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789 Treatment. 101 70 71 94 75 Although some have advocated bougienage for recurrent symptoms after pneumatic dilatation, success rates are better with repeat pneumatic dilatation. 3,5 It is also apparent with review of the literature that one of the keys to success for external DCR surgery is the creation of the largest possible bony ostium with full exposure of the lacrimal sac.
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TABLE 24-2 - Clinical Grading of Encephalopathy пппGrade пппState of Consciousness пппIntellectual Function ппBehavior ппппNeuromuscular Changes пппп0 Grade пппппппппп1 Mild ппппAltered sleep pattern ппппSubtle changes ппExaggeration of normal, irritable пппTremor ппп2 Moderate ппппLethargy, mild disorientation ппппDecreased attenuation amnesia ппArgumentative, personality change пппAsterixis, slurred speech ппп3 Buy Online Savitra 10mg ппппSleepiness, confusion ппппInability to complete simple command ппBizarre behavior, paranoia, anger пппAtaxia, hyperactive reflexes ппп4 Coma пппStupor, unconscious пппLoss of intellect ппNone ппппRigidity, dilated Buy Online Savitra 10mg пModified from Conn, H.
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