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Pain is an unpleasant sensory and emotional experience in response to tissue damage, threat of tissue damage or perceived tissue damage. Experience and interpretation of pain is subjective and influenced by previous experience and an individualвs physical and mental condition at the time.

  • Vitamin A is known to affect normal cell differentiation.
  • Conversely, for a local effect, addition of a vasoconstrictor to the injection decreases the rate of removal of the drug from the site of injection.
  • Their actions and uses in long-term inflammatory disease are discussed in Chapter Less serious reactions to contrast agents are nausea and vomiting, mild skin reactions (hives) and more serious generalized skin reactions with urticaria.
  • Mebendazole is a broad-spectrum anthelmintic effective against threadworms, hookworms and round worms.
  • PGDs will continue to be used where large groups of patients undergo imaging procedures that routinely require medicinal administration in a set format, as indicated earlier.
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Three other types of cell are found in the epidermis. Merkel cells and melanocytes are found in the stratum basale.


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Oral replacement of vitamin B by intramuscular injection of hydroxycobolamin, a form of vitamin B Folic acid deficiency can occur due to pregnancy, malabsorption syndromes or inadequate diet. Some drugs, for example phenytoin, oral contraceptives and isoniazid, can cause reduced absorption of folic acid. Oral replacement therapy with folic acid is effective. Aplastic anaemia is due to loss of haemopoietic tissue in bone marrow and therefore decreased production of red blood cells. This a common side effect of cytotoxic drugs.

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