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dition does not permit surgery. The prognosis of the rare choroid plexus carcinomas is poor. Primitive Neuroectodermal Tumors (PNETs) This term was introduced by Hart and Earle in 1973 to describe tumors that have the histologic features of medulloblastoma but occur supratentorially. Various poorly differentiated or embryonal tumors of infancy and childhood were included in this group: medulloblastoma, neuroblastoma, retinoblastoma, ependymoblastoma, and pineoblastoma (described further on). Subsequent authors have broadened the category of PNETs to include all CNS neoplasms of neuroectodermal origin. With the advent of immunohistochemical techniques, many of these poorly differentiated neoplasms of infancy came to be recognized as small-cell gliomas (Friede et al); others, after ultrastructural study, could be classi ed as other types of primitive neoplasms. To some pathologists, the term primitive neuroectodermal tumors has a certain appeal but has added little to our understanding of their undifferentiated embryonal origin. In practical terms, the prognosis and treatment of all these tumors is much the same, regardless of what they are called (see Duffner and colleagues). As described earlier, certain patterns of gene expression are now used to distinguish this group of tumors from histologically similar medulloblastomas. Hemangioblastoma of the Cerebellum This tumor is referred to most often in connection with von Hippel-Lindau disease (page 873). Dizziness, ataxia of gait or of the limbs on one side, symptoms and signs of increased intracranial pressure from compression of the fourth ventricle, and in some instances an associated retinal angioma or hepatic and pancreatic cysts (disclosed by CT or MRI) constitute the syndrome. There is a tendency later for the development of malignant renal or adrenal tumors. Many patients have polycythemia due to elaboration of an erythropoietic factor by the tumor.

Then. we can integrate it with an error tolerance of l0-a as in , > > q u a d ( @ m y h u m p sO , 1 , l e - 4 , 11,0.3, 0.9, 6)

Ideal for arm-chair pilots, student pilots and the seasoned pilots, this sensitive receiver will pick up planes up to 100 miles away. The active aircraft band receiver tunes the aircraft band between 118 and 136 MHz and will allow you to listen to control towers, centers, and planes en-route to their destination. The active aircraft band receiver, shown in Figure 13-1 has good sensitivity, image rejection, signal-to-noise ratio and stability. It is designed for casual listening in both

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Treatment of Delirium Tremens and Minor Withdrawal Symptoms The general aspects of management of the delirious and confused patient have been described on page 973 More speci cally, the treatment of delirium tremens begins with a careful search for associated injuries (particularly head injury with cerebral lacerations or subdural hematoma), infections (pneumonia or meningitis), pancreatitis, and liver disease Because of the frequency and seriousness of these complications, chest lms and a CT scan should be obtained in most instances, and lumbar puncture should be performed if there is suspicion of meningitis In severe forms of delirium tremens, the temperature, pulse, and blood pressure should be measured at frequent intervals in anticipation of peripheral circulatory collapse and hyperthermia, which, added to the effects of injury and infection, are the usual causes of death in this disease.

Just as there is a standard form for a first-degree equation in one variable, there s a standard form for a two-variable linear equation. Here it is: ax + by + c = 0 where x is the independent variable, y is the dependent variable, and a, b, and c are constants. Show how this equation can be rearranged into the SI form, expressing y as a function of x (as long as b, the coefficient of y, is not equal to 0).

In the case of hypotension, one must act quickly, utilizing intravenous uids and, if called for, vasopressor drugs The occurrence of hyperthermia demands the use of a cooling mattress or evaporative cooling in addition to speci c treatment for any infection that may be present An additional important element in treatment is the correction of uid and electrolyte imbalance, particularly hypokalemia and severe hypomagnesemia Severe degrees of agitation and perspiration may require the administration of up to 5 L of uid daily, of which at least 1500 to 2000 mL should be normal saline The speci c electrolytes and the amounts that must be administered are governed by the laboratory values for these electrolytes If the serum sodium is extremely low, one must be cautious in raising the level lest a central pontine myelinolysis be induced (see page 973).

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