conservative parotidectomy</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="mso-spacerun: yes;"> </span>Malig. → radical parotidectomy (should
include facial n. BUT may try to spare it)</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are causes of facial
palsy?</b></div>
<div class="MsoNormal">
Idiopathic= Bell's palsy</div>
<div class="MsoNormal">
Intracranial: CVA, meningitis, acoustic neuroma</div>
<div class="MsoNormal">
Intratemporal: skull base Fr., O.M., SCC middle ear</div>
<div class="MsoNormal">
Parotid: parotid malignancy</div>
<div class="MsoNormal">
<b>Commonest gl. For stones? </b>Submandibular gl.</div>
<div class="MsoNormal">
<b>Commonest gl. For tumors? </b>Parotid but mostly banign</div>
<div class="MsoNormal">
<b>Complications of parotidectomy? General & Specific →</b></div>
<div class="MsoNormal">
Wound: hematoma, inf., </div>
<div class="MsoNormal">
Facial inj.</div>
<div class="MsoNormal">
Salivary fistula</div>
<div class="MsoNormal">
Frey syndrome (auriculotemporal syndrome)= gustatory
sweating d.t. regrowth of symp.n. into skin</div>
<div class="MsoNormal">
Greater auricular n.inj. → Loss sensation of pinna</div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Submandibular Gland vs L.N.</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to differentiate submandibular gl. Enlargement from submandibular L.N.?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">History
Ask Qs about</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l5 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">You have other swellings: multiple swellings → L.N., Single →
submand.gl.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l5 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">What ↑ the swelling? If ↑ by sour food → submand.gl.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Examination</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l6 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">multiple or single?</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l6 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Bimanual examination (hand at ts ramus mandible & gloved hand
inside)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in;">
<span style="font-size: 14.0pt;">If
felt bimanually → submand.gl.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in;">
<span style="font-size: 14.0pt;">If
not felt bimanually & only rolled from outside → submand. L.N.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Where
is the duct of submand.gl.?</span></b><span style="font-size: 14.0pt;"> beside
frenulum of tongue</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to surely diagnose submandibular gl. Stone?</span></b><span style="font-size: 14.0pt;"> Sialogram</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
type of L.N. biopsy is usually done? </span></b><span style="font-size: 14.0pt;">Excisional
biopsy (NO FNAC)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Do
we usually do palpation parotid gl.?</span></b><span style="font-size: 14.0pt;">
NO, bec rare stone, pain, difficult</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Why
salivary stones more common on submand. Gl. Than parotid gl.? </span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Bec.
Submandib.gl. → thick secretion & duct less dependent</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Lymph nodes (esp, Submandibular)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 19.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 136.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -67.5pt;">
<b><span style="font-size: 14.0pt;">Causes of Lymph
node enlargement ? (LIST)</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -67.5pt;">
<span style="color: black; font-size: 14.0pt;">1- <b>L</b>ymphoma / Leukemia </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;">
</span>Hodgkin’s<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;">
</span>Non-Hodgkin’s </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: -67.5pt;">
<span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;">2- <b>I</b>nfective<b><u>
</u></b></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;"><span style="mso-spacerun: yes;"> </span>Nonspecific </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;"><span style="mso-spacerun: yes;"> </span>Bac. : Tuberculosis </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span style="color: black; font-size: 14.0pt;"></span><span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;"><span style="mso-spacerun: yes;">
</span>Viral: IMN (Glandular fever) - Syphilis</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -40.5pt;">
<span style="color: black; font-family: Symbol; font-size: 14.0pt;">·</span><span style="color: black; font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Protozoal:
<span style="mso-spacerun: yes;"> </span>Filariasis- <span style="mso-spacerun: yes;"> </span>Toxoplasmosis (Cat scratch fever)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -67.5pt;">
<span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;">3- <b>S</b>arcoidosis<b><u>
</u></b><u><span style="mso-spacerun: yes;"> </span></u></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.5pt; margin-right: 9.0pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: -67.5pt;">
<span lang="FR" style="color: black; font-size: 14.0pt; mso-ansi-language: FR;">4- <b>T</b>umor<b><u>
</u></b></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">How to investigate enlarged L.N.? </span></b></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-size: 14.0pt;">first
look for other L.N.s & for RES (HSM)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">FBC (differential count)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Specific tests: IMN (monospot test) & T.B. (…..)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Bone marrow biopsy (Sternal puncture)</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo6; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">4-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Lymph node biopsy: excisional biopsy (if suspect tumor)</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>But FNAC recommended in T.B (avoid chr.
ulcer) & SCC</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">N.B. Some surgeons start by
FNAC then proceed accordingly (see below)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">Name
1 imp. L.N. of deep cervical?</span></b><span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>Jugulo-digastric draining ……</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>What are surgical options for
excision of cervical lymphadenopathy?</b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l3 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";"> </span></span>open L.N. excision biopsy</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l3 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";"> </span></span>Block dissection of neck & limited block neck dissection</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; mso-list: l3 level1 lfo7; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";"> </span></span>Radical neck dissection</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b>How to proceed according to
FNAC of L.N.?</b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
If Lymphoma, adenocarcin. or
inflamm.(except T.B.) → excisional biopsy & search for 1ry or cause</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
If T.B. → ttt T.B.</div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
If SCC → refere to ENT to find
1ry</div>
<br /></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6547265390554783573.post-67308444709397549222012-01-13T15:01:00.000-08:002012-01-13T15:03:36.775-08:00Clinical- neck examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<br /></div>
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<br /></div>
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<span style="height: 3px; left: 0px; margin-left: 83px; margin-top: 373px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250520033;"><img height="3" src="neck_files/image001.gif" v:shapes="_x0000_s1205" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 83px; margin-top: 373px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250521057;"><img height="3" src="neck_files/image001.gif" v:shapes="_x0000_s1206" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 707px; margin-top: 373px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250522081;"><img height="3" src="neck_files/image001.gif" v:shapes="_x0000_s1211" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 707px; margin-top: 373px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250523105;"><img height="3" src="neck_files/image001.gif" v:shapes="_x0000_s1212" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 707px; margin-top: 373px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250524129;"><img height="3" src="neck_files/image001.gif" v:shapes="_x0000_s1213" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 83px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250525153;"><img height="2" src="neck_files/image002.gif" v:shapes="_x0000_s1217" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 163px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250526177;"><img height="2" src="neck_files/image002.gif" v:shapes="_x0000_s1219" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 527px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250527201;"><img height="2" src="neck_files/image003.gif" v:shapes="_x0000_s1221" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 707px; margin-top: 391px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250528225;"><img height="2" src="neck_files/image002.gif" v:shapes="_x0000_s1223" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 83px; margin-top: 408px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250529249;"><img height="2" src="neck_files/image004.gif" v:shapes="_x0000_s1228" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 332px; margin-top: 408px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250530273;"><img height="2" src="neck_files/image005.gif" v:shapes="_x0000_s1231" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 527px; margin-top: 408px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250531297;"><img height="2" src="neck_files/image003.gif" v:shapes="_x0000_s1233" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 594px; margin-top: 408px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250532321;"><img height="2" src="neck_files/image006.gif" v:shapes="_x0000_s1235" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 707px; margin-top: 408px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250533345;"><img height="2" src="neck_files/image004.gif" v:shapes="_x0000_s1237" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 527px; margin-top: 441px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250534369;"><img height="3" src="neck_files/image007.gif" v:shapes="_x0000_s1253" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 594px; margin-top: 441px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250535393;"><img height="3" src="neck_files/image008.gif" v:shapes="_x0000_s1255" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 707px; margin-top: 441px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250536417;"><img height="3" src="neck_files/image009.gif" v:shapes="_x0000_s1257" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 527px; margin-top: 458px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250537441;"><img height="3" src="neck_files/image007.gif" v:shapes="_x0000_s1275" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 594px; margin-top: 458px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250538465;"><img height="3" src="neck_files/image010.gif" v:shapes="_x0000_s1276" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 707px; margin-top: 458px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250539489;"><img height="3" src="neck_files/image009.gif" v:shapes="_x0000_s1277" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 83px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250540513;"><img height="2" src="neck_files/image011.gif" v:shapes="_x0000_s1279" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 83px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250541537;"><img height="2" src="neck_files/image011.gif" v:shapes="_x0000_s1280" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 163px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250542561;"><img height="2" src="neck_files/image011.gif" v:shapes="_x0000_s1283" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 431px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250543585;"><img height="2" src="neck_files/image006.gif" v:shapes="_x0000_s1292" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 527px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250544609;"><img height="2" src="neck_files/image012.gif" v:shapes="_x0000_s1295" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 594px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250545633;"><img height="2" src="neck_files/image006.gif" v:shapes="_x0000_s1298" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 707px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250546657;"><img height="2" src="neck_files/image011.gif" v:shapes="_x0000_s1301" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 707px; margin-top: 524px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250547681;"><img height="2" src="neck_files/image011.gif" v:shapes="_x0000_s1302" width="2" /></span><span style="color: red; font-size: 24pt;">General Neck Examination</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 517.5pt; text-align: center; text-autospace: none;">
<span style="color: red; font-size: 18pt;">Examine neck?</span><span style="color: red; font-size: 24pt;"> (</span><span style="color: red; font-size: 18pt;">usually L.N. or Normal neck)</span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt 517.5pt; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>to clavicle</div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt 517.5pt; text-autospace: none;">
<b><u><span style="color: navy;">Position:</span></u></b>
Sitting<span style="color: black;"> <i>(Push the chair away from wall)</i></span></div>
<div class="MsoNormal" style="line-height: 18.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: navy;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection </u></span></b>(<b>From
Front)</b><span style="color: #00007f;"> </span><span style="color: black;">look at
front & sides 3 positions </span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 42.0pt;">
<b><u>Rest </u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 42.0pt;">
<b><u>Tongue protrusion</u></b>
→ move/ does not move with tongue protrusion.(<i>skip if lat. swelling</i>)</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 517.5pt; text-autospace: none; text-indent: 41.75pt;">
<b><u>Swallowing</u></b><span style="color: black;"> </span><span dir="RTL" lang="AR-EG" style="color: black;">اشرب الماء ولا تبلعه الا لما اقول لك</span><span lang="AR-EG" style="color: black;"> </span>(<i>skip if lat. swelling</i>)</div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt 517.5pt; text-autospace: none; text-indent: -.25in;">
<span style="color: black;">→
<b>5S</b> </span><span style="color: black; font-size: 10pt;">☺”Swelling at
(upper/lower), (front/Lat.), at (parotid region/ant.triangle/ post.triangle)
of<span style="mso-spacerun: yes;"> </span>neck, ….X…cm, … shape, no other
sweelings, skin…, not attached to ms, not move with….., not pulsatile”</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 517.5pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 83.3pt 517.5pt; text-autospace: none;">
<b><span style="color: #00007f;">2-<span style="mso-tab-count: 1;"> </span><u>Palpation</u></span></b><span style="color: black;"> (From Front → From back)</span></div>
<div class="MsoNormal" style="line-height: 18.65pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none; text-indent: 63.0pt;">
<b><u><span style="color: black;">From
Front</span></u><span style="color: black;"> </span></b><span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> TT</span></b><span style="color: black;"> (temp. &
tenderness)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 42.0pt;">
<b><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> Tracheal position</span></b><span style="color: black;"> </span><span style="color: black; font-size: 10pt;">(from front or from back) →</span><span style="color: black;"> central/ deviated to (Rt/Lt)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 166.5pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: -103.5pt;">
<b><u><span style="color: black;">From
Back</span></u></b><span style="color: black;"> </span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 37.5pt;">
<b><u>Rest </u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 146.65pt; text-autospace: none; text-indent: 37.5pt;">
<b><u>Tongue protrusion</u></b>
→ move/ does not move with tongue protrusion. (<i>skip if lat. swelling</i>)</div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<b><u>Swallowing</u></b><span style="color: black; font-family: "Symbol";"> </span><span style="color: black;">for midline swellings </span>(<i>skip
if lat. swelling</i>)</div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<b><u>Up & Down technique </u>(for
masses & Cervical L.N.s)</b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span>Start from the chin, along the lower
border of the mandible till the ear </span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black;">b-<span style="mso-tab-count: 1;"> </span>Along the anterior border of Sternomastoid →
upper border of clavicle (ant.triangle)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black;">c-<span style="mso-tab-count: 1;"> </span>Along the posterior border of
Sternomastoid (post. Triangle)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<span style="color: black;">d-<span style="mso-tab-count: 1;"> </span>Back of the skull (occipital L.N.s)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<b><span style="mso-spacerun: yes;"> </span>→ Swelling (TT- ESCRS) </b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<b><br /></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 37.2pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 110.65pt 517.5pt; text-autospace: none; text-indent: 37.5pt;">
<span style="color: red; font-size: 15pt;">Unilateral Lumps in the NECK</span>
<b><br /></b></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-anchor-horizontal: margin; mso-table-anchor-vertical: paragraph; mso-table-left: left; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 18.2pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="height: 17.35pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #D9D9D9; border: solid windowtext 1.0pt; height: 17.35pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 72.9pt;" valign="top" width="97"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black;">Multiple</span></b></div>
</td>
<td colspan="6" style="background: #D9D9D9; border-left: none; border: solid windowtext 1.0pt; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 451.05pt;" valign="top" width="601"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.9pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -3.9pt;">
<b><span style="color: black;">Solitary</span></b></div>
</td>
</tr>
<tr style="height: 19.15pt; mso-yfti-irow: 1;">
<td rowspan="4" style="border-top: none; border: solid windowtext 1.0pt; height: 19.15pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 72.9pt;" valign="top" width="97"><div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: -.9pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -4.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: -.9pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -4.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: -.9pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -4.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 4.5pt; margin-right: -.9pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -4.5pt;">
<span style="color: black; font-size: 10pt;">L.N.s</span></div>
</td>
<td colspan="4" style="background: #CCCCCC; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 293.45pt;" valign="top" width="391"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.9pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -3.9pt;">
<b><span style="color: black;">Anterior
Triangle</span></b></div>
</td>
<td colspan="2" style="background: #CCCCCC; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 157.6pt;" valign="top" width="210"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 6.0pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -6.0pt;">
<b><span style="color: black;">Posterior
Triangle</span></b></div>
</td>
</tr>
<tr style="height: 20.5pt; mso-yfti-irow: 2;">
<td colspan="2" style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 138.65pt;" valign="top" width="185"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.9pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -3.9pt;">
<b><span style="color: black; font-size: 10pt;">Midline </span></b></div>
<div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.9pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -3.9pt;">
<b><span style="color: black; font-size: 10pt;">Moves with swallowing</span></b></div>
</td>
<td colspan="2" style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.15in;" valign="top" width="206"><div align="center" class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: -4.8pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -9.0pt;">
<b><span style="color: black; font-size: 10pt;">Doesn’t move with swallowing</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -9.0pt;">
<br /></div>
</td>
<td style="background: #E0E0E0; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 59.4pt;" valign="top" width="79"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -1.5pt;">
<b><span style="color: black; font-size: 10pt;">Solid</span></b></div>
</td>
<td style="background: #E0E0E0; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.2pt;" valign="top" width="131"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 5.4pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -5.4pt;">
<b><span style="color: black; font-size: 10pt;">Cystic</span></b></div>
</td>
</tr>
<tr style="height: 17.35pt; mso-yfti-irow: 3;">
<td style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 60.9pt;" valign="top" width="81"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black; font-size: 10pt;">Solid</span></b></div>
</td>
<td style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.75pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black; font-size: 10pt;">Cystic</span></b></div>
</td>
<td style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.9pt;" valign="top" width="89"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black; font-size: 10pt;">Solid</span></b></div>
</td>
<td style="background: #D9D9D9; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 87.9pt;" valign="top" width="117"><div align="center" class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black; font-size: 10pt;">Cystic</span></b></div>
</td>
<td rowspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 59.4pt;" valign="top" width="79"><div class="MsoNormal" style="line-height: 16.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -49.5pt;">
<span style="color: black; font-size: 10pt;">L.N.</span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td rowspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 17.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.2pt;" valign="top" width="131"><div class="MsoNormal" style="line-height: 14.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 13.5pt; margin-right: -.25pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -13.5pt;">
<span style="color: black; font-size: 10pt;">1- Pharyngeal pouch </span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: -.25pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -48.0pt;">
<span style="color: black; font-size: 10pt;">2- Cystic hygroma </span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="height: 39.4pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 39.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 60.9pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.6pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 56.0pt; text-autospace: none; text-indent: -48.6pt;">
<span style="color: black; font-size: 10pt;">Thyroid <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">gland</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 39.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 77.75pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 12.65pt; margin-right: 14.7pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">Thyroglossal cyst</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 39.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 66.9pt;" valign="top" width="89"><div class="MsoNormal" style="line-height: 12.65pt; margin-right: .3pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">1-L.N.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-right: .3pt; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;">2-Carotid body tumor</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 39.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 87.9pt;" valign="top" width="117"><div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.9pt; margin-right: 2.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 3.15pt 74.65pt 77.1pt; text-autospace: none; text-indent: -13.5pt;">
<span style="color: black; font-size: 10pt;">1-Branchail cyst </span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.9pt; margin-right: 14.7pt; margin-top: 0in; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: 18.2pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 3.15pt 71.3pt; text-autospace: none; text-indent: -11.2pt;">
<span style="color: black; font-size: 10pt;">2-Collar stud abscess</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: red; font-size: 15pt;"><o:p> </o:p></span><span style="color: black; font-size: 10pt;"><o:p> </o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-size: 10pt;"><o:p> </o:p></span><span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span></div>
<span style="color: black; font-family: "Times New Roman", "serif"; font-size: 12pt;"><br clear="all" style="mso-column-break-before: always; mso-special-character: line-break;" />
</span>
<br />
<div align="center" class="MsoNormal" style="line-height: 34.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<span style="color: red; font-size: 24pt;">Thyroid Gland</span></div>
<div class="MsoNormal" style="line-height: 28.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: 1.5pt;">
<span style="color: #00007f; font-size: 22pt;">General
Examination (Thyroid Status: </span><span style="color: #00007f; font-size: 18pt;">Hyper
or Hypo</span><span style="color: #00007f; font-size: 22pt;">) </span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 231.3pt; text-autospace: none; text-indent: -16.5pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-bottom-color: currentColor; border-bottom-style: none; border-bottom-width: medium; border-collapse: collapse; border-left-color: currentColor; border-left-style: none; border-left-width: medium; border-right-color: currentColor; border-right-style: none; border-right-width: medium; border-top-color: currentColor; border-top-style: none; border-top-width: medium; margin-left: 54.9pt; width: 648px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #E6E6E6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 184.5pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="line-height: 16.0pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black;">Hand
Signs </span></b></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div align="center" class="MsoNormal" style="line-height: 16.0pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black;">Eye
Signs (fix head)</span></b></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 124.7pt;" valign="top" width="166"><div align="center" class="MsoNormal" style="line-height: 16.0pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: center; text-autospace: none;">
<b><span style="color: black;">Leg
Signs</span></b></div>
</td>
</tr>
<tr style="height: 60.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 60.7pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 184.5pt;" valign="top" width="246"><div class="MsoNormal" style="line-height: 16.0pt; margin-right: .8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Fine Tremors </span><span dir="RTL" lang="AR-EG" style="color: black;">ورقة</span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-right: 14.7pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Sweaty
hands </span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-right: .05in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">· </span><span style="color: black;">Pulse →</span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-right: .05in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Tachycardia(Hyperthyroidism)
<span style="mso-spacerun: yes;"> </span>or Bradycardia(Hypothyroidism)</span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-left: 17.1pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -17.1pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Water Hammer Pulse
(elbow 90° & feel volar forearm)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 60.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 176.8pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 14.65pt; margin-left: 8.1pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 155.7pt; text-autospace: none; text-indent: -8.1pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Lid Retraction, Staring look & infrequent blinking
(Stelwag s) </span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -48.0pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> True Exophthalmos </span><span style="color: black; font-size: 7pt;">1<span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span></span><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-left: 8.1pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -8.1pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Lack of Wrinkling
(Joffroy’s)</span><span style="color: black; font-size: 9pt;">2</span><span style="color: black;"><span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 116.1pt; text-autospace: none; text-indent: -48.0pt;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Lid Lag (VonGrave’s)</span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: -.9pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 116.1pt; text-autospace: none; text-indent: -48.0pt;">
<span style="height: 264px; left: 0px; margin-left: 68px; margin-top: 111px; mso-ignore: vglayout; position: absolute; width: 372px; z-index: 250470881;"></span><span style="color: black;">- Lack convergance (Mobiu’s)</span><span style="color: black; font-size: 9pt;">3<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-right: .8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="color: black; font-family: "Symbol";">·</span><span style="color: black;"> Exophth by (Naffziger’s)<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 16.0pt; margin-right: .8pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 60.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 124.7pt;" valign="top" width="166"><div class="MsoNormal" style="line-height: 16.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 10.9pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none; text-indent: -10.9pt;">
<span style="color: black;">Pretibial myxedema</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none; text-indent: 1.45pt;">
<span style="color: black; font-family: "Symbol";">· </span>Examine eyes movements
(close one eye) </div>
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<span style="mso-spacerun: yes;"> </span>to exclude ophthalmoplegia</div>
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<br /></div>
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<br /></div>
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<span style="color: #00007f; font-size: 21pt;">Neck Examination </span></div>
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<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till clavicle (remove scarf &
googles)</div>
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<b><span style="color: #323299;">1-</span></b><span style="color: #323299;"><span style="mso-tab-count: 1;"> </span></span><b><u><span style="color: #00007f;">Position</span></u><span style="color: #00007f;"> <span style="mso-spacerun: yes;"> </span></span></b><i><span style="color: black;">(Push
the chair away from wall)</span></i><span style="color: black;"> </span></div>
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<b><span style="color: #323299;">2-</span></b><span style="color: #323299; font-size: 9pt;"><span style="mso-tab-count: 1;"> </span></span><b><u><span style="color: #00007f;">Inspection </span></u></b>(<b>From Front)</b><span style="color: #00007f;"> </span><span style="color: black;">look at front &
sides in 3 positions </span></div>
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<b><u><span style="color: navy;">Rest
</span></u></b></div>
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<b><u><span style="color: navy;">Tongue
protrusion</span></u></b><span style="color: black;"> (skip if butterfly
swelling) → does not move with tongue protrusion.</span></div>
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<b><u><span style="color: navy;">Swallowing</span></u></b><span style="color: black;"> </span><span dir="RTL" lang="AR-EG" style="color: black;">اشرب الماء ولا تبلعه الا لما اقول لك</span><span lang="AR-EG" style="color: black;"> </span><span style="color: black;">→ moves with swallowing.</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <b>5S</b> </span><span style="color: black; font-size: 9pt;">☺</span><span style="color: black;">”</span><span style="color: black; font-size: 10pt;">Swelling at the lower part of the front of
the neck, ….X…cm, butterfly in shape, no other sweelings, moves with
swallowing, but not with tongue protrusion</span><span style="color: black;">”</span></div>
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<b><span style="color: #323299;">3-</span></b><span style="color: #323299;"><span style="mso-tab-count: 1;"> </span></span><b><u><span style="color: #00007f;">Palpation</span></u></b><span style="color: #00007f;"> </span><b><span style="color: black;">(From Front 3→ From Back 3)</span></b><span style="color: black; font-size: 10pt;"> </span><span style="color: navy; font-size: 10pt;">Ask about pain</span></div>
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<b><u><span style="color: black;">From
Front</span></u><span style="color: black;"> </span></b><span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> TT</span></b><span style="color: black;"> (temp. &
tenderness)</span></div>
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<b><span style="color: black;"><span style="mso-spacerun: yes;"> </span></span></b><span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> Tracheal position</span></b><span style="color: black;"> </span><span style="color: black; font-size: 10pt;">(from front or from back) →</span><span style="color: black;"> central/ deviated to (Rt/Lt)</span></div>
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<b><u><span style="color: black;">From
Back</span></u></b><span style="color: black;"> </span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> Thyroid :</span></b><span style="color: black;"> TT- ESCRS </span></div>
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<b><span style="color: black;">- Rest:</span></b><span style="color: black;"> Edge → well defined/ ill, Surface →Diffuse /
Nodular, Consistency → firm/ hard, <span style="mso-spacerun: yes;"> </span>not attached to skin (pinch skin) or
sternomastoid ms (</span><span dir="RTL" lang="AR-EG" style="color: black;">وشك الناحية الثانية</span><span style="color: black;">+ feel),
Mobility</span></div>
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<b><span style="color: black;">- Swallowing:</span></b><span style="color: black;"> moves with swallowing & Lower edge → felt/
not (not= retrosternal extension)</span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"> <span lang="FR">Cervical Lymph Nodes </span></span></b></div>
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<span lang="FR" style="color: black;"><span style="mso-spacerun: yes;">
</span>Circular gr.: submental, submandibular, pre-auricular, post-auricular,
occipital</span></div>
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<span lang="FR" style="color: black;"><span style="mso-spacerun: yes;">
</span>Midline gr.: pre-laryngeal, pre-tracheal</span></div>
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<span lang="FR" style="color: black;"><span style="mso-spacerun: yes;">
</span>Longitudinal gr. </span><span style="color: black;">(along sternomastoid-
relax it): upper deep cerv. & lower deep cerv.</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Supraclavicular L.N.s (while shrugging
shoulder)</span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Carotid pulsation</span></b><span style="color: black;"> (med. to sternomastoid-
relax it) → felt & equal/ felt & displaced/ not felt <span style="mso-spacerun: yes;"> </span>(for infiltration)</span></div>
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<b><span style="color: #323299;">4-<span style="mso-tab-count: 1;"> </span></span><u><span style="color: #00007f;">Percussion</span></u></b><span style="color: #00007f;"> (</span>over upper sternum) → resonant/ dull (for<span style="color: black;"> Retrosternal extension) </span></div>
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<b><span style="color: #323299;">5-<span style="mso-tab-count: 1;"> </span></span><u><span style="color: #00007f;">Auscultation</span></u></b><span style="color: black;"> (over upper pole thyroid) → No bruit/ Bruit (Bruit
in Primary Toxic Goiter) </span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: </span></u></b></div>
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1- Examination of thyroid
status (if not done yet)</div>
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<br /></div>
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<br /></div>
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<b><span style="color: red; font-size: 15pt;">Causes of
thyroid enlargement (Goitre)</span></b></div>
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<b><span style="color: black;">Diffuse</span></b></div>
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<b><span style="color: black;">Nodular</span></b></div>
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<b><span style="color: black;">Toxic</span></b></div>
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<b><span style="color: black;">Non-Toxic</span></b></div>
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<br /></div>
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<span style="color: black;">Solitary Nodule</span></div>
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<br /></div>
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<span style="color: black;">Multi Nodular</span></div>
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<span style="color: black;">Grave’s disease </span></div>
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<br /></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>1- Simple colloid Goiter</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>2- Thyroiditis </span></div>
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</tr>
</tbody></table>
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<br /></div>
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<span style="color: black; font-size: 7pt;">1</span><span style="color: black; font-size: 10pt;"> Sclera visible all around the iris <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 7pt;">2</span><span style="color: black; font-size: 10pt;"> Looking up
without wrinkling of forehead skin <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 7pt;">3</span><span style="color: black; font-size: 10pt;"> Difficulty in conversion </span></div>
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<br /></div>
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<span style="color: black; font-size: 10pt;"></span></div>
<a name='more'></a><span style="color: black; font-size: 10pt;"><br /></span><br />
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<span style="color: red; font-size: 24pt;">Parotid Gland</span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till clavicle (remove scarf &
googles)</div>
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<b><u><span style="color: #00007f;">Position the patient</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: black;">(Push the seat away
from the wall) </span></div>
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<b><span style="color: #323299;">1-</span></b><b><span style="color: #323299; font-size: 9pt;"><span style="mso-tab-count: 1;"> </span></span><u><span style="color: #00007f;">Inspection</span></u></b><u><span style="color: #00007f;"> </span></u>(From
front- Look at<span style="color: black;"> front & sides in 2 positions)</span></div>
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<b><u><span style="color: navy;">Rest
</span></u></b></div>
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<b><u><span style="color: navy;">Clench
teeth</span></u></b><span style="color: black;"><span style="mso-spacerun: yes;">
</span></span><span dir="RTL" lang="AR-EG" style="color: black;">عض على سنانك</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ </span><span style="color: black; font-size: 9pt;">☺”Swelling at the parotid region in anterior triangle
of the neck (Rt/Lt/Bilat.) elevating the lobule of the ear, more prominent with
cont. masseter ms”</span></div>
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<b><span style="color: #323299;">2-<span style="mso-tab-count: 1;"> </span></span><u><span style="color: #00007f;">Palpation</span></u></b><span style="color: #00007f;"> </span><span style="color: black;">(2 from the back &
3 from front)</span></div>
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<b><u><span style="color: black;">From
Back</span></u></b></div>
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<span style="color: black; font-family: "Symbol";">· </span><b><span style="color: black;">Parotid:</span></b><span style="color: black;"> TT- ESCRS<span dir="RTL">
</span></span><span dir="RTL" lang="AR-EG" style="color: black;">عض على سنانك </span><span lang="AR-EG" style="color: black;"><span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ </span><span style="color: black; font-size: 9pt;">☺”Swelling at the parotid region, not hot, not tender,
measure …X…, edge well defined, surface smooth, firm consistency, not attached
to overlying skin or muscle” </span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Cervical Lymph Nodes : </span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Circular gr.: submental, submandibular,
pre-auricular, post-auricular, occipital</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Midline gr.: pre-laryngeal, pre-tracheal</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Longitudinal gr. (along sternomastoid-
relax it): upper deep cerv. & lower deep cerv.</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Supraclavicular L.N.s (while shrugging
shoulder)</span></div>
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<b><u><span style="color: black;">From
Front</span></u></b></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;">
Facial nerve examination: </span></b></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Inspection: face symmetry, nasolabial
folds, angle mouth → preserved</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>Muscles:</span></div>
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<span style="color: black;">Occiptofrontalis:
raise eyebrows </span><span dir="RTL" lang="AR-EG" style="color: black;">ارفع حواجبك</span><span style="color: black;"> (not affected in UMNL)</span></div>
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<span style="color: black;">Orbicularis occuli: close your eyes tightly against
resistance <span dir="RTL" lang="AR-EG">اقفل عينك جامد</span></span></div>
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<span style="color: black;">Orbicularis oris: whistle <span dir="RTL" lang="AR-EG">صفر
</span></span></div>
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<span style="color: black;">Buccinator: blow out your cheeks<span dir="RTL" lang="AR-EG"> انفخ خدك<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span style="color: black;">Depressor angularis: show me your teeth <span dir="RTL" lang="AR-EG">ورينى سنانك<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ facial muscles symmetrical &
intact</span><span style="color: black;"><span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Superficial temporal artery:</span></b><span style="color: black;"> feel infront tragus by 3 fingers longitudinally →
felt</span></div>
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<span style="color: black; font-family: "Symbol";">·</span><b><span style="color: black;"><span style="mso-spacerun: yes;"> </span>Parotid duct:</span></b><span style="color: black;"> open mouth & inspect opposite upper 2<sup>nd</sup>
molar </span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ no inflammation, no discharge<span style="mso-spacerun: yes;"> </span>(Donot palpate duct bec. <u>stones rare, </u><span style="mso-spacerun: yes;"> </span>Pain, difficult &)</span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: </span></u></b></div>
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1- ENT examination</div>
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2- examination scalp (if L.N.)</div>
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3- examination teeth &
tongue (if L.N.)</div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-71076463487203400392012-01-13T10:29:00.001-08:002012-01-13T10:29:17.899-08:00Clinical- Swelling Discussion (Qs and Answers)<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0in 4.0pt 1.0pt 4.0pt;">
<div align="center" class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 4.0pt 1.0pt 4.0pt; padding: 0in; text-align: center;">
<b><span style="font-size: 22.0pt;">SWELLING</span></b></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is the most imp. Q.
to be answered in swelling examination?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Is it benign or malignant by</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Attachments to skin & muscles</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">L.N.s</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">3-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Neurovascular status of limb (distal pulsation. is it felt?)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is rhinophyma?</span></b><span style="font-size: 14.0pt;"> Hypertrophy of nasal
sebaceous gls with aging</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Lipoma</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is lipoma?</span></b><span style="font-size: 14.0pt;"> Benign tumor of fat cells</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are common sites? </span></b><u><span style="font-size: 14.0pt;">Back</span></u><span style="font-size: 14.0pt;">, <u>Shoulder</u>,
<u>Thigh</u>, Trunk, Neck, forearm</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types of lipoma?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1-Subcutaneous (superficial
to ms →<span style="mso-spacerun: yes;"> </span>more prominent on contraction)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- Intramuscular &
Subfascial (deep to ms → less prominent on contraction)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- retroperitoneal</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">4- extradural</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">5- Submucous(intest.)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are diagnostic signs
by examination?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Lobulated surface (SC)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Slippery edge (more with SC) </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="PT" style="font-size: 14.0pt; mso-ansi-language: PT;">What is Adiposa Delerosa (Dercum disease)?</span></b><span lang="PT" style="font-size: 14.0pt; mso-ansi-language: PT;"> </span><span style="font-size: 14.0pt;">Multiple painful lipomas (usually in back)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Can Lipoma be painful? </span></b><span style="font-size: 14.0pt;">Yes as above</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Can lipoma turn malignant?</span></b><span style="font-size: 14.0pt;"> Never, liposarcoma arise de nevo</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">D.D. l</span></b><b><span lang="PT" style="font-size: 14.0pt; mso-ansi-language: PT;">ipoma?</span></b></div>
<div class="MsoNormal">
<span lang="PT" style="font-size: 14.0pt; mso-ansi-language: PT;">1- sebaceous cyst</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- dermoid cyst</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- Benign muscle tumor</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">4- aneurysm (pulsatile)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is diagnosis of
Lipoma?</span></b><span style="font-size: 14.0pt;"> Example (Lipoma of thigh)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">soft mass in thigh, 7X5 cm, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Slippery edge, lobulated
surface, soft consistency</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">not fluctuant, not attached
to skin or muscles (knee extensors or hip adductors), </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">inguinal L.N.s not felt
(vertical or horizontal group), </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">distal pulse felt (post.
tibial , bec. D.pedis may be absent)</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">→ Lipoma of Rt thigh,</span></u></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Ask pt. one Q?</span></b><span style="font-size: 14.0pt;"> how long do you have this swelling: if long=benign</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt of lipoma?</span></b><span style="font-size: 14.0pt;"> Ask pt. how it is affecting his life</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">conservative</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">surgery: excision via incision smaller than lipoma because it can be
squeezed, along bl.vs or with cosmetic lines (e.g, lipoma of thigh excised by
smaller incision longitudinal to avoid inj. femoral vessels) </span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>LA (usually) or GA (if communic. with
joint)</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="font-size: 14.0pt;">3-
Liposuction (new)</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to test relation to
muscles in lipoma of back?</span></b><span style="font-size: 14.0pt;"> By
inspection & palpation</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Latissmus dorsi: elbow
backward</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Serratus ant.: push the wall</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>→ if mass ↑= superficial to ms (SC) </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span>→ if mass ↓= deep to ms (intramuscular or
subfascial)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ccc of liposarcoma
by inspection?</span></b><span style="font-size: 14.0pt;"> Dilated veins over it</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal">
<b>What are types of liposarcoma?</b></div>
<div class="MsoNormal">
1- well diff</div>
<div class="MsoNormal">
2- poorly diff</div>
<div class="MsoNormal">
3- pleomorphic(mixed)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>What are Syndromes associated with lipoma?</b></div>
<div class="MsoNormal">
Angiolipoma= lipoma with vascular element</div>
<div class="MsoNormal">
Hibernoma= brown fat</div>
<div class="MsoNormal">
Cowden dis.= lipoma + vitelligo + palmar keratosis</div>
<div class="MsoNormal">
Bannayan- Zonana synd.= Lipoma+ macrocephaly + hemangioma</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-size: 18.0pt;">Dermoid cyst</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is dermoid cyst? </span></b><span style="font-size: 14.0pt;">Cyst lined by skin but lies under skin</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are common sites? </span></b><span style="font-size: 14.0pt;">According to type see next Q</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are types of dermoid
cyst?</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">1- Congenital (Sequestration) dermoid cyst: at lines
of fusion (int.angular, ext.angular, preauricular, postauricular) & in
midline of neck, trunk & back (never in limbs).</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">2- Acquired (implantation) dermoid cyst: at site prev.
oper or Tr due to implanted skin</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">3- Tubodermoid dermoid cyst (in int. organs):
thyroglossal cyst & branchial</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">4- Teratomatous dermoid cyst: Ovarian &
testicular<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are diagnostic signs
by examination?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Paget test +ve</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Transillumination +ve in 10%</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">Is dermoid cyst always
translucent?</span></b><span style="font-size: 14.0pt;"> NO. only in 10% of cases</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is diagnosis of
dermoid cyst?</span></b><span style="font-size: 14.0pt;"> Example</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Soft Mass above Lt eyebrow, </span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1X1 cm, <u>scar</u> in
overlying skin 2cm healed by 1ry intention</span></div>
<div class="MsoNormal">
<u><span style="font-size: 14.0pt;">fluctuant, translucent </span></u><span style="font-size: 14.0pt;">(transimmunable)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">not attached to skin or ms
(occiptofrontalis)</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">L.N.s (preauricular) not felt
<u>(if felt → examine rest of neck L.N.s)</u></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">→ <u>Implantation Dermoid
cyst</u></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is D.D. of dermoid
cyst?</span></b></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">1- sebaceous cyst</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">2- Lipoma</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">3- Benign muscle tumor</span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">4- aneurysm (pulsatile)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">How to surly diagnose
dermoid cyst?</span></b><span style="font-size: 14.0pt;"> Excisional biopsy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What is ttt dermoid cyst?</span></b><span style="font-size: 14.0pt;"> Ask pt. how it is affecting his life</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">1-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">conservative</span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">2-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">surgery: excision (if cosmetic or pain) </span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="font-size: 14.0pt;">- cong. dermoid cyst in head: X-ray or CT for
intracranial extension → surgery under GA by senior surgeon.</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: -9.0pt;">
<span style="font-size: 14.0pt;">If intracranial extension may need bone graft
(synthetic or iliac crest)</span></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<b><span style="font-size: 18.0pt;">Sebaceous cyst</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is dermoid cyst? </span></b><span style="font-size: 14.0pt;">Retention of sebum
in sebaceous gl.</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is the origin of sebaceous cyst?</span></b><span style="font-size: 14.0pt;">
Structures around hair follicle (Cuticle)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are common sites? </span></b><span style="font-size: 14.0pt;">Hairy area (not in
palm or sole) (common in scrotum)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are types of sebaceous cyst?</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Epidermal cyst (SC): from infandibulum of hair
follicle</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Trichelemmal cyst (TC): from epithelium of hair
follicle</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is the consistency of sebaceous cyst?</span></b><span style="font-size: 14.0pt;">
Soft or Firm (thick sebum) (common)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
is a cyst? </span></b><span style="font-size: 14.0pt;">Cavity lined by epithelium</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are diagnostic signs by examination?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Punctum
= point of attachment of sebaceous cyst to skin (may be multiple) (need to
tract skin aside to find punctum) (found in 50% of cases)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to diagnose Sebaceous cyst?</span></b><span style="font-size: 14.0pt;"> Example</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Swelling
above Rt eyebrow, 1X1 cm, well defined edge, smooth surface, soft consistency,
attached to skin at punctum, not attached to underlying ms (occipto-fr)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<u><span style="font-size: 14.0pt;">→
Sebaceous cyst of forhead</span></u></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are complications of sebaceous cyst?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Inf.,
hemorrhage, calcification, sebaceous horn, malignancy (rare)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to treat sebaceous cyst?</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">Excision
(for fear complic.) by elliptical incision including punctum</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 14.0pt;">OSCE advanced Qs</span></u></b></div>
<div class="MsoNormal" style="margin-right: -9.35pt;">
<b>What is cock‘s peculiar
tumor? </b>TC that grows rapidly and ulcerates (D.D. with SCC)</div>
<div class="MsoNormal" style="margin-right: -9.35pt;">
<b>What is <st1:place w:st="on"><st1:city w:st="on">gardner</st1:city></st1:place> syndrome? </b>Seb.cyst+ L.I. polyps+
skull osteoma+ desmoid tumor</div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-right: -9.0pt; text-align: center;">
<b><span style="font-size: 18.0pt;">Ganglion</span></b></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: -9.0pt; margin-top: 0in; text-indent: -9.0pt;">
<b><span style="font-size: 14.0pt;">What is ganglion?</span></b><span style="font-size: 14.0pt;"> Myxomatous <span style="mso-spacerun: yes;"> </span>(cystic) degeneration
of fibrous tissue of tendon or joint synovium (may be communicating with joint
or non-communicating)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are common sites? </span></b><span style="font-size: 14.0pt;">Near tendon or joint </span>(esp, dorsum hand or foot
or ventral wrist)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt;">What are diagnostic signs
by examination?</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Paget test +ve</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Transillumination +ve in 10%</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Along tendons (esp, dorsum hand at wrist)</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">Mobility in single plain & become limited by
tendon contraction</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">How
to treat ganglion? </span></b><span style="font-size: 14.0pt;">Ask pt. how it is
affecting his life</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">1-
Conservative</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: -9.0pt; margin-top: 0in; text-indent: -27.0pt;">
<span style="font-size: 14.0pt;">2- Excision under GA or regional (because a tourniquet
is needed for bloodless field (painful if LA) <span style="mso-spacerun: yes;"> </span>(20% recurrence, ↓ to 5% if neck excised)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<span style="font-size: 14.0pt;">3-
Aspiration & 3 weeks immobilization (30 – 50% recurrence + risk of inf.)</span></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -9.0pt;">
<b><span style="font-size: 14.0pt;">What
are complic. of ganglion excision?</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">1- wound: inf., scar, hematoma</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">2- injury to nerves & vessels</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: -9.0pt; margin-top: 0in; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-size: 14.0pt;">3- recurrence (20% & ↓ to 5% if neck excised</span></div>
<br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-57131178755787242292012-01-13T10:27:00.001-08:002012-01-13T10:27:36.027-08:00Cases you will see in MRCS exam<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 24.0pt;">CASES</span></b></div>
<div class="MsoNormal">
<br /></div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in;">
<b><span style="font-size: 16.0pt;">VASCULAR</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<b><u><span style="font-size: 16.0pt;">LONG:</span></u></b><span style="font-size: 16.0pt;"> V.V.– Ischemia–
PTS– Diabetic foot.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<b><u><span style="font-size: 16.0pt;">SHORT:</span></u></b><span style="font-size: 16.0pt;"> V.V.– Ischemia–
PTS– Diabetic foot– Venous ulcer– AVF –Lymphedema –Amputation. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<b><u>RARE SHORT:</u></b><u> </u>UL
pulses- Aortic/ popliteal aneurysm– SVC obst.– neuropathic ulcer– subclavian
steel syndrome– cong. AVF– Thoracic outlet/cervical rib– Osler Weber rendu S–
Raynaud’sKlippel Trenauny S– Hyperhydrosis– Temporal arthritis. </div>
<div class="MsoNormal">
<br /></div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in;">
<b><span style="font-size: 16.0pt;">ABDOMEN</span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<b><u><span style="font-size: 16.0pt;">LONG:</span></u></b><span style="font-size: 16.0pt;"> Abdomen → CLD– HSM–
Jaundice– Abdominal mass (usually, <st1:place w:st="on">RIF</st1:place>, LIF,
Lumbar or Epigastric)– Epigastric Hernia/mass. </span></div>
<div class="MsoNormal" style="margin-left: .75in; text-align: justify; text-indent: -.75in;">
<b><u><span style="font-size: 16.0pt;">SHORT:</span></u></b><span style="font-size: 16.0pt;"> Groin hernia (Inguinal/Femoral)– epigastric H–
incisional H– PUH– varicocele– vag. hydrocele– encysted hydrocele of cord–Epididymal
cyst (including spermatocele)– undescended testis– testicular tumor– Pilonidal
sinus.</span></div>
<div class="MsoNormal" style="margin-left: .75in; text-align: justify; text-indent: -.75in;">
<b><u>RARE SHORT:</u></b> Spegelian H. – Stoma– Peutz Jhegar– Crohn’s–
Pleural eff. </div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: -.75in;">
<br /></div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: .75in; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in; text-indent: -.75in;">
<b><span style="font-size: 16.0pt;">ORTHOPEDICS</span></b></div>
</div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-align: justify; text-indent: -9.0pt;">
<b><u><span style="font-size: 16.0pt;">LONG:</span></u></b><span style="font-size: 16.0pt;"> Spine– Hip– Knee.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: -9.0pt; margin-top: 0in; text-align: justify; text-indent: -9.0pt;">
<b><u><span style="font-size: 16.0pt;">SHORT:</span></u></b><span style="font-size: 16.0pt;"> Specific Knee (</span>e.g, stability or effusion<span style="font-size: 16.0pt;">)– Specific Hip– Specific spine– Rheumatoid Hand– Ulnar
n.inj.– Median n.inj./carpal tunnel– Radial n.inj.– Combined n.inj
(ulnar+median)– Hallux valgus/bunion– Shoulder– </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 9.0pt; margin-right: -9.0pt; margin-top: 0in; text-align: justify; text-indent: -9.0pt;">
<b><u>RARE SHORT:</u> </b>Elbow– Ankle– Dupuytren– Volkman–
Osteoarthritis of hand– External fixators– Ant.knee swelling– Post.knee
swelling– Trigger/Mallet finger– Erb– Klumpke– claw toe– hammer toe– Paget– pes
cavus (+) – ankylosing sponyolitis– Exostosis– rupture biceps– charcot– winging
scapula– acromegaly.</div>
<div class="MsoNormal" style="margin-left: .75in; text-align: justify; text-indent: -.75in;">
<br /></div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: .75in; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in; text-align: justify; text-indent: -.75in;">
<b><span style="font-size: 16.0pt;">SUPERFICIAL LESIONS–
BREAST & THYROID</span></b></div>
</div>
<div class="MsoNormal">
<b><u><span style="font-size: 16.0pt;">LONG:</span></u></b><span style="font-size: 16.0pt;"> Breast– Thyroid– Parotid– Submand. gl./L.N. – Neck
(N/mass)</span></div>
<div class="MsoNormal">
<b><u><span style="font-size: 16.0pt;">SHORT:</span></u></b><span style="font-size: 16.0pt;"> Lipoma </span>(esp, back– thigh)<span style="font-size: 16.0pt;">– Dermoid cyst– Sebaceous cyst– ganglion– Neck (N/L.N.)–
Parotid– Submandibular gl./L.N. – rhinophyma.</span></div>
<div class="MsoNormal">
<b><u>RARE SHORT:</u></b> Neck mass<sup> </sup>(thyroglossal
cyst, branchial cyst/fistula/sinus (+) , carotid body t., pharyngeal pouch,
cystic hygroma)– pyogenic granuloma– skin tag– seborrhic keratosis– H.suppurativa–
skin tumor (SCC,BCC, malign.melanoma)– naevus– hemangioma– neurofibroma–
Dermatofibroma– keloid– hypertrophic scar– keratoacanthoma– boil– carbuncle–
ulcer–.</div>
<br /></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6547265390554783573.post-24779075760321379962012-01-13T10:22:00.000-08:002012-01-13T10:22:20.421-08:00Introduction to this site<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
Surgery is about discipline...<br />
Medicine is all about helping other people...<br />
............<br />
Each one of us should be learning from another or educating others, <br />
these hours of learning are the most important of all times..<br />
............<br />
this site aims to help surgeons preparing for MRCS exam<br />
many subjects have to be studied, little time to do so.<br />
i collected these notes through while studying and it proved useful..<br />
i will publish them sequentially hoping it prove useful for you too<br />
..........<br />
<i><b>Wadood Aref</b></i><br />
<br /></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6547265390554783573.post-84111218430703479342012-01-13T10:21:00.000-08:002012-01-13T14:55:03.407-08:00clinical- Special swelling examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="WordSection1">
<div class="MsoNormal" style="line-height: 11.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 11.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<span style="height: 149px; left: 0px; margin-left: 394px; margin-top: 87px; mso-ignore: vglayout; position: absolute; width: 341px; z-index: 250484160;"></span><span style="color: black; font-size: 10pt;"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none; text-indent: -21.0pt;">
<span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 565px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250485184;"><img height="3" src="special%20neck_files/image003.gif" v:shapes="_x0000_s1102" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 667px; margin-top: 565px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250486208;"><img height="3" src="special%20neck_files/image003.gif" v:shapes="_x0000_s1105" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 667px; margin-top: 565px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250487232;"><img height="3" src="special%20neck_files/image003.gif" v:shapes="_x0000_s1106" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 754px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250488256;"><img height="3" src="special%20neck_files/image004.gif" v:shapes="_x0000_s1108" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 667px; margin-top: 754px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250489280;"><img height="3" src="special%20neck_files/image004.gif" v:shapes="_x0000_s1112" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 667px; margin-top: 754px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250490304;"><img height="3" src="special%20neck_files/image004.gif" v:shapes="_x0000_s1113" width="3" /></span><span style="color: red; font-size: 26pt;">Ulcer Examination<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: .75in 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: .25in;">
<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till area L.N. drainage<span style="color: #00007f;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 13.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: #00007f;">1-<span style="mso-tab-count: 1;"> </span><span class="GramE"><u>Inspection</u> <span style="mso-spacerun: yes;"> </span><u>(</u></span><u>3S FED 2S</u>) <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span>Site <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">b-<span style="mso-tab-count: 1;"> </span>Shape (circular / oval / irregular /
healing) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">c-<span style="mso-tab-count: 1;"> </span>Size (in cms)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">d-<span style="mso-tab-count: 1;"> </span>Skin surrounding<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">e-<span style="mso-spacerun: yes;"> </span><b>Floor </b>(granulation tissue /
slough [dead tissue]) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">f-<span style="mso-tab-count: 1;"> </span><b>Edge</b> (sloping / raised /
everted / punched out / undermined) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">g-<span style="mso-tab-count: 1;"> </span><b>Discharge</b> (serous / blood
stained / purulent) <span style="mso-spacerun: yes;"> </span><b>Depth</b><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 33.0pt;">
<span style="color: black;">h-<span style="mso-tab-count: 1;"> </span><u>S</u>urrounding structures (lymph
nodes, V→ Varicose, A → Ischemia, Trophic ulcers) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 19.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: #00007f;">2-<span style="mso-tab-count: 1;"> </span><u>Palpation</u> </span></b><span style="color: #00007f;">Ask
about pain </span><b>[NOT done (painful)]</b><span style="color: #00007f;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<span style="color: black;">a-<span style="mso-tab-count: 1;"> </span><u>T</u>enderness <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Edema<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<span style="color: black;">c-<span style="mso-tab-count: 1;"> </span><b>Base</b> hold edges between fingers &
move to feel (</span><span style="color: black; font-size: 10pt;">indurated /
attached to deeper structures</span><span style="color: black;">) <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<span style="color: black;">d-<span style="mso-tab-count: 1;"> </span>Surrounding structures (Other Swelling, </span><span style="color: black; font-size: 10pt;">A→ Feel the PULSE</span><span style="color: black;">) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 119.3pt; text-align: center; text-autospace: none;">
<span style="color: red; font-size: 26pt;">Lipoma</span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 10.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 50.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; tab-stops: .75in 1.0in 83.3pt 7.0in; text-autospace: none; text-indent: .25in;">
<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till area L.N. drainage [Common sites: <u>Back</u>,
<u>Shoulder</u>, <u>Thigh</u>, Trunk, Neck, <span class="GramE">forearm</span>]</div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 14.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 83.3pt; text-autospace: none;">
<b><span style="color: #00007f;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection (4SMS</u>)</span></b><span style="color: #00007f;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.3pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 14.7pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; tab-stops: 119.3pt; text-autospace: none; text-indent: 24.0pt;">
<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span><u>S</u>ite</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span><u>S</u>hape <span style="mso-spacerun: yes;"> </span>c-<span style="mso-spacerun: yes;"> </span><u>S</u>ize</span></b><span style="color: black;"> (in cm</span><span style="color: black; font-size: 9pt;">s)<span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span><u>S</u>kin:</span></b><span style="color: black;"> <u>S</u>cars <span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span><span dir="LTR"></span><span dir="LTR"></span>(<i>Ask about hidden scars</i>?) <o:p></o:p></span></div>
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<b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Relation to <u>M</u>uscle:</span></b><span style="color: black;"> contraction ms → more palpable = superficial to ms
(SC lipoma)<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <span class="GramE">less</span>
palpable = deep to ms (IM or subfascial lipoma)<o:p></o:p></span></div>
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<span style="color: black;">[- <b><u>Back</u></b>→1Serratus
ant<span class="GramE">.&</span> 2Latiss.dorsi<span style="mso-spacerun: yes;"> </span>- <b><u>Shoulder</u></b>→1+2+trapezius
–<b><u>Thigh</u></b>→adductors & quadriceps]<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span></span><b><span dir="RTL" lang="AR-EG" style="color: #00007f;">زق الحيطة</span></b><span dir="LTR"></span><b><span style="color: #00007f;"><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><span dir="RTL" lang="AR-EG">كوعك لورا</span><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><span dir="RTL" lang="AR-EG">ارفع كتفك</span><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><span dir="RTL" lang="AR-EG">ضم
رجلك</span><span dir="LTR"></span><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span><span dir="RTL" lang="AR-EG">افرد رجلك </span><o:p></o:p></span></b></div>
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<span style="mso-bidi-language: AR-EG;"><span style="mso-spacerun: yes;"> </span>Test all <i>against
resistance</i> except serratus ant.<o:p></o:p></span></div>
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<b><span style="color: #00007f;">2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><span style="color: #00007f;"> Ask about painful area first <b>(TT ESCR SMS<u>L</u>)</b>
<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>Temperature</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span>Tenderness</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Edge</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">→ <u>Slippery</u>(Slip
sign)<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span>Surface</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">→ <u>Lobulated </u>(usually
in SC)<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Consistency</span></b></span><span style="color: black;"> → soft <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Relations</b></span></span><b><span style="color: black;">: </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Mobility</b> in 2 perpendicular
directions<o:p></o:p></span></div>
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<b><span style="color: black;">Relation
to <u>S</u>kin </span></b><span style="color: black;">→ not attached <b><span style="mso-spacerun: yes;"> </span><o:p></o:p></b></span></div>
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<b><span style="color: black;">Relation
to</span></b><span style="color: black;"> <b><u>M</u>uscle: </b>contraction ms
→ more palpable = superficial to ms<o:p></o:p></span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <span class="GramE">less</span>
palpable = deep to ms<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">h-<span style="mso-spacerun: yes;"> </span><u>L</u>.N</span></b></span><b><span style="color: black;">.</span></b><span style="color: black;"> & other
swellings <i>(very..<span class="GramE">very</span> imp.)</i><o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: <o:p></o:p></span></u></b></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Examination of draining lymph nodes </span><span dir="RTL" lang="AR-EG" style="color: black;">هام جدا<o:p></o:p></span></div>
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<span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>2-</span><span style="color: black; font-family: "Symbol"; font-size: 10pt;"><span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Assessing the neurovascular status of the limb/area (<b>feel
distal pulse</b>)<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span class="GramE"><span style="color: red; font-size: 26pt;">Dermoid cyst
(Cong.</span></span><span style="color: red; font-size: 26pt;"> Or acquired)</span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till area L.N. drainage [C. Sites: <b>Cong.</b>→Ext<span class="GramE">.&</span>Int.angular, Pre&post-auric.& midline]</div>
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<b><span style="mso-spacerun: yes;"> </span><span class="GramE">Acq.</span> (Implantation)</b>
→ <span class="GramE">at</span> site scar</div>
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<b><span style="color: #00007f;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection (4SMS</u>)</span></b><span style="color: #00007f;"> <o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span><u>S</u>ite</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span><u>S</u>hape <span style="mso-spacerun: yes;"> </span>c-<span style="mso-spacerun: yes;"> </span><u>S</u>ize</span></b><span style="color: black;"> (in cm</span><span style="color: black; font-size: 9pt;">s)<span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span><u>S</u>kin:</span></b><span style="color: black;"> <u>S</u>cars <span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span><span dir="LTR"></span><span dir="LTR"></span>(<i>Ask about hidden scars</i>?) in implantat.<o:p></o:p></span></div>
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<b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Relation to <u>M</u>uscle:</span></b><span style="color: black;"> contraction ms → more palpable = superficial to ms <o:p></o:p></span></div>
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<span style="color: black;">(e.g,
angular dermoid → contract occiptofrontalis </span><span dir="RTL" lang="AR-EG" style="color: black;">ارفع <span class="GramE">حواجبك<span style="mso-spacerun: yes;"> </span><span dir="LTR"></span><span dir="LTR" lang="EN-US"><span dir="LTR"></span>)</span></span><o:p></o:p></span></div>
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<span dir="LTR"></span><b><span style="color: #00007f;"><span dir="LTR"></span>2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><span style="color: #00007f;"> Ask about painful area first <b>(TT ESCR SMS<u>L</u>)</b>
<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>Temperature</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span>Tenderness</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Edge</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">→ well
defined<span style="mso-spacerun: yes;"> </span><b>d-<span style="mso-spacerun: yes;"> </span>Surface </b>→ smooth<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Consistency</span></b></span><span style="color: black;"> → <u>cystic<span style="mso-spacerun: yes;"> </span><o:p></o:p></u></span></div>
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<span class="GramE"><b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Relations</b></span></span><b><span style="color: black;">: </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Mobility</b> in 2 perpendicular
directions<o:p></o:p></span></div>
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<b><span style="color: black;">Relation
to <u>S</u>kin </span></b><span style="color: black;">→ not attached
(cong)/ teethered (implantation) <b><span style="mso-spacerun: yes;"> </span><o:p></o:p></b></span></div>
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<b><span style="color: black;">Relation
to</span></b><span style="color: black;"> <b><u>M</u>uscle: </b>contraction ms
→ more palpable = superficial to ms<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">g-<span style="mso-spacerun: yes;"> </span><u>S</u>pecial</span></b></span><b><span style="color: black;"> Tests </span></b><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><u><span style="color: black;">Fluctuation
(Paget’s test) & Trans-illumination</span></u><span style="color: black;"> <o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">h-<span style="mso-spacerun: yes;"> </span><u>L</u>.N</span></b></span><b><span style="color: black;">.</span></b><span style="color: black;"> & other
swellings <i>(very..<span class="GramE">very</span> imp.)</i><o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: <o:p></o:p></span></u></b></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Examination of draining lymph nodes </span><span dir="RTL" lang="AR-EG" style="color: black;">هام جدا<o:p></o:p></span></div>
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<span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>2-</span><span style="color: black; font-family: "Symbol"; font-size: 10pt;"><span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Assessing the neurovascular status of the limb/area (<b>feel
distal pulse</b>)<o:p></o:p></span></div>
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<br /></div>
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<span style="color: red; font-size: 26pt;">Sebaceous cyst</span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<b><u><span style="color: #00007f;">Introduce yourself<o:p></o:p></span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till area L.N. drainage [C. Sites: <b><span style="mso-spacerun: yes;"> </span></b>Hairy area (<span class="GramE">esp</span>,
scalp & scrotum) never in palm or sole]</div>
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<b><span style="color: #00007f;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection (4SMS</u>)</span></b><span style="color: #00007f;"> <o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span><u>S</u>ite</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span><u>S</u>hape <span style="mso-spacerun: yes;"> </span>c-<span style="mso-spacerun: yes;"> </span><u>S</u>ize</span></b><span style="color: black;"> (in cm</span><span style="color: black; font-size: 9pt;">s)<span style="mso-spacerun: yes;"> </span></span><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span><u>S</u>kin:</span></b><span style="color: black;"> <u>S</u>cars <span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span><span style="mso-spacerun: yes;"> </span></span><span dir="LTR"></span><span dir="LTR"></span>(<i>Ask about hidden scars</i>?) <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Relation to <u>M</u>uscle:</span></b><span style="color: black;"> contraction ms → more palpable = superficial to ms <o:p></o:p></span></div>
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<b><span style="color: #00007f;">2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><span style="color: #00007f;"> Ask about painful area first <b>(TT ESCR SMS<u>L</u>)</b>
<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>Temperature</span></b></span><b><span style="color: black;"> <span style="mso-spacerun: yes;"> </span>b-<span style="mso-spacerun: yes;"> </span>Tenderness</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Edge</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">→ well
defined<span style="mso-spacerun: yes;"> </span><b>d-<span style="mso-spacerun: yes;"> </span>Surface </b>→ smooth<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Consistency</span></b></span><span style="color: black;"> → soft/ firm (thick sebum)<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Relations</b></span></span><b><span style="color: black;">: </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Mobility</b> in 2 perpendicular
directions<o:p></o:p></span></div>
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<b><span style="color: black;">Relation
to <u>S</u>kin </span></b><span style="color: black;">→ attached at <b><u>punctum
</u></b>(50%) <b><span style="mso-spacerun: yes;"> </span><o:p></o:p></b></span></div>
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<b><span style="color: black;">Relation
to</span></b><span style="color: black;"> <b><u>M</u>uscle: </b>contraction ms
→ more palpable = superficial to ms<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">h-<span style="mso-spacerun: yes;"> </span><u>L</u>.N</span></b></span><b><span style="color: black;">.</span></b><span style="color: black;"> & other
swellings <i>(very..<span class="GramE">very</span> imp.)</i><o:p></o:p></span></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: <o:p></o:p></span></u></b></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Examination of draining lymph nodes </span><span dir="RTL" lang="AR-EG" style="color: black;">هام جدا<o:p></o:p></span></div>
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<span dir="LTR"></span><span style="color: black;"><span dir="LTR"></span><span style="mso-spacerun: yes;"> </span>2-</span><span style="color: black; font-family: "Symbol"; font-size: 10pt;"><span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Assessing the neurovascular status of the limb/area (<b>feel
distal pulse</b>)<o:p></o:p></span></div>
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<span style="height: 2px; left: 0px; margin-left: 683px; margin-top: 171px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250491328;"><img height="2" src="special%20neck_files/image005.gif" v:shapes="_x0000_s1128" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 683px; margin-top: 171px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250492352;"><img height="2" src="special%20neck_files/image005.gif" v:shapes="_x0000_s1129" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 683px; margin-top: 191px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250493376;"><img height="3" src="special%20neck_files/image006.gif" v:shapes="_x0000_s1140" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 683px; margin-top: 270px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250494400;"><img height="3" src="special%20neck_files/image007.gif" v:shapes="_x0000_s1152" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 683px; margin-top: 270px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250495424;"><img height="3" src="special%20neck_files/image007.gif" v:shapes="_x0000_s1153" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 99px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250496448;"><img height="2" src="special%20neck_files/image008.gif" v:shapes="_x0000_s1154" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 100px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250497472;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1156" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 455px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250498496;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1158" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 680px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250499520;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1160" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 680px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250500544;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1161" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 680px; margin-top: 683px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250501568;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1162" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250502592;"><img height="3" src="special%20neck_files/image010.gif" v:shapes="_x0000_s1166" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 244px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250503616;"><img height="3" src="special%20neck_files/image011.gif" v:shapes="_x0000_s1168" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 575px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250504640;"><img height="3" src="special%20neck_files/image012.gif" v:shapes="_x0000_s1172" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 680px; margin-top: 699px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250505664;"><img height="3" src="special%20neck_files/image012.gif" v:shapes="_x0000_s1174" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 716px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250506688;"><img height="3" src="special%20neck_files/image013.gif" v:shapes="_x0000_s1180" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 244px; margin-top: 716px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250507712;"><img height="3" src="special%20neck_files/image011.gif" v:shapes="_x0000_s1182" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 455px; margin-top: 716px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250508736;"><img height="3" src="special%20neck_files/image012.gif" v:shapes="_x0000_s1184" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 575px; margin-top: 716px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250509760;"><img height="3" src="special%20neck_files/image012.gif" v:shapes="_x0000_s1185" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 680px; margin-top: 716px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250510784;"><img height="3" src="special%20neck_files/image014.gif" v:shapes="_x0000_s1186" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 99px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250511808;"><img height="2" src="special%20neck_files/image015.gif" v:shapes="_x0000_s1188" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 99px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250512832;"><img height="2" src="special%20neck_files/image015.gif" v:shapes="_x0000_s1189" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 244px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250513856;"><img height="2" src="special%20neck_files/image015.gif" v:shapes="_x0000_s1192" width="3" /></span><span style="height: 2px; left: 0px; margin-left: 455px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250514880;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1195" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 575px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250515904;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1198" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 680px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250516928;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1201" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 680px; margin-top: 750px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250517952;"><img height="2" src="special%20neck_files/image009.gif" v:shapes="_x0000_s1202" width="2" /></span><span style="color: black; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="color: red; font-size: 26pt;">Ganglion </span><span style="color: red; font-size: 18pt;">(As above but<span class="GramE">,…</span>)</span><span style="color: red; font-size: 26pt;"><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Consistency</span></b></span><span style="color: black;"> → cystic<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Relations</b></span></span><b><span style="color: black;">: </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Mobility</b> in 1 direction only &
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<b><span style="color: black;">Relation
to <u>S</u>kin </span></b><span style="color: black;">→ not attached<span style="mso-spacerun: yes;"> </span><b><o:p></o:p></b></span></div>
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<b><span style="color: black;">Relation
to</span></b><span style="color: black;"> <b><u>M</u>uscle: </b>contraction ms
→ less palpable & limited (related to tendon)<o:p></o:p></span></div>
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<span class="GramE"><b><span style="color: black;">g-<span style="mso-spacerun: yes;"> </span><u>S</u>pecial</span></b></span><b><span style="color: black;"> Tests </span></b><u><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Fluctuation
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<span class="GramE"><b><span style="color: black;">h-<span style="mso-spacerun: yes;"> </span><u>L</u>.N</span></b></span><b><span style="color: black;">.</span></b><span style="color: black;"> & other
swellings<u><o:p></o:p></u></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span style="color: black; font-size: 9pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span></div>
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<br /></div>
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<br /></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6547265390554783573.post-22691511312773352232012-01-12T14:02:00.000-08:002012-01-13T10:26:08.456-08:00Clinical - General Swelling examination<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="height: 12px; left: 0px; margin-left: 334px; margin-top: 544px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250472946;"><img height="12" src="All%20Examination1_files/image001.gif" v:shapes="_x0000_s1030" width="2" /></span><span style="height: 4px; left: 0px; margin-left: 422px; margin-top: 476px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250473970;"><img height="4" src="All%20Examination1_files/image002.gif" v:shapes="_x0000_s1031" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 732px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250476018;"><img height="3" src="All%20Examination1_files/image003.gif" v:shapes="_x0000_s1077" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 732px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250477042;"><img height="3" src="All%20Examination1_files/image003.gif" v:shapes="_x0000_s1078" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 672px; margin-top: 732px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250478066;"><img height="3" src="All%20Examination1_files/image004.gif" v:shapes="_x0000_s1080" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 672px; margin-top: 732px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250479090;"><img height="3" src="All%20Examination1_files/image004.gif" v:shapes="_x0000_s1081" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 782px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250480114;"><img height="3" src="All%20Examination1_files/image005.gif" v:shapes="_x0000_s1083" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 99px; margin-top: 782px; mso-ignore: vglayout; position: absolute; width: 3px; z-index: 250481138;"><img height="3" src="All%20Examination1_files/image005.gif" v:shapes="_x0000_s1084" width="3" /></span><span style="height: 3px; left: 0px; margin-left: 672px; margin-top: 782px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250482162;"><img height="3" src="All%20Examination1_files/image006.gif" v:shapes="_x0000_s1087" width="2" /></span><span style="height: 3px; left: 0px; margin-left: 672px; margin-top: 782px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 250483186;"><img height="3" src="All%20Examination1_files/image006.gif" v:shapes="_x0000_s1088" width="2" /></span><b><span style="color: #0f243e; font-family: "Albertus Extra Bold", "sans-serif"; font-size: 28pt;">MRCS
Clinical Examination</span></b></div>
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<b><span style="color: #0f243e; font-family: "Albertus Extra Bold", "sans-serif"; font-size: 22pt;">Scheme
& Test Interpretetion</span></b></div>
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<br /></div>
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<span class="GramE"><span style="color: red; font-size: 24pt; line-height: 150%;">Modified<span style="mso-spacerun: yes;"> </span>by</span></span><span style="color: red; font-size: 24pt; line-height: 150%;"> <b><i>MAW</i></b><i> <b>2009</b></i></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: .2in; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-align: center; text-autospace: none;">
<br /></div>
<div align="right" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.25pt; margin-right: 69.05pt; margin-top: 0in; mso-layout-grid-align: none; mso-pagination: none; text-align: right; text-autospace: none;">
<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">هذا الورق وقف لوجه الله تعالى</span></div>
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<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">وهو تعديل و اضافة على ملازم سابقة لأساتذتنا </span></div>
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<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">واضافة لمعلومات من كتب اخرى مفصلة</span></div>
<div align="right" class="MsoNormal" style="line-height: 34.65pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 48.0pt; margin-right: 69.05pt; margin-top: 0in; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: right; text-autospace: none;">
<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">ليغطى 99% من الفحص العملى و تفسيره</span></div>
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<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">ملحق به ورق اخر لأهم الأسئلة</span></div>
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<span dir="RTL" lang="AR-EG" style="color: red; font-family: "Andalus", "serif"; font-size: 24pt;">نفع الله الناس به ووفق الجميع لطلب العلم</span></div>
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<br /></div>
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<span style="color: red; font-size: 24pt;"><o:p></o:p></span></div>
<a name='more'></a><span style="color: red; font-size: 24pt;"><o:p> </o:p></span><br />
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<span style="color: red; font-size: 24pt;">Swellings (Lumps & Bumps)</span></div>
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<span style="color: red; font-size: 22pt;">History</span><span style="color: #00007f; font-size: 22pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: #00007f;"><b> </b></span><span style="color: #00007f; font-size: 22pt;"><span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: black;">1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Onset (When 1</span><span style="color: black; font-size: 9pt;">st</span><span style="color: black;">
noticed), Duration (Long/ Short)<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;">
</span></span></div>
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<span style="color: black;">2-<span style="mso-tab-count: 1;"> </span>Complaint (Pain / Other lump / Change) <span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: black;">3-<span style="mso-tab-count: 1;"> </span>Treatment (Previous surgery / Insulin in diabetic ulcer) <span style="mso-spacerun: yes;"> </span> </span></div>
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<span style="color: black;">4-<span style="mso-tab-count: 1;"> </span>Cause (Trauma) <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
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<span style="color: #00007f;"><b>For
any swelling examine:</b></span>
<span style="color: black; font-size: 8pt;"><br /></span></div>
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<span style="color: black;">SKIN & SCT</span>
<span style="color: #00007f;"><b></b></span></div>
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<span style="color: black;">MUSCLE</span>
<span style="color: black;"><br /></span></div>
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<span style="color: black;"> L.N.</span>
<span style="color: black;"><br /></span></div>
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<span style="color: black;">VESSELS</span>
<span style="color: black;"><br /></span></div>
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<span style="color: red; font-size: 22pt;">Swelling Examination </span></div>
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<b><u><span style="color: #00007f;">Introduce yourself</span></u></b></div>
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<b><u><span style="color: #00007f;">Exposure:</span></u></b><u><span style="color: #00007f;"> </span></u><span style="color: #00007f;"><span style="mso-spacerun: yes;"> </span></span>till area L.N. drainage</div>
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UL → elbow (<span class="SpellE">epitrochlear</span> L.N.) although nonspecific + axillary L.N.</div>
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LL → groin (inguinal
L.N.) although non-specific + popliteal L.N. <span class="GramE">for<span style="mso-spacerun: yes;"> </span>leg</span></div>
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<span class="GramE">H & N
→ to (clavicle cervical L.N.)</span></div>
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<span class="GramE">Trunk &
Back → axilla (axillary L.N.)</span></div>
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<b><span style="color: #00007f;">1-<span style="mso-spacerun: yes;"> </span><u>Inspection (4SMS</u>)</span></b><span style="color: #00007f;"> <span class="GramE">Be</span> Fluent & very fast in
swelling examination even forget points</span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span><u>S</u>ite</span></b></span><b><span style="color: black;"> </span></b></div>
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<span class="GramE"><b><span style="color: black;">b-<span style="mso-spacerun: yes;"> </span><u>S</u>hape</span></b></span><b><span style="color: black;"> </span></b></div>
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<span class="GramE"><b><span style="color: black;">c-<span style="mso-spacerun: yes;"> </span><u>S</u>ize</span></b></span><span style="color: black;"> (in <span class="SpellE">cm<span style="font-size: 9.0pt;">s</span></span></span><span style="color: black; font-size: 9pt;">)</span></div>
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<span class="GramE"><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span><u>S</u>kin</span></b></span><b><span style="color: black;">:</span></b><span style="color: black;"> <u>S</u>cars <span dir="RTL"><span style="mso-spacerun: yes;"> </span></span></span><span dir="RTL" lang="AR-EG" style="color: black;">فى اى جروح او عمليات</span><span style="color: black;">(<i>Ask about
hidden scars</i>?) – Sinuses – dilated <span class="SpellE">vs</span> – Redness</span></div>
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<b><span style="color: black;">e-
<span style="mso-spacerun: yes;"> </span>Relation to <u>M</u>uscle:</span></b><span style="color: black;"> contraction ms → more palpable = superficial to ms</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <span class="GramE">less</span>
palpable = deep to ms</span></div>
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<span style="color: black;">-
Other <span class="SpellE">sweelings</span> (same or L.N.)</span></div>
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<b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b><u>S</u>pecial <span class="GramE">ccc</span></b>: impulse on cough – thrill – pulsatile</span></div>
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<b><span style="color: #00007f;">2-<span style="mso-spacerun: yes;"> </span><u>Palpation</u></span></b><span style="color: #00007f;"> Ask about painful area first <b>(TT ESCR SMS<u>L</u>)</b>
</span></div>
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<span class="GramE"><b><span style="color: black;">a-<span style="mso-spacerun: yes;"> </span>Temperature</span></b></span><b><span style="color: black;"> </span></b></div>
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<span class="GramE"><b><span style="color: black;">b-<span style="mso-spacerun: yes;"> </span>Tenderness</span></b></span><span style="color: black;"> <span style="mso-spacerun: yes;"> </span></span></div>
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<span class="GramE"><b><span style="color: black;">c-<span style="mso-spacerun: yes;"> </span>Edge</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">(well defined/ Ill
defined/ Slippery)</span></div>
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<span class="GramE"><b><span style="color: black;">d-<span style="mso-spacerun: yes;"> </span>Surface</span></b></span><b><span style="color: black;"> </span></b><span style="color: black;">(Smooth/ Irregular)</span></div>
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<span class="GramE"><b><span style="color: black;">e-<span style="mso-spacerun: yes;"> </span>Consistency</span></b></span><span style="color: black;"> (soft/ firm/ hard/ cystic) - if soft <span class="SpellE">vs</span>
cystic do Paget test <span style="mso-spacerun: yes;"> </span></span></div>
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<span class="GramE"><b><span style="color: black;">f-</span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Relations</b></span></span><b><span style="color: black;">: </span></b><span style="color: black;"><span style="mso-spacerun: yes;"> </span><b>Mobility</b> in 2 perpendicular
directions</span></div>
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<b><span style="color: black;">Relation
to <u>S</u>kin </span></b><span style="color: black;">(not attached/ <span class="SpellE">teethered</span>/ fixed)<b> & </b></span></div>
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<b><span style="color: black;">Relation
to</span></b><span style="color: black;"> <b><u>M</u>uscle: </b>contraction ms
→ more palpable = superficial to ms</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>→ <span class="GramE">less</span>
palpable = deep to ms</span></div>
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<span class="GramE"><b><span style="color: black;">g- <span style="mso-spacerun: yes;"> </span><u>S</u>pecial</span></b></span><b><span style="color: black;"> Tests </span></b></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Fluctuation
(Paget’s test</span><span style="color: black; font-size: 9pt;">1</span><span style="color: black;">) & Trans-illumination if suspect cystic (<span class="SpellE">querry</span> soft <span class="SpellE">vs</span> cystic)</span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Compressibility</span><span style="color: black; font-size: 9pt;">2</span><span style="color: black;"> /
Reducibility</span><span style="color: black; font-size: 9pt;">3<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Pulsatile</span><span style="color: black; font-size: 9pt;">4</span><span style="color: black;"> /
Expansile</span><span style="color: black; font-size: 9pt;">5</span></div>
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<span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Thrill <span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Symbol";">· <span style="mso-spacerun: yes;"> </span></span><span style="color: black;">Fixation
(with skin & deep structures) </span></div>
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<span class="GramE"><b><span style="color: black;">h-<span style="mso-spacerun: yes;"> </span><u>L</u>.N</span></b></span><b><span style="color: black;">.</span></b><span style="color: black;"> & other
swellings <i>(<span class="SpellE">very..<span class="GramE">very</span></span>
imp.)</i></span></div>
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<b><span style="color: navy;">3-<span style="mso-tab-count: 1;"> </span><u>Percussion</u></span></b><span style="color: #00007f;"> </span><span style="color: black;">(Dull / Resonant) </span></div>
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<b><span style="color: navy;">4-</span><span style="color: black;"><span style="mso-tab-count: 1;"> </span></span><u><span style="color: navy;">Auscultation</span></u></b><span style="color: black;"> (Bruit
/ Bowel sounds) </span></div>
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<br /></div>
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<b><u><span style="color: #00007f; font-size: 14pt;">I would like to finish my examination
by: </span></u></b></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black;">1-<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Examination of draining lymph nodes </span><span dir="RTL" lang="AR-EG" style="color: black;">هام جدا</span></div>
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<span style="color: black;"><span style="mso-spacerun: yes;"> </span>2-</span><span style="color: black; font-family: "Symbol"; font-size: 10pt;"><span style="mso-tab-count: 1;"> </span></span><span style="color: black;">Assessing the neurovascular status of the limb/area (<b>feel
distal pulse</b>)</span></div>
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<br /></div>
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<span style="color: black; font-size: 7pt;">1</span><span style="color: black; font-size: 10pt;"> <b>Paget test:</b> Applying intermittent pressure by the index
finger of one hand between two fingers of the other hand </span></div>
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<span style="color: black; font-size: 7pt;">2</span><span style="color: black; font-size: 10pt;"> <span class="SpellE"><b>Compressiblity</b></span><b>:</b> Lump
disappears when compressed, <span class="GramE">then</span> reform spontaneously
when compressing hand is removed </span></div>
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<span style="color: black; font-size: 7pt;">3</span><span style="color: black; font-size: 10pt;"> <b>Reducibility</b>: Lump can be 'pushed'
away into a different place, lump will not reform spontaneously and requires an
</span></div>
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<span style="color: black; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span><span class="GramE">additional</span> force
e.g. gravity, raised intra-abdominal pressure </span></div>
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<span style="color: black; font-size: 7pt;">4</span><span style="color: black; font-size: 10pt;"> <span class="GramE"><b>Pulsatile :</b></span> If<span style="mso-spacerun: yes;"> </span>a finger is placed on either side of a lump →
pushed one direction (lump is near to an artery) </span></div>
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<span style="color: black; font-size: 7pt;">5</span><span style="color: black; font-size: 10pt;"> <span class="SpellE"><b>Expansile</b></span><b>:</b> <span class="GramE">If<span style="mso-spacerun: yes;"> </span>a</span> finger is placed
on either side of a lump → forced apart with every pulsation </span></div>
</div>
</div>Unknownnoreply@blogger.com0