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Navigational Note: - Tendon reflex decreased Ankle reflex decreased Ankle reflex absent; other Absence of all reflexes - - reflexes reduced Definition: A disorder characterised by lower than normal deep tendon reflexes erectile dysfunction diabetes symptoms viagra capsules 100 mg cheap free shipping. Navigational Note: Also consider Nervous system issues: Peripheral motor neuropathy or Peripheral sensory neuropathy Transient ischemic attacks Mild neurologic deficit with or Moderate neurologic deficit - - - with out imaging affirmation with or without imaging affirmation Definition: A dysfunction characterised by a quick assault (less than 24 hours) of cerebral dysfunction of vascular origin, with no persistent neurological deficit. Navigational Note: - Pregnancy loss - - - Fetal loss at any gestational - age Definition: Death in utero. Navigational Note: - Premature supply Delivery of a liveborn toddler at Delivery of a liveborn infant at Delivery of a liveborn infant at Delivery of a liveborn toddler at - >34 to 37 weeks gestation >28 to 34 weeks gestation 24 to 28 weeks gestation 24 weeks of gestation or much less Definition: A dysfunction characterised by delivery of a viable toddler before the conventional finish of gestation. Typically, viability is achievable between the 20 th and thirty- seventh week of gestation. Navigational Note: - Anorgasmia Inability to obtain orgasm Inability to obtain orgasm - - - not adversely affecting adversely affecting relationship relationship Definition: A dysfunction characterised by an inability to achieve orgasm. Navigational Note: - Delayed orgasm Delay in attaining orgasm not Delay in attaining orgasm - - - adversely affecting adversely affecting relationship relationship Definition: A disorder characterized by sexual dysfunction characterised by a delay in climax. Navigational Note: - Delusions - Moderate delusional Severe delusional signs; Life-threatening Death symptoms hospitalization not indicated; consequences, threats of recent onset hurt to self or others; hospitalization indicated Definition: A dysfunction characterized by false personal beliefs held contrary to reality, regardless of contradictory evidence and common sense. Navigational Note: - Euphoria Mild temper elevation Moderate temper elevation Severe mood elevation (e. Navigational Note: - Insomnia Mild issue falling asleep, Moderate problem falling Severe difficulty in falling - - staying asleep or waking up asleep, staying asleep or asleep, staying asleep or early waking up early waking up early Definition: A dysfunction characterised by difficulty in falling asleep and/or remaining asleep. Navigational Note: - Libido decreased Decrease in sexual interest Decrease in sexual curiosity - - - not adversely affecting adversely affecting relationship relationship Definition: A disorder characterized by a decrease in sexual want. Navigational Note: - Libido increased Present - - - - Definition: A dysfunction characterised by an increase in sexual desire. Navigational Note: - Psychosis Mild psychotic symptoms Moderate psychotic Severe psychotic symptoms Life-threatening Death symptoms (e. Navigational Note: Also consider Investigations: Creatinine increased Bladder perforation - Invasive intervention not Invasive intervention Life-threatening Death indicated indicated penalties; organ failure; urgent operative intervention indicated Definition: A dysfunction characterised by a rupture in the bladder wall. Navigational Note: - Bladder spasm Intervention not indicated Antispasmodics indicated Hospitalization indicated - - Definition: A dysfunction characterised by a sudden and involuntary contraction of the bladder wall. Navigational Note: - Dysuria Present - - - - Definition: A dysfunction characterized by painful urination.

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Navigational Note: - Laryngeal fistula Asymptomatic Symptomatic erectile dysfunction case study viagra capsules 100mg purchase on line, invasive Invasive intervention Life-threatening Death intervention not indicated indicated consequences; pressing intervention indicated Definition: A disorder characterised by an abnormal communication between the larynx and one other organ or anatomic website. Navigational Note: - Laryngeal hemorrhage Mild cough or trace Moderate signs; Transfusion indicated; Life-threatening Death hemoptysis; laryngoscopic intervention indicated invasive intervention penalties; pressing findings indicated; hospitalization intervention indicated (e. Navigational Note: - Laryngeal irritation Mild sore throat; raspy voice Moderate sore throat; Severe throat ache; - - analgesics indicated endoscopic intervention indicated Definition: A dysfunction characterised by an irritation involving the larynx. Navigational Note: - Laryngeal obstruction Asymptomatic; scientific or Symptomatic (e. Navigational Note: - Laryngospasm - Transient episode; Recurrent episodes; Persistent or extreme episodes Death intervention not indicated noninvasive intervention related to syncope; indicated (e. Navigational Note: - Mediastinal hemorrhage Mild symptoms; intervention Moderate signs; Transfusion indicated; Life-threatening Death not indicated; radiologic intervention indicated invasive intervention penalties; urgent proof only indicated; hospitalization intervention indicated Definition: A disorder characterized by bleeding from the mediastinum. Navigational Note: - Nasal congestion Mild signs; intervention Moderate signs; medical Associated with bloody nasal - - not indicated intervention indicated discharge or epistaxis Definition: A dysfunction characterized by obstruction of the nasal passage as a result of mucosal edema. Navigational Note: - Oropharyngeal ache Mild pain Moderate pain; altered oral Severe pain; severely altered - - consumption; non-narcotics eating/swallowing; narcotics initiated; topical analgesics initiated; requires parenteral initiated diet Definition: A dysfunction characterised by a sensation of marked discomfort within the oropharynx. Navigational Note: - Pharyngeal hemorrhage Mild symptoms; intervention Moderate symptoms; Transfusion indicated; Life-threatening Death not indicated intervention indicated invasive intervention penalties; intubation or indicated; hospitalization urgent intervention indicated Definition: A dysfunction characterised by bleeding from the pharynx. Navigational Note: - Pharyngeal stenosis Asymptomatic; scientific or Symptomatic (e. Navigational Note: - Pleural hemorrhage Asymptomatic; gentle Symptomatic or related >a thousand ml of blood evacuated; Life-threatening Death hemorrhage confirmed by with pneumothorax; chest persistent bleeding (a hundred and fifty-200 consequences; intubation or thoracentesis tube drainage indicated ml/hr for two - four hr); persistent urgent intervention indicated transfusion indicated; elective operative intervention indicated; hospitalization Definition: A disorder characterized by bleeding from the pleural cavity. Navigational Note: - Pneumothorax Asymptomatic; scientific or Symptomatic; intervention Sclerosis and/or operative Life-threatening Death diagnostic observations solely; indicated intervention indicated; penalties; pressing intervention not indicated hospitalization indicated intervention indicated Definition: A disorder characterised by abnormal presence of air in the pleural cavity resulting within the collapse of the lung. Navigational Note: - Postnasal drip Mild signs; intervention Moderate symptoms; medical - - - not indicated intervention indicated Definition: A dysfunction characterised by excessive mucous secretion at the back of the nasal cavity or throat, inflicting sore throat and/or coughing. Navigational Note: - Pulmonary fibrosis Radiologic pulmonary fibrosis Evidence of pulmonary Severe hypoxia; evidence of Life-threatening Death <25% of lung volume hypertension; radiographic proper-sided heart failure; consequences (e. Navigational Note: - Pulmonary fistula Asymptomatic Symptomatic, invasive Invasive intervention Life-threatening Death intervention not indicated indicated penalties; urgent intervention indicated Definition: A disorder characterized by an abnormal communication between the lung and one other organ or anatomic web site. Navigational Note: - Pulmonary hypertension Minimal dyspnea; findings on Moderate dyspnea, cough; Severe signs, associated Life-threatening airway Death physical examination or other requiring evaluation by with hypoxia, right coronary heart consequences; pressing analysis cardiac catheterization and failure; oxygen indicated intervention indicated (e. Navigational Note: - Respiratory failure - - - Life-threatening Death consequences; pressing intervention, intubation, or ventilatory assist indicated Definition: A disorder characterised by impaired fuel exchange by the respiratory system leading to hypoxia and a lower in oxygenation of the tissues that may be associated with a rise in arterial levels of carbon dioxide.

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