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Surgery Notes

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Condes Feguuv ng sod culhire Severe Gepsis) IMMUWECcompINTeEd Sts — CLecause. ther cre Pouce Ae eer mee peasieree Awe neecl by csteblichh = Crvcctvoe cyanmisny = igre mic SighS persisting apter “bk wah Qnepn iL = CW Siotic. jbercpry a Pig. MRS 4 is cue pected oy isolectecl — dLerneoragewy mM _ne UdYApE mic, Ps wi colulis — Broad specteum eaeniGiotice janeqers ic, iieveaye Bates — anonaiay Brevomonag — otlulitis — Geiclamictaa ( Moning Poncmeter Fein recuctvers Pedluchan 19 sys yogrndh eryiheme grvething wan BSD Rely tcleomentt ——~ In necistic. ‘bssues wih ectubtis — Necvec Row cg necraha Tssues. NIT Se SnE tO LEmorve: dw Geek Or std pule wen chabehe masts leg bic NE % a ¥, y 7 oo | fot . { i RECTAL PROLAPSE au il 2 | fislapse — painless pretwusion op cechinn ther & anus ——g ~~ pohen = techn. drops dreds or -odere the ge > Eectera prviapse —-exhire rechwn sticks ok a CPrecidewtra ) —— Mie al. — 3 Maternal Peslapse —iechim has started 1) chop Ludwat: —t et sticking owt i = Signs i Sym phos — —|la~ perience wsuatly Creu S ey ter Lowel = enrect - The, verti men retro on ie O05 in € Aasceut skye Later-_on there’, the Cencatyo ef something hang. thot a ~ a. pres _fatlen anal recpryy wa atk & anus _lrectwm Bleeing Fron the anus Leeitincy Clood, feces ox mucus fom Sanus Icom plete cvactabon of. bowel at each shal leckaye ab lquey red faecal ater ao “ CRxSes Zt Log term Ube of. chawrloea 2 cons patton bong, term the op streaming t= ctw & — od age. —Revaus’ injury to hap cared TNewe. e. that alfats muccle’s tility ty tighten lore j= Condinang tee mereace _absdorinal preccure | ey Hirockprune wing's diseace (RF Rick factor a Hirgchorungs diccase Vrlomen — (peqnaney oesiny ) yi J I joSi s TY is ase fo St on & tee tot endl eee Fes the. cect mag clescencdl ancl & dochyr exams ays SDR Gearctey, Dit fe euch = Bovet ty —Cysne fibrasis Cread) J ~ Sa, o f ) af x 2 ee \ ee ie a $ \ se Juteneutr nv — ev) la peweeco py — _ -) Rectal reaur = here the cechww ig, attauchec\ to y leccause, The eplincter 1s cemacyel ~ — Reed is —— Moe tibre jutake, H =H Reg sles exercige ' é __+= More, weaker Fluids, vege tele as Kegel &ercise — to stengtlen muscle in cewicald ——— Seve —— PPV Cee orV SS Ricke. of clamane, to & rect Cay ulterahon, Neech- ves IE nk . eas ° a ° —_ b lIncarceratyoin — when this occurs - the. rechim ee foule to ge Sack. up —a : f Bra ngulatan = Lrgud cupely to discwe iS redveedh — and cols Lecpn tye die a I Neath and decay _ oa 4 — ee = a HIERENIA €oNnT’d brcin hermaho disc, hernrchen hermiag mers be. excqemec x cornyeniterh Indirect inqungl Wermtrca = Pusbes Avvough © i rquinel canal Direct mequnacl hemics bulge ak superhaial hata heres CF drat precligpoes pt fe hernias f - injur P= on \ncigien OF resatt ye woctifevimey of wool lobes y : - Pow os Cunrvnin Cones Conshpebeo ben wt ybis lecrerisne Le Wabrece baboinvedl ie PES Finjrone 4 Lortigle ey) en Symptons Veost? hewigs when if slots avg, asymptymatte ts, can GE E neutum ee teste S extencele WH FE Corcumegeence a utestve. Shi cht ers heunc, ape Geel ery (voit, or with os rcluct ) ekel’s doe tier > Littpe’s her nig ties wile hernia —> mpats expansile iepulee on touginasy E Werble hee nies > Feasons (acthesve Drensac 2 adtak Types Meurys Hex Fup Sac > 1 reevated > guess T no abstracts Arvoch eure Ly sherma mi vot? reduce, Tm TF ort mp ot TI 1D vo ruler: ence e k ruckeck > bellow viscauy reppeck rnc o&stcinan Deas, * SR Rr COD, F ee PF we al rr, Uhr UCUrhUmrPPlUCUrPUCUmLP Oe wn a a a @ a a we Cog guatal olen supply compressed). uswhd bec cove YS ws w& c a aS Etemnal hevnioy com © @ vedas gheaily Geuesey y Rove Sk ¢ lukelboder of 4 ieee grout © Nneu Semi “eck Ui ticoal Lwmben (etl Lah Nb above lig = Feugrel G\ kee, nerve OStw adds occurs toy sorts ZVNurer ne, Wena Bremen comms weld Ly © Areaghrrrica< bc. homies . = Cede = Foraest@necn al freetme. zt, : The mete wy CF mmoal of sec. A cLesy Lame ty pecur wente) emer wove. co mn@wo 4 =f. AQ. NCVER. “ind ax form Be ev ibe rhoply le FESTOVE. cine Mig wedes th meicleuce, sure 2aath couched iy femmes Ts | ot clivert Leenicy dedennwal presse) ~L Leo Coury = Guctin. hen ~ T eolveannnc. 5 TM emg oh mick wwe 9) J — hea tie tad es a Inguvash Cavab ladents Mabe . Coseweitt cle ove S —\as cheperens = Seer NaS dgpevens —Tteculay a shee ~ begr culer weil Pamper wwplenug) © oPnted Grancl Ra puitrinrodk nevde, —aubwomie neve = \syouplretne 5 -— Processus Napmedis t female — unl hopnewh spe wher, S FEW i bah Lorene oe ntemarchnere — \ymphabe S ~ Sympbthetic, pies S uiney | hernia Indi vat hema => veadly mulge ok her Pal iwepaimect CHE! 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DX Neutreplitia » 1S b=! > a Susre_of “t_or wore slould be Agpench fre oP: ron'ft NNeasaactia dA 2) \\i + inn Ate 2) Prubbiotics —Nehenmilazele 4 Geek ve ey Cedbrickove Geran a chade Viney he “np Aor me Wwy Cpa ales rahe) 7 Ta Quek rook Pranic | Racked BBC | Het op oI = wed in ak anaemic pt Ss | ~ \unit &pected ty raise HS by approx: lq latin | A TOFS, achat | —s | Platelet cg uceutrad & ~ Phurele ich plasma preciprtare ater codrpugahen, a of, Severe. hrownbocyippeni A — Vani varse s peteley cov by app, S-10% WIL man oduct . —_ ar due Mg Stwage a wpe feng. 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KE breast UhECe Mondor’ CVS theomt; levis ap the supertacial vem s The Great diaguased Sy Wp lammehown Avowds, cordlite tentey chek 7 Wy, Sar face (Water 2 ie : =a es) e Smoath fa = : cE Tremere fee Eicemitate indehmte a n ners: S a Carcinamer Sareq were defini be hav A yestoscarcom 4 lobulated detinitic Yale S » TLrectdewmey Achar Fey j v Vibro adenosis weleAunre Elastic & rude y Node a. heclrtg e iV acdy > intrduct eilbarnier, baduch carci tairet and 3 =) Senus —> fix ye Ax, Auch _ectesic, 2) Geeuts + > ‘ are wy ) THs => _ bread byes pevicluckt MmashhsS | Ephesians 5% ‘4 ~ - tyr anytime ther bewwes NiciGle Sight Trevely ange Chae D Sleeper andl arise Gomthe dead ancl christ with shine on ape? — Leole covertly then Lares yo verti, wor Be ne \ loubas wise = Mak ing the best ab use og. the fin Leccsuse the, Cougs, ave ert ebay ao il as wo Gywiney thauk s tleoery s and fi eens ty God the Tother | the name eh our ‘ herd Jesus Chrigk Breast C wottd i) Aratlany Layee ‘a wm wm a i clissechony wacle - Ayer % from cyeiny Sauupliac, ae Sample 13 \iestedd be level “AL corte < at Proucles, mio abu | V mony in valve oy a ia “Wwe Stace. vehevecis chesedyo. level L- tj 2) Simple, Masbectowe — Temescal of ues” Mog wrth 6 etre breast Mi pplescw ester cOrMPlEX Guid axils ter L ‘en L | 2) Sin Sparing mastectomy Esepey iz — Comprek & ‘enusval ep. brea pane bayer whit i Piesorens) & MAE Chin envehape e : . > per Famed in Ber a eS od. Vey vi ' raekomwy gr pts vith OPing | Proplshache ip extenawe KC ig, yg | mam 2) Nigple Sparing mastechs ny CNS) — Mastechon uw without versal oe mp ple-aveste Complex, fer _cosmenic @asons . ~ Mavs indicaked far _smalt bo melium aired Gat Vreniear ny c_pie nase, “Danse locked D>20mm Hom ede. of. qreoslar Margin, 0) Sie Je ackec nh * exxithany clea vance s\ i hocgied Padicod Mastecbowny :\ Feb Nackectona a — rewsnd \. of Dimer’ Alongside eubre Great vrvpre- a eae At acevlar compen ftyfacci ar devel IHil axivluny wedes 4.) 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