query: where does blood go when you have internal bleeding

pos: Internal bleeding general to all kinds of bleeding. A minor case of internal bleeding results in ecchymosis, or a bruise: blood expands under the skin, causing discoloration. Internal bleeding Internal bleeding (also called internal hemorrhage) is a loss of blood that occurs from the vascular system into a body cavity or space. It is a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding (e.g. heart, brain, stomach, lungs). It can cause death and cardiac arrest if proper medical treatment is not received quickly. A number of medical conditions may lead to internal bleeding.

pos: Internal bleeding Internal bleeding Internal bleeding (also called internal hemorrhage) is a loss of blood that occurs from the vascular system into a body cavity or space. It is a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding (e.g. heart, brain, stomach, lungs). It can cause death and cardiac arrest if proper medical treatment is not received quickly. A number of medical conditions may lead to internal bleeding. Common causes include trauma, various pathological conditions and complications of medical therapy. Common locations include the gastrointestinal tract, the aorta and intracranial hemorrhage. A bruise

neg: Internal bleeding is a form of internal bleeding. Bruises occur most often when blunt force trauma breaks small blood vessels inside the body, causing blood to leak out into surrounding tissue. If the blood leaks into tissue that is near the surface of the skin, this bleeding is visible as a discoloration of the skin called a bruise or contusion. Bruises are among the most common injuries and they are often minor, but bruises can sometimes be very severe in the case of serious injuries. Internal bleeding can be caused by blunt trauma such as high speed deceleration in an automobile accident,

neg: Hypovolemia decompensate. This is another reason (aside from initial lower blood volume) that even the possibility of internal bleeding in children should almost always be treated aggressively. Obvious signs of external bleeding should be noted while remembering that people can bleed to death internally without any external blood loss. ("Blood on the floor, plus 4 more" = intrathoracic, intraperitoneal, retroperitoneal, pelvis/thigh) There should be considered possible mechanisms of injury that may have caused internal bleeding, such as ruptured or bruised internal organs. If trained to do so and if the situation permits, there should be conducted a secondary survey and checked

neg: Obstetrical bleeding internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. Occasionally this condition can be diagnosed by ultrasound. There are also tests to differentiate maternal blood from fetal blood which can help in determining the source of the bleed. Abnormal bleeding after delivery, or postpartum hemorrhage, is the loss of greater than 500 ml of blood following vaginal delivery, or 1000 ml of blood following cesarean section. Other

neg: Emergency bleeding control as of 2012, supported by the evidence for most cases of major bleeding. Its use brings a significant risk of arterial thrombosis, and therefore it should only be used in clinical trials or with patients with factor VII deficiency. Internal wounds (usually to the torso) are harder to deal with than external wounds, although they often have an external cause. The key dangers of internal bleeding include hypovolaemic shock (leading to exsanguination), causing a tamponade on the heart or a haemothorax on the lung. The aortic aneurysm is a special case where the aorta, the body's main blood vessel, becomes

neg: Hemotympanum your nose to stop the bleeding. This process is called therapeutic nasal packing. Nasal packing sometimes causes blood to back up in your middle ear, causing hemotympanum. If you’ve recently had nasal packing done and notice hemotympanum symptoms, contact your doctor. They can remove the packing to allow the blood to drain out of your ear. You may also need antibiotics to avoid getting an ear infection. Bleeding disorders Bleeding disorders, such as hemophilia or idiopathic thrombocytopenia purpura, can also cause hemotympanum. These disorders prevent your blood from properly clotting, making you more prone to bleeding. If you have a

neg: Lindsay Tribunal Lindsay Tribunal The Lindsay Tribunal was set up in Ireland in 1999 to investigate the infection of haemophiliacs with HIV and Hepatitis C from contaminated blood products supplied by the Blood Transfusion Service Board. There are about 400 haemophiliacs in Ireland. According to the tribunal a 'minimal figure' of 250 haemophilliacs were infected with HIV or Hepatitis C while receiving treatment from the BTSB before 1985. Haemophilia is a genetic condition where the blood does not clot as quickly as normal due to a deficiency in certain proteins. This means they can suffer from internal bleeding - bruises and sprains

neg: Declaration (Bleeding Through album) Declaration (Bleeding Through album) Declaration is the fifth album by American metalcore band Bleeding Through. The song's titles are named after different states and cities. Frontman Brandan Schieppati commented, "There are definitely places when we're traveling where every time we go there, we're like, 'Fuck, why do we have to be here?' Like, we'll be in France and all of a sudden we'll feel totally insignificant. You get the feeling that people's eyes are just burning a hole through you." The album was scheduled for release in August. Schieppati claims it will be heavier than the band's 2003 release, "This

neg: Hemotympanum bleeding disorder, a mild head injury or simply sneezing too hard can cause hemotympanum. If you have a bleeding disorder and have hemotympanum symptoms, let your doctor know. In most cases, they’ll just want to keep an eye on it. They may also prescribe antibiotics to prevent an ear infection. Anticoagulant medications Anticoagulants, often called blood thinners, are medications that keep blood from clotting as easily. They are often used to treat blood clots. You might also take them if you have a condition that increases your risk of having a blood clot. In rare cases, anticoagulants can cause hemotympanum

neg: Internal bleeding or by penetrating trauma such as a ballistic or stab wound. A number of pathological conditions and diseases can lead to internal bleeding. These include blood vessel rupture as a result of high blood pressure, aneurysms, esophageal varices or peptic ulcers. Another common cause of internal bleeding is carcinoma (cancer), either of the gastro-intestinal tract, of the lung, or more rarely of other organs such as the prostate, pancreas or kidney. Other diseases linked to internal bleeding include scurvy, hepatoma, liver cancer, Autoimmune Thrombocytopenia, ectopic pregnancy, malignant hypothermia, ovarian cysts, Vitamin K Deficiency, and hemophilia and malaria. Some viruses may

neg: Bone wax part almond oils, and 1% salicylic acid. The material was useful for controlling bleeding when pressed into the pores and channels of cut or damaged bone. The wax was sterilized by boiling and kept in stoppered bottles. This material soon became the standard of care for bleeding control in bone for general orthopedics, craniomaxillofacial surgery, and cardiothoracic surgery, where the sternum is often split longitudinally to provide access to the heart. Ordinary bone wax is effective by virtue of its tamponade action, but is considered to have no active hemostatic properties (i.e. does not activate the blood clotting cascade). In

neg: Entamoeba coli parasites, and do not cause harm to the host. However, there have been cases of internal bleeding. Usually, the cytoplasm of the "E. coli" "does not contain red blood cells, except in the rare case of patients with intestinal hemorrhage" that leads to blood in the stools of these patients. This may lead to intestinal lesions. Other problems that "E. coli" causes are usually result from having too many in the large intestine. For example, large populations of "E. coli" may lead to "dyspepsia, hyperacidity, gastritis, and indigestion"; these are common problems of most intestinal parasites. There is generally no

neg: You Don't Want to Know where the cancer is located. Flynn predicts that he will be dead by the next day. The doctors notice that Flynn has a lot of internal bleeding, and that at this rate he might be dead by the next day. Kutner considers a tainted blood transfusion. Foreman says that the low immunoglobulin levels and the other symptoms indicate amyloidosis. Flynn has had a grand mal seizure, then kidney failure. House believes that this proves the diagnosis of amyloidosis, and not a bad blood transfusion as Kutner suggested, and that the patient needs a bone marrow transplant. Since the procedure requires

neg: Blood Brothers (The Vampire Diaries) sons. Believing that Stefan is now a vampire, he attacks him and Stefan - not knowing his own strength - hurtles his father away in defense. Giuseppe gets hurt and starts bleeding and Stefan does not have the strength to resist to his need for blood and he feeds on his father completing his transformation. "Present day:" Elena visits Stefan in his cell ignoring Damon's warnings not to go down there alone. She tries to make him drink the blood but Stefan still refuses it. She opens the cell door and goes in. Stefan tries to scare her away but

neg: Bleeding orifice, such as the rectum, nose, or ears may signal internal bleeding, but cannot be relied upon. Bleeding from a medical procedure also falls into this category. "Medical bleeding" denotes hemorrhage as a result of an underlying medical condition (i.e. causes of bleeding that are not directly due to trauma). Blood can escape from blood vessels as a result of 3 basic patterns of injury: The underlying scientific basis for blood clotting and hemostasis is discussed in detail in the articles, coagulation, hemostasis and related articles. The discussion here is limited to the common practical aspects of blood clot formation

neg: Platelet transfusion had the white blood cells partially removed or been gamma irradiated which have specific benefits for certain populations. International guidelines recommend that platelets transfusions are given to people with reversible bone marrow failure to reduce the risk of spontaneous bleeding when the platelet count is less than 10 x 10/L. If the person is well using a higher platelet count threshold does not reduce the risk of bleeding further. A review in people with blood cancers receiving intensive chemotherapy or a stem cell transplant found that overall giving platelet transfusions when the platelet count is less than 10 x 10/L

neg: Blood removed, making the meat fit for human consumption. Consumption of food containing blood is forbidden by Islamic dietary laws. This is derived from the statement in the Qur'an, sura Al-Ma'ida (5:3): "Forbidden to you (for food) are: dead meat, blood, the flesh of swine, and that on which has been invoked the name of other than Allah." Blood is considered unclean, hence there are specific methods to obtain physical and ritual status of cleanliness once bleeding has occurred. Specific rules and prohibitions apply to menstruation, postnatal bleeding and irregular vaginal bleeding. When an animal has been slaughtered, the animal's neck

neg: Haemophilia bleeding is common in people with severe haemophilia and some individuals with moderate haemophilia. The most characteristic type of internal bleed is a joint bleed where blood enters into the joint spaces. This is most common with severe haemophiliacs and can occur spontaneously (without evident trauma). If not treated promptly, joint bleeds can lead to permanent joint damage and disfigurement. Bleeding into soft tissues such as muscles and subcutaneous tissues is less severe but can lead to damage and requires treatment. Children with mild to moderate haemophilia may not have any signs or symptoms at birth especially if they do

neg: Antihemorrhagic formation of a blood clot when it comes into contact with blood. Unlike the hemostatic clamp, no mechanical action is involved. The surgeon presses the MCH against a bleeding site, and the collagen attracts and helps with the clotting process to eventually stop bleeding. The practical application for MCH is different from that of the hemostatic clamp. Chitosan hemostats are topical agents composed of chitosan and its salts. Chitosan bonds with platelets and red blood cells to form a gel-like clot which seals a bleeding vessel. Unlike other hemostat technologies its action does not require the normal hemostatic pathway and

neg: Blood replacement have shown that there is a high rate of non-compliance with this regulation and therefore highlights the need for implementation and dissemination of the return-to-play regulation. In rugby league, blood replacement substitutions are enforced by the referee after he has noticed that a player is bleeding. This change takes the place of one of the allocated 10 replacements that teams are allowed. In the case of misconduct, where the incident leading to the injury has been either placed on report or sin-binned or sent off, then the replacement is free (does not count) however when the player returns this counts

neg: Abrin may occur, which can be fatal within 36 to 72 hours. If an exposure to abrin by inhalation is not fatal, the airway can become sensitized or irritated. Swallowing any amount of abrin can lead to severe symptoms. Early symptoms include nausea, vomiting, pain in the mouth, throat, and esophagus, diarrhea, dysphagia (trouble swallowing), and abdominal cramps and pain. As the symptoms progress, bleeding and inflammation begins in the gastrointestinal tract. The affected person can vomit up blood (hematemesis), have blood in their feces, which creates a black, tarry stool called melena, and more internal bleeding. Loss of blood volume

neg: Giant platelet disorder Giant platelet disorder Giant platelet disorders are rare disorders featuring abnormally large platelets, thrombocytopenia and a tendency to bleeding. Giant platelets cannot stick adequately to an injured blood vessel walls, resulting in abnormal bleeding when injured. Giant platelet disorder occurs for inherited diseases like Bernard-Soulier syndrome, gray platelet syndrome and May-Hegglin anomaly. Symptoms usually present from the period of birth to early childhood as: nose bleeds, bruising, and/or gum bleeding. Problems later in life may arise from anything that can cause internal bleeding such as: stomach ulcers, surgery, trauma, or menstruation. Abnormality of the abdomen, nosebleeds, heavy menstrual bleeding, purpura,

neg: 2017 Congressional baseball shooting erroneously directed to the residence of Nancy Pelosi in Georgetown, delaying their response time. Scalise was shot in the hip and was evacuated by a U.S. Park Police helicopter to MedStar Washington Hospital Center, where he underwent surgery. The hospital reported that after the bullet struck his hip, it traveled across his pelvis – fracturing bones, injuring internal organs, and causing severe bleeding. His condition was initially listed as "critical". He received multiple blood transfusions and underwent several surgeries to repair internal damage and stop the bleeding. His condition was improved to "serious" on June 17. It further improved to

neg: Bruise while elevating the area may reduce or completely prevent swelling by restricting blood flow to the area and preventing internal bleeding. Rest and preventing re-injury is essential for rapid recovery. Very gently massaging the area and applying heat may encourage blood flow and relieve pain according to the gate control theory of pain, although causing additional pain may indicate the massage is exacerbating the injury. As for most injuries, these techniques should not be applied until at least three days following the initial damage to ensure all internal bleeding has stopped, because although increasing blood flow will allow more healing

neg: Upper gastrointestinal bleeding diagnosis is easier when the patient has hematemesis. In the absence of hematemesis, 40% to 50% of patients in the emergency department with GI bleeding have an upper source Upper gastrointestinal bleeding Upper gastrointestinal bleeding is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. Blood may be observed in vomit (hematemesis) or in altered form in the stool (melena). Depending on the severity of the blood loss, there may be symptoms of insufficient circulating blood volume and shock. As a result, upper gastrointestinal bleeding is considered a medical emergency and

neg: America: Freedom to Fascism mentioned only in passing (see Obiter dictum). The transcript reads (in part): I will say I think, you know, colonel, I have to tell you that there are cases where a long course of history in fact does change the Constitution, and I can think of one instance. I believe I'm correct on this. I think if you were to go back and try to find and review the ratification of the 16th amendment, which was the internal revenue, income tax, I think if you went back and examined that carefully, you would find that a sufficient number of states

neg: Hypovolemia but IV fluids cannot carry oxygen the way blood does—however, researchers are developing blood substitutes that can. Infusing colloid or crystalloid IV fluids also dilutes clotting factors in the blood, increasing the risk of bleeding. Current best practice allow permissive hypotension in patients suffering from hypovolemic shock, both avoid overly diluting clotting factors and avoid artificially raising blood pressure to a point where it "blows off" clots that have formed. Fluid replacement is beneficial in hypovolemia of stage 2, and is necessary in stage 3 and 4. See also the discussion of shock and the importance of treating reversible shock

neg: Lonomia obliqua through the hollow bristles and into the puncture wound. It was discovered that the toxin in the caterpillar's skin held potent anti-clotting agents. This anti-clotting agent would attach to another protein of the body's cells and cause them to leak as blood is unable to clot. This internal bleeding would fill the surrounding tissue with "bruised blood". This internal bleeding spreads through the internal organs and eventually leads to compression and brain death. This accounts for the minimum of 500 deaths resulting from contact with "L. obliqua" caterpillars. The poison only takes effect in fairly large amounts; in order to

neg: Giant platelet disorder with mixed results, making this type of treatment contentious. Giant platelet disorder Giant platelet disorders are rare disorders featuring abnormally large platelets, thrombocytopenia and a tendency to bleeding. Giant platelets cannot stick adequately to an injured blood vessel walls, resulting in abnormal bleeding when injured. Giant platelet disorder occurs for inherited diseases like Bernard-Soulier syndrome, gray platelet syndrome and May-Hegglin anomaly. Symptoms usually present from the period of birth to early childhood as: nose bleeds, bruising, and/or gum bleeding. Problems later in life may arise from anything that can cause internal bleeding such as: stomach ulcers, surgery, trauma, or menstruation.

neg: Exsanguination Exsanguination Exsanguination is the loss of blood to a degree sufficient to cause death. One does not have to lose all of one's blood to cause death. Depending upon the age, health, and fitness level of the individual, people can die from losing half to two-thirds of their blood; a loss of roughly one-third of the blood volume is considered very serious. Even a single deep cut can warrant suturing and hospitalization, especially if trauma, a vein or artery, or another comorbidity is involved. It is most commonly known as "bleeding to death" or colloquially as "bleeding out". The word

neg: Steve Scalise as 50 shots". Scalise, initially conscious, went into shock while being taken to MedStar Washington Hospital Center in critical condition, where he underwent immediate surgery. Scalise was hit by a single rifle bullet that "travelled across his pelvis, fracturing bones, injuring internal organs, and causing severe bleeding". Dr. Jack Sava at the MedStar Washington Hospital Center said that "when he arrived, he was in critical condition with an imminent risk of death". By June 16, although still in critical condition, Sava said, "We have controlled internal bleeding and his vital signs have stabilized." On June 17, it was announced that

neg: Corpus luteum cyst almost always a physiological condition rather than a cancer or other disease condition. In postmenopausal women the threshold for concern is 1 cm. Although ovarian cancer is cystic, it does not arise from benign corpus luteum cysts. Medical specialty professional organizations recommend no follow-up imaging for cysts which are considered clinically inconsequential. Corpus luteum cysts can, however, grow to almost 10 cm (4 inches) in diameter and have the potential to bleed into themselves or twist the ovary, causing pelvic or abdominal pain. If it fills with blood, the cyst may rupture, causing internal bleeding and sharp pain. This pain

neg: Elisha C. Dick the examination of the General, he assured us that it was not really quinsy, which we supposed it to be, but a violent inflammation of the membranes of the throat, which it had almost closed, and which if not immediately arrested would result in his death. You must remember he was averse to bleeding the General, and I have often thought that if we had acted accordingly to his suggestion, when he said, "he needs all his strength - bleeding will diminish it", and taken no more blood from him, our good friend might have been alive now. But we

neg: Hereditary hemorrhagic telangiectasia Bleeding from lung AVMs is relatively unusual, but may cause hemoptysis (coughing up blood) or hemothorax (blood accumulating in the chest cavity). Large vascular malformations in the lung allow oxygen-depleted blood from the right ventricle to bypass the alveoli, meaning that this blood does not have an opportunity to absorb fresh oxygen. This may lead to breathlessness. Large AVMs may lead to platypnea, difficulty in breathing that is more marked when sitting up compared to lying down; this probably reflects changes in blood flow associated with positioning. Very large AVMs cause a marked inability to absorb oxygen, which may be

neg: Near-infrared spectroscopy Optical imaging can measure the location and activity of specific regions of the brain by continuously monitoring blood hemoglobin levels through the determination of optical absorption coefficients. NIRS can be used as a quick screening tool for possible intracranial bleeding cases by placing the scanner on four locations on the head. In non-injured patients the brain absorbs the NIR light evenly. When there is an internal bleeding from an injury, the blood may be concentrated in one location causing the NIR light to be absorbed more than other locations, which the scanner detects. NIRS can be used for non-invasive assessment

neg: Northwest Passage (Fringe) officer Bill Ferguson (Patrick Gilmore), soon disappears. After they go to the scene of Krista's murder, Peter encounters Newton, but he escapes. Peter becomes suspicious of Mathis when he sees blood on her jacket; however, he believes her when she shows him her cut from a fall, which is bleeding normal blood, not the mercury typical of shapeshifters; he then explains the concept of shapeshifters to her. Peter begins to doubt the shapeshifters' motives after another body is found, but eventually comes up with an idea to read and track the victims' adrenaline spikes, which allows him to find where

neg: Fecal occult blood gastrointestinal bleeding or lower gastrointestinal bleeding and warrant further investigation for peptic ulcers or a malignancy (such as colorectal cancer or gastric cancer). The test does not directly detect colon cancer but is often used in clinical screening for that disease, but it can also be used to look for active occult blood loss in anemia or when there are gastrointestinal symptoms. The stool guaiac test for hidden (occult) blood in the stool can be done at home or in the doctor's office, or can be performed on samples submitted to a clinical laboratory. Testing kits are available at pharmacies

neg: Bleeding Through May 2008 issue, "There are definitely places when we're traveling where every time we go there, we're like, 'Fuck, why do we have to be here?' Like, we'll be in France and all of a sudden we'll feel totally insignificant. You get the feeling that people's eyes are just burining a hole through you." The group recorded "Declaration" between April and May 2008 in Vancouver, Canada with producer Devin Townsend. On June 6, 2008, the band released a blog on MTV's Headbangers Ball website. The blog addressed numerous disappointments the band had with Trustkill Records. These disappointments included unpaid royalties,

neg: Factor VII Factor VII Factor VII (, "blood-coagulation factor VIIa", "activated blood coagulation factor VII", formerly known as proconvertin) is one of the proteins that causes blood to clot in the coagulation cascade. It is an enzyme of the serine protease class. A recombinant form of human factor VIIa (eptacog alfa [activated], NovoSeven) has U.S. Food and Drug Administration approval for uncontrolled bleeding in hemophilia patients. It is sometimes used unlicensed in severe uncontrollable bleeding, although there have been safety concerns. A biosimilar form of recombinant activated factor VII (AryoSeven) is also available, but does not play any considerable role in the

neg: The Fog (Mad Men) her father only increase with the administration of drugs and sedatives. She encounters Gene in her house, mopping up a pool of blood with a bleeding Medgar Evers sitting at the kitchen table. Betty also sees her mother, Ruth, who points to the blood and says, “You see what happens when people speak up? Be happy with what you have.” Betty eventually wakes up from her drug-induced haze to a baby in her arms, immediately deciding to name the boy “Gene” in honor of her late father. At the same time in the waiting room, Don encounters another soon-to-be father,

neg: The Neon Bible Nashville promising that she'll immediately send for David and his mother. On strength of this promise, David quits his job. After seeing Aunt Mae off, he reflects on his situation. He does not know his mother's whereabouts, but assumes she is in the house since she is afraid to go out at night. He fixes himself dinner rather than searching the house for his mother. After eating, as he climbs the stairs he steps in blood. He finds his mother collapsed, bleeding profusely from her mouth. He picks her up and puts her into bed. The bleeding quells with the

neg: Witch-hunt of them told and confessed, without any pressure, that she had killed thirty children by bleeding them ... [and] she confessed more, saying she had killed her own son ... Answer me: does it really seem to you that someone who has killed twenty or thirty little children in such a way has done so well that when finally they are accused before the Signoria you should go to their aid and beg mercy for them? The resurgence of witch-hunts at the end of the medieval period, taking place with at least partial support or at least tolerance on the

neg: Hairy cell leukemia can have the side effect of making the person feel full even when he or she has not eaten much. Hairy cell leukemia is commonly diagnosed after a routine blood count shows unexpectedly low numbers of one or more kinds of normal blood cells, or after unexplained bruises or recurrent infections in an otherwise apparently healthy patient. Platelet function may be somewhat impaired in HCL patients, although this does not appear to have any significant practical effect. It may result in somewhat more mild bruises than would otherwise be expected for a given platelet count or a mildly increased bleeding

neg: Heyde's syndrome small arterioles are common, as platelets cannot bind to damaged blood vessel walls well in such conditions. This is particularly true in the presence of intestinal angiodysplasia, where arteriovenous malformations lead to very high blood flow, and so the loss of von Willebrand factor can lead to much more extensive bleeding from these lesions. When people with aortic stenosis also have gastrointestinal bleeding, it is invariably from angiodysplasia. It has been hypothesized that defects in high molecular weight von Willebrand factor could actually be the cause of the arteriovenus malformations in intestinal angiodysplasia, rather than just making existing angiodysplasic lesions

neg: Haemophilia "haima" αἷμα meaning blood and "philia" φιλία meaning love. Characteristic symptoms vary with severity. In general symptoms are internal or external bleeding episodes, which are called "bleeds". People with more severe haemophilia suffer more severe and more frequent bleeds, while people with mild haemophilia usually suffer more minor symptoms except after surgery or serious trauma. In cases of moderate haemophilia symptoms are variable which manifest along a spectrum between severe and mild forms. In both haemophilia A and B, there is spontaneous bleeding but a normal bleeding time, normal prothrombin time, normal thrombin time, but prolonged partial thromboplastin time. Internal

neg: Saved by the Great White Hope Luz', a lake where the algae are luminescent, looking "like fireflies caught just beneath the surface". It was Ed's wife's favourite place in the world, and the place that he wants to scatter her ashes. The next morning, Ed's vitals drop dramatically. It becomes clear that he has major internal injuries. Zee, Otis and Ben perform surgery on Ed, noting that a number of his internal organs have been damaged during the collision with the tree (including his spleen and liver). When Ed starts to bleed out it becomes clear that the clinic does not have enough blood to perform

neg: Emergency bleeding control ruptured through an inherent weakness, although exertion, raised blood pressure or sudden movements could cause a sudden catastrophic failure. This is one of the most serious medical emergencies a patient can face, as the only treatment is rapid surgery. In the event of bleeding caused by an external source (trauma, penetrating wound), the patient is usually inclined to the injured side, so that the 'good' side can continue to function properly, without interference from the blood inside the body cavity. Treatment of internal bleeding is beyond the scope of simple first aid, and a person giving first aid should consider

neg: Bleeding from αἱμορραγής (haimorrhagḗs, “bleeding violently”), from αἷμα (haîma, “blood”) + -ραγία (-ragía), from ῥηγνύναι (rhēgnúnai, “to break, burst”). Bleeding Bleeding, also known as haemorrhaging, is blood escaping from the circulatory system. Bleeding can occur internally, where blood leaks from damaged blood vessels inside the body, or externally, either through a natural opening such as the mouth, nose, ear, urethra, vagina or anus, or through a wound in the skin. Hypovolemia is a massive decrease in blood volume, and death by excessive loss of blood is referred to as exsanguination. Typically, a healthy person can endure a loss of 10–15% of

neg: Blood ritual Blood ritual A blood ritual is any ritual that involves the intentional release of blood. A common blood ritual is the blood brother ritual, which started in ancient Europe and Asia. Two or more people, typically male, intermingle their blood in some way. This symbolically brings the participants together into one family. This can be an unsafe practice where blood-borne pathogens are concerned; the use of safe, sterilized equipment such as a lancet can mitigate this problem. Body piercing can also be part of a blood ritual. Though piercing does not always cause bleeding, it certainly can. Piercing has been

neg: Willow Bunch, Saskatchewan go; the arrival of the Nez Perce showed that the U.S. could not be trusted. "You [saw] the Nez Perce wounded and bleeding. How can we go and talk to white men with blood on their hands." With persistence, Walsh managed to convince Sitting Bull to go to the meeting. Nonetheless, the meeting was fruitless. Sitting Bull did not trust the United States and would not return. In May 1878, the NWMP moved their headquarters from Fort Macleod to Fort Walsh as it became the centre for various councils held between the Mounted Police and Sitting Bull. By this time,

neg: Kidney stone disease power setting of the lithotriptor) and can be severe, including internal bleeding and subcapsular hematomas. On rare occasions, such cases may require blood transfusion and even lead to acute renal failure. Hematoma rates may be related to the type of lithotriptor used; hematoma rates of less than 1% and up to 13% have been reported for different lithotriptor machines. Recent studies show reduced acute tissue injury when the treatment protocol includes a brief pause following the initiation of treatment, and both improved stone breakage and a reduction in injury when ESWL is carried out at slow shock wave rate. In

neg: Movie 43 fun of them. Amanda then discovers she is menstruating and tries to hide it, and when Nathan sees blood on her pants, he panics and believes her to be bleeding to death, causing a debacle, which would later have Nathan and Mikey's father Steve and Amanda's father involved. Amanda calls them out on their stupidity and feels embarrassed to know that she's getting her first period in front of them and they don't know what to do about it. When she leaves with her father, Nathan yells that the process of keeping the lining of her internal organs intact by

neg: Shimoyama incident was found which could have been caused only by considerable force, such as kicking. On the other hand, a Tokyo municipal coroner who had examined the body at the scene believed that Shimoyama's death was suicide. However, the internal bleeding observed in the remains of Shimoyama was also consistent with being hit by a train, and investigators would not have been able to observe blood at the scene because it was raining. As such, these as facts are not useful to support a murder theory. Keio University professor Nakadate Kyūhei believed that Shimoyama was alive when hit by the train,

neg: Bleeding Bleeding Bleeding, also known as haemorrhaging, is blood escaping from the circulatory system. Bleeding can occur internally, where blood leaks from damaged blood vessels inside the body, or externally, either through a natural opening such as the mouth, nose, ear, urethra, vagina or anus, or through a wound in the skin. Hypovolemia is a massive decrease in blood volume, and death by excessive loss of blood is referred to as exsanguination. Typically, a healthy person can endure a loss of 10–15% of the total blood volume without serious medical difficulties (by comparison, blood donation typically takes 8–10% of the donor's

neg: Stabbing in design to a metal I-beam used in construction. However, internal bleeding is just as dangerous as external bleeding; if enough blood vessels are severed to cause serious injury, the skin's elasticity will do nothing to prevent blood from exiting the circulatory system and accumulating uselessly in other parts of the body. Death from stabbing is caused by shock, severe blood loss, infection, or loss of function of an essential organ such as the heart and/or lungs. Although previously a victim of abdominal stabbing would be subject to exploratory surgery laparotomy, it is now considered safe not to operate if

neg: Death Bed: The Bed That Eats place in the hearts of psychotronic fans who already treasure such extreme oddities as "Blood Freak", not to mention Andy Milligan’s entire ouevre." Barry Meyer from "Film Monthly" gave the film a slightly positive review, writing, ""Death Bed" is such a true original that you have to overlook all its faults and just go with it and enjoy this whimsical drug induced nightmare." Brian J. Dillard from Allmovie called it "a major classic in the what-were-they-thinking school of horror". Joseph A. Ziemba from "Bleeding Skull!" gave the film a positive review, stating that the film "goes toe to toe with

neg: While You Were Sleeping (The Vampire Diaries) who tells her that he was working with the travelers and they have the antidote but to give it to them, Stefan has to meet with the travelers. Caroline calls Stefan and agrees to meet them, leaving Elena alone. Elena and Damon are on the phone talking about those three weeks and Damon tries to fill Elena in. He tells her that he killed Wes but he does not tell her that he also killed Aaron (Shaun Sipos). Elena starts having the symptoms of the virus and she hallucinates, nose bleeding and coughing blood. In her hallucinations she sees Katherine

neg: Polyclonal antibodies of antisera are required. Many investigators favor chickens because of their phylogenetic distance from mammals. Chickens transfer high quantities of IgY (IgG) into the egg yolk and harvesting antibodies from eggs eliminates the need for the invasive bleeding procedure. One week’s eggs can contain 10 times more antibodies than the volume of rabbit blood obtained from one weekly bleeding. However, there are some disadvantages when using certain chicken derived antibodies in immunoassays. Chicken IgY does not fix mammalian complement component C1 and it does not perform as a precipitating antibody using standard solutions. Although mice are used most frequently for

neg: A Very Potter Senior Year among the students. Ginny tries to wash the blood off of her hands in the girls' bathroom, unable to make sense of the situation. She again writes in the diary and, in the second flashback, Riddle shows the aftermath of his first murder and his decision to visit the Riddle home ("When You Have To Go All The Way Home"). Back in the present, Harry takes Cho as his date to Nearly Headless Nick's Deathday Party. The date does not go well, and Harry is jealous to see Ginny accompanied by Seamus and Dean. Ron is also there, however unaccompanied,

neg: Gynecologic hemorrhage in early pregnancy presents as gynecological hemorrhage and ectopic pregnancy can be fatal. Diagnosis is broadly classified into supportive and definitive investigations: Gynecologic hemorrhage needs to be evaluated as soon as possible by a physician. The amount and duration of bleeding will dictate whether a bleeding event is an emergency event. Treatment depends on diagnosis and may include hormonal therapy, iv fluids, blood transfusion, and/or a dilation and curettage. Internal bleeding requires laparoscopy or abdominal surgery, in rare and extreme cases a hysterectomy is performed. Gynecologic hemorrhage Gynecologic hemorrhage represents excessive bleeding of the female reproductive system. Such bleeding could

neg: Gynecologic hemorrhage Gynecologic hemorrhage Gynecologic hemorrhage represents excessive bleeding of the female reproductive system. Such bleeding could be visible or external, namely bleeding from the vagina, or it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive. Hemorrhage associated with a pregnant state or during delivery is an obstetrical hemorrhage. Menstruation occurs typically monthly, lasts 3–7 days, and involves up to 80 ml blood. Bleeding in excess of this norm in a nonpregnant woman constitutes gynecologic hemorrhage. In addition, early pregnancy bleeding has sometimes been included as

neg: Viral hemorrhagic septicemia brain. External signs may include darker coloration, exophthalmia ("pop eye"), pale or red-dotted gills, sunken eyes, and bleeding around orbits (eye sockets) and at base of fins. Genetics researchers at the Lake Erie Research Center at the University of Toledo are developing a test that will speed diagnosis from a month to a matter of hours. VHSV is a hemorrhagic disease, meaning it causes bleeding. Internally, the virus can cause petechial hemorrhaging (tiny spots of blood) in internal muscle tissue, and petechial or severe hemorrhaging in internal organs and other tissues. Internal hemorrhaging can be observed as red spots inside

neg: Characters of Casualty the Neonatal Intensive Care Unit. After a scan shows that she has a bleed on the brain and internal bleeding, Grace is placed on a ventilator. Grace almost dies from an Intraventricular hemorrhage and has to have a blood transfusion. Connie decides to turn off Grace's life support when her ECG results show minimal brain-stem activity. When Doctor Ooma Chowdry (Sakuntala Ramanee) asks Connie if she wants to hold Grace, Connie declines, but Sam holds her and notices she is breathing on her own. Grace pulls through and Connie allows Sam increased access to his daughter. Sam ask Maddy to

neg: Anna Lindh history). She was rushed to Karolinska University Hospital, where she underwent surgery and blood transfusions for over nine hours. Lindh reportedly experienced severe internal bleeding and liver damage; her condition remained grave, although she appeared to have improved immediately after the surgery. An hour later, however, complications necessitated additional surgery; at 05:29 on 11 September 2003, she was pronounced dead. After a private briefing of her relatives and the government (and contradicting news coverage that she was alive in "grave" but "stable" condition), the announcement of her death made headlines across the European Union. The murderer escaped after the crime;

neg: Bruise sufficient to break the skin and allow blood to escape the interstitial tissues, the injury is not a bruise but bleeding, a different variety of hemorrhage. Such injuries may be accompanied by bruising elsewhere. Bruises often induce pain immediately after the trauma that results in their formation, but small bruises are not normally dangerous alone. Sometimes bruises can be serious, leading to other more life-threatening forms of hematoma, such as when associated with serious injuries, including fractures and more severe internal bleeding. The likelihood and severity of bruising depends on many factors, including type and healthiness of affected tissues. Minor

neg: Dragon's blood medicine, dragon's blood is used externally as a wash to promote healing of wounds and to stop bleeding. It is used internally for chest pains, post-partum bleeding, internal traumas and menstrual irregularities. In neopagan Witchcraft, it is used to increase the potency of spells for protection, love, banishing and sexuality. In New Age shamanism it is used in ceremonies in a similar way as the neopagans use it. Dragon's blood incense is also occasionally sold as "red rock opium" to unsuspecting would-be drug buyers. It actually contains no opiates, and has only slight psychoactive effects, if any at all. Thaspine

neg: Hemostasis the blood does not clot sufficiently, it may be due to bleeding disorders such as hemophilia or immune thrombocytopenia; this requires careful investigation. Over-active clotting can also cause problems; thrombosis, where blood clots form abnormally, can potentially cause embolisms, where blood clots break off and subsequently become lodged in a vein or artery. Hemostasis disorders can develop for many different reasons. They may be congenital, due to a deficiency or defect in an individual's platelets or clotting factors. A number of disorders can be acquired as well, such as in HELLP syndrome, which is due to pregnancy, or Hemolytic-uremic syndrome

neg: Migraine treatment is not a blood thinner (and thus may be used in patients where coagulation is a concern), and it does not cause gastric irritation. Compared to Ibuprofen—which can have adverse effects that include diarrhea, vomiting, and abdominal pain—paracetamol is well tolerated with fewer side effects. Prolonged daily use increases the risk of upper gastrointestinal complications such as stomach bleeding, and may cause kidney or liver damage. Paracetamol is metabolized by the liver and is hepatotoxic; side effects may be more likely in chronic alcoholics or patients with liver damage. Until 2010 paracetamol was believed safe in pregnancy (as it does

neg: Ferric subsulfate solution Warming the solution may redissolve the crystals. The solution should be protected from light. Ferric subsulfate (also known as Monsel's Solution) is often used by Jewish burial societies (chevra kadisha) to stop post-mortem bleeding. Since Jewish burial does not allow any external skin adhesives such as bandages, tape, glue or resin, ferric subsulfate is an effective way to stop post-mortem bleeding. Most post-mortem bleeding stems from surgery, emergency room situations, autopsies or blood which may result when removing IV lines during Jewish burial preparation. A piece of cotton, or Q-tip, soaked with this solution is pressed against the open wound

neg: John Abraham (director) representative when he said that he was a filmmaker. In a Facebook post, Ekbal said the doctors failed to diagnose internal bleeding suffered by Abraham and to check his blood pressure which could have prevented him from slipping into a shock through a timely surgery. National Film Awards: Kerala State Film Awards: John Abraham (director) John Abraham (11 August 1937 – 31 May 1987) was a Malayali Indian filmmaker, short story writer and screenwriter. Abraham is ranked among the greatest Indian film directors. His film "Amma Ariyan" (1986) was the only south Indian feature film to make the list of

neg: Battle of Shiloh a torn popliteal artery that caused internal bleeding and blood to collect unnoticed in his riding boot. Jefferson Davis considered Johnston to be the most effective general they had (this was two months before Robert E. Lee emerged as the preeminent Confederate general). Johnston was the highest-ranking officer from either side to be killed in combat during the Civil War. Beauregard assumed command, but his position in the rear, where he relied on field reports from his subordinates, may have given him only a vague idea of the disposition of forces at the front. Beauregard ordered Johnston's body shrouded for

neg: Von Willebrand disease is the second most common type of the disorder and has mild to moderate symptoms. It is named after the Finnish physician Erik Adolf von Willebrand who first described the condition in 1926. The various types of vWD present with varying degrees of bleeding tendency, usually in the form of easy bruising, nosebleeds, and bleeding gums. Women may experience heavy menstrual periods and blood loss during childbirth. Severe internal bleeding and bleeding into joints are uncommon in all but the most severe type, vWD type 3. The vWF gene is located on the short arm "p" of chromosome 12 (12p13.2).

neg: Gynecologic hemorrhage excessive bleeding. A hematologic work-up should discover the cause. On occasion an ovarian cyst can rupture and give rise to internal hemorrhage. This may occur during ovulation or as a result of endometriosis. If the pregnancy test is positive, consider pregnancy related bleeding (see obstetrical hemorrhage), including miscarriage and ectopic pregnancy. A history will establish if the condition is acute or chronic, and if external circumstances are involved. A gynecologic examination is usually complemented by a gynecologic ultrasonography. A blood count determines the degree of anemia and may point out bleeding problems. The pregnancy test is important, particularly as bleeding

neg: Gastrointestinal bleeding Gastrointestinal bleeding Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract, from the mouth to the rectum. When there is significant blood loss over a short time, symptoms may include vomiting red blood, vomiting black blood, bloody stool, or black stool. Small amounts of bleeding over a long time may cause iron-deficiency anemia resulting in feeling tired or heart-related chest pain. Other symptoms may include abdominal pain, shortness of breath, pale skin, or passing out. Sometimes in those with small amounts of bleeding no symptoms may be present. Bleeding is typically

neg: Gastrointestinal bleeding lower GI bleeds. Gastric aspiration and or lavage, where a tube is inserted into the stomach via the nose in an attempt to determine if there is blood in the stomach, if negative does not rule out an upper GI bleed but if positive is useful for ruling one in. Clots in the stool indicate a lower GI source while melana stools an upper one. Recommended laboratory blood testing includes: cross-matching blood, hemoglobin, hematocrit, platelets, coagulation time, and electrolytes. If the ratio of blood urea nitrogen to creatinine is greater than 30 the source is more likely from the upper

neg: Postpartum bleeding The difficulty using oxytocin is that it needs to be kept below a certain temperature which requires resources such as fridges which are not always available particularly in low-resourced settings. When oxytocin is not available, misoprostol can be used. Misoprostol does not need to be kept at a certain temperature and research into its effectiveness in reducing blood loss appears promising when compared with a placebo in a setting where it is not appropriate to use oxytocin. Misoprostol can cause unpleasant side effects such as very high body temperatures and shivering. Lower doses of misoprostol appear to be safer and

neg: Where Do You Go When You Dream Have to Hold Out", "Another Sleepless Night" and "It's All I Can Do" were also released as follow-up singles. In the UK the first single was 'Where Do You Go When You Dream" (CL 16192). Where Do You Go When You Dream Where Do You Go When You Dream is the 16th studio album by Canadian country music vocalist Anne Murray, released in 1981 on Capitol Records. It reached #4 on the U.S. country album charts, and #55 on the pop album charts. In her native Canada, it reached #7 on the album chart. It was quickly certified Gold by

neg:
Cain and Abel you do not,
at the tent flap sin crouches
and for you is its longing,
but you will rule over it." And Cain said to Abel his brother, "Let us go out to the field," and when they were in the field Cain rose against Abel his brother and killed him. And the Lord said to Cain, "Where is Abel your brother? And he said, "I do not know: am I my brother's keeper?" And He said, "What have you done? Listen! your brother's blood cries out to me from the soil. And so, cursed shall you be by the soil that gaped

neg: Blood rule National Hockey League, National Basketball Association, and Major League Soccer. Blood rule The blood rule is a rule used in many sports that states that an athlete that receives an open wound, is bleeding, or who has blood on them or their clothes, must immediately leave the playing area to receive medical attention. Though they may be able to play again later, they cannot go back and play again until the wound is taken care of, bleeding has stopped, and all contaminated equipment has been replaced. The main concern addressed by this rule is the spread of infectious diseases like

neg: Blood rule Blood rule The blood rule is a rule used in many sports that states that an athlete that receives an open wound, is bleeding, or who has blood on them or their clothes, must immediately leave the playing area to receive medical attention. Though they may be able to play again later, they cannot go back and play again until the wound is taken care of, bleeding has stopped, and all contaminated equipment has been replaced. The main concern addressed by this rule is the spread of infectious diseases like Human immunodeficiency virus (HIV), Hepatitis, and other diseases that can

neg: Petr Zelenka (serial killer) Petr Zelenka (serial killer) Petr Zelenka (born February 27, 1976) is a Czech serial killer. Zelenka, a nurse in Havlíčkův Brod, southeast of Prague, murdered seven patients by lethal injection, and attempted to kill 10 others between May and December, 2006. He killed with a hidden vial of heparin — a blood-thinning drug causing internal bleeding when administered in large doses. Zelenka has already confessed and been taken into custody. His lawyer has been quoted as saying that Zelenka may have killed on an impulse to "test" doctors in Havlíčkův Brod, in the belief they were not good enough to

neg: Fatty liver hemorrhagic syndrome Fatty liver hemorrhagic syndrome Fatty liver hemorrhagic syndrome (also referred to as fatty liver syndrome), a disease in chickens and other birds, affects only hens (females). Birds with this disease have large amounts of fat deposited in their liver and abdomen. This often results in an enlarged liver that is easily damaged and prone to bleeding. In some cases the disease is fatal, usually as a result of blood loss from an internal hemorrhage in the liver. The hemorrhage often occurs when a hen is straining to lay her egg. Fatty liver hemorrhagic syndrome is "the major cause of mortality

neg: Peripherally inserted central catheter days or weeks. First described in 1975, it is an alternative to central venous catheters in major veins such as the subclavian vein, the internal jugular vein or the femoral vein. Subclavian and jugular line placements may result in pneumothorax (air in the pleural space of lung), while PICC lines have no such issue because of the method of placement. In those who are very unwell PICC lines are appropriate when more than two weeks of treatment is needed. Side effects include blood clots and infection. Other complications may include catheter occlusion, phlebitis and bleeding. Urokinase or low-dose tPA may

neg: Murder of Selena scene in one minute and 55 seconds. The paramedics tore away the green sweater where the bleeding was taking place and applied a Vaseline gauze to Selena's wound, which stopped the surface bleeding. Selena's heartbeat was now very slow; a paramedic performed cardiopulmonary resuscitation to keep her blood circulating. Paramedic Richard Fredrickson said "it was too late" when he arrived in the lobby. He found a "thick [pool of blood] from her neck to her knees, all the way around on both sides [of her body]". Fredrickson could not locate a pulse; when he placed his fingers on her neck,

neg: Dextran 70 Dextran 70 Dextran 70 is a type of fluid given by injection into a vein to expand blood volume. Specifically it is used for shock such as that caused by bleeding or burns when blood transfusions are not quickly available. However, it does not carry oxygen. Common side effects include vomiting, fever, and joint pains. Other side effects include allergic reactions and poor blood clotting. It is not recommended in people with kidney failure, significant heart failure, or a clotting disorder. Use is also not recommended during pregnancy. It works by pulling fluid from the extravascular space into the blood

neg: Subconjunctival bleeding Subconjunctival bleeding Subconjunctival bleeding, also known as subconjunctival hemorrhage, is bleeding underneath the conjunctiva. The conjunctiva contains many small, fragile blood vessels that are easily ruptured or broken. When this happens, blood leaks into the space between the conjunctiva and sclera. Such a hemorrhage may be caused by a sudden or severe sneeze or cough, or due to high blood pressure or as a side effect of blood thinners such as aspirin or warfarin. It may also be caused by heavy lifting, vomiting, or even rubbing one's eyes too roughly. In other cases, it may result from being choked or

neg: Blood in stool divide causes of bleeding is based on the source of bleeding. The GI tract can be divided into upper and lower, with some causes of bleeding affecting the entire tract (upper and lower). Blood in the stool often appears different depending on its source. These difference can help when diagnosing these conditions. The rate of bleeding can also make blood in the stool look different from typical cases. The upper GI tract is defined as the organs involved in digestion above the ligament of Treitz and comprises the esophagus, stomach, and duodenum. Upper gastrointestinal bleeding is typically characterized by melena

neg: Volume of distribution unit for Volume of Distribution is typically reported in liters. As body composition changes with age, V decreases. The V may also be used to determine how readily a drug will displace into the body tissue compartments relative to the blood: Where: If you administer a dose D of a drug intravenously in one go (IV-bolus), you would naturally expect it to have an immediate blood concentration formula_3 which directly corresponds to the amount of blood contained in the body formula_4. Mathematically this would be: formula_5 But this is generally not what happens. Instead you observe that the drug has

neg: Ovarian apoplexy ovary syndrome and some other diseases, as well as the result of medication that stimulate ovulation, certain irregularities in ovulation process and corpus luteum formation occur. As a result, blood vessels in the ovary contract, become dilated, and increase intra-ovarian bleeding. As a result, a hemorrhage can occur in the corpus luteum due to the fragility of blood vessels, causing a hematoma. All this is accompanied by pain, weakness, dizziness, nausea, vomiting, pale skin, and/or fainting. If left untreated, internal bleeding may increase, creating a real threat to the health and life of the woman. Other possible causes of ovarian

neg: Big Three (colleges) process. From the 1930s on, Big Three admissions became progressively more meritocratic, but still included non-academic factors such as “lineage.” Ivy League schools including Harvard, Yale and Princeton have in the past been regarded as the goals for many children in WASP circles. Some educators have attempted to discourage this fixation. Jay Mathews, author of "Harvard Schmarvard", addresses seniors obsessed with Ivy League schools with the analysis: “It does not matter where you go to school, it matters what you do when you get there and what you do after you graduate.” The "Big Three" schools: Princeton, Harvard and Yale

neg: Bleeding time 10 mm long and 1 mm deep. The time from when the incision is made until all bleeding has stopped is measured and is called the bleeding time. Every 30 seconds, filter paper or a paper towel is used to draw off the blood. The test is finished when bleeding has stopped. A prolonged bleeding time may be a result from decreased number of thrombocytes or impaired blood vessels. However, the depth of the puncture or incision may be the source of error. Normal values fall between 3 – 10 minutes depending on the method used. A disadvantage of Ivy's

neg: South Luffenham of people have come to the fruit and flower show." A farmer to the vicar at Harvest Festival: “I’ve got more faith in fourteen loads of muck to the acre than all your prayers!” First Aid classes by Mr Lake, the headmaster, were held at the turn of the 20th century. On one night, the subject of blood circulation was discussed. “The blood flows from the heart throughout the body”, said the teacher, “when it goes down this leg, where does it go?” “Aha”, said one of the audience, “down one leg and up the other one and back again."

neg: Kabiye language not perceive your beauty. Anyone who listens attentively when you are being spoken must, as it were, dig deeply to discover your character. It is because of this inexhaustible weightiness that we cannot let go of you. From where does this impenetrable character come? We can reply straight away to this question. Your character is unique, because ever since you came into being, you have never suffered any outside influences which could turn you into something else. Kabiye language, your child is glad for you, cherishes and praises you, because of your strength, your beauty and your sweetness." Kabiye language

neg: Internal tide 50 km of the generation site. The lost energy contributes to turbulence and mixing near the generation sites. It is not clear where the energy that leaves the generation site is dissipated, but there are 3 possible processes: 1) the internal tides scatter and/or break at distant midocean topography, 2) interactions with other internal waves remove energy from the internal tide, or 3) the internal tides shoal and break on continental shelves. Briscoe (1975)noted that “We cannot yet answer satisfactorily the questions: ‘where does the internal wave energy come from, where does it go, and what happens to it along

neg: Venous thrombosis a high risk of bleeding, or they have active bleeding. Retrievable IVCFs are recommended if IVCFs must be used, and a plan should be created to remove the filter when it is no longer needed. Trials suggest that fondaparinux, a factor Xa inhibitor, reduces extension and recurrence of superficial venous thrombosis as well as progression to symptomatic embolism. Venous thrombosis A venous thrombus ( thrombi) is a blood clot (thrombus) that forms within a vein. "Thrombosis" is a term for a blood clot occurring inside a blood vessel. A common type of venous thrombosis is a deep vein thrombosis (DVT),

neg: Fecal occult blood in some countries without a prescription, or a health professional may order a testing kit for use at home. If a home fecal occult blood test detects blood in the stool it is recommended to see a health professional to arrange further testing. Gastrointestinal bleeding has many potential sources, and positive results usually result in further testing for the bleeding site, usually looking for lower gastrointestinal bleeding before upper gastrointestinal bleeding causes unless there are other clinical clues. Colonoscopy is usually preferred to computerized tomographic colonography. An estimated 1–5% of large tested populations have a positive fecal occult blood test.

neg: Woodruff's plexus lamella of the middle turbinate and just posterior to the ethmoidal crest of the perpendicular plate of the palatine bone. Posterior epistaxis occur primarily in old adult. Only about 5-10% of bleeding which occurs is from woodruffs area from the branches of internal maxillary artery including: Anterior epistaxis is due to Kiesselbach's plexus and posterior epistaxis is due to Woodruff's plexus. A posterior source present a greater risk of airway compromise, aspiration of blood, and greater difficulty in controlling bleeding. Posterior nasal packing is needed for posterior epistaxis. Its required for patients bleeding posteriorly into the throat.A postnasal pack is

neg: Bleeding the injury. Blunt trauma causes injury via a shock effect; delivering energy over an area. Wounds are often not straight and unbroken skin may hide significant injury. Penetrating trauma follows the course of the injurious device. As the energy is applied in a more focused fashion, it requires less energy to cause significant injury. Any body organ, including bone and brain, can be injured and bleed. Bleeding may not be readily apparent; internal organs such as the liver, kidney and spleen may bleed into the abdominal cavity. The only apparent signs may come with blood loss. Bleeding from a bodily

neg: Alan Eskander track and betting ring, learning lessons that would later inform his career on the track. Talking about early life as a bookmaker’s son, and of the nature of the industry in general, Eskander recounts: “You can’t get too excited when you have really big days and similarly you try not to get too upset when you have losing days but obviously anything outside the norm does impact your mood. And so yeah, there were some times when we had plans to go out for dinner on a Saturday night and Dad would come home and go, ‘listen guys, [we’ll] just