N yrsing Xv anagent of pt aaith diaarders of aligestve Yeter>-
3 ad et along uiith ‘te acess ing cobteh helps jo~be
Ffanction of Pr J o
. Git tga tubalar poshesay oP ag- ae Sut ts
+ Mpcdtis- phasyne- edi es Storoach- Sroall inkshine - ae
wv
anus: — anal canal Livéchin,
- Acessows organ-> Ups ten tomate Pawan grand Paletes
Panveds 9 Uveey ree ladda, Splaan - \| Pondions of QD ‘ : P
° bigestico F
© Abssxphion
+ Qlteoinalren -
een ayers
Meaty Joel cavity / eacoh
1 Rinne! shaped we aromas esophagus
sep yim Vp
Btoroach / gastic Venter *-
| T chaped dilated ae Lie povtion
{ere pork eenneck colt esophagus Cera okty
ducdenum.
t 2 pent [eardtac. ayeri recleves ac Porno 20)?
Pars Spering. Showsach eaves the cd into sibel
Asornogye
Cordliac co Fundus
hessey cuvatuve \
jie rete
oe j /
. fr A ons Cawa tre
iz , ee ‘
Duodenum.Sroall \oteskne loteshne
b paw-of com tract Cor) Extend Powe Tleocecal junchon
> bus denutd dpe anus.
‘ qe ‘ ° CeciwnO .
mG * Colwo
+ ikund - o vechr? »
«Aoal canal
7 Panueas
el Ras Breton of both xactwe f acdoctine
st Pas bead and ail
J)
peaxto 7 a sloped Spleen -
Ie 6 lecaled Leblrad ebroade
ole predices abouk bet sais jeice “thd ©
ober
« Lareyat oinal hesnute ote
+ weont fs oe
» Located at the cajpet port of abelominal Cawity
+ biutded) wlo & lebes-
R. lobe.
; Ly f
liver: an / aif . aquadvad ibe
tyr dude SA) ai bbe:
el Hepatic avin
piedw Nts Ke + a WoP: Venacavar-
ale
aos cin" oe Ae' yemaih tn the rota ne~
Gat adds
+ Smell pear ghaped caa Vecatled Ino Besa O°
aarfaca of ® lobe of liver -
¥ 4- loom
7 Uk Geerets f° Stre bile
QT ee Assessment
Lalleciod
ypast healt Wisteny
x Medication -
s a y ox other healments
7 Healt per2|ation - tea lth ace yneot [Pattern.
yy Nabitinal patteno
7 Animation Pertteen
27 Step padtero-
Moet
slospertion for ong: Colour yon Cracting ee
Buccal wmuosad lesions
-he
uN
+ Inepecteel vi head eta a dip ressing dee ton guek (ropa
fv Apnf| 1 ovelar SoPt palate and ask tbe Pectiest eo
ay ‘ab! ~tre ul. and soPt palale hould vise andAbdomen
(hee
« Inspechor>
+ Aoscalhectter>
+ pewussic®
: palpatioo : : p cS
Inspechod biol
. Sein- Qolour ) texhare, gear) eee Ailaked vei nS vashes ,
4 lestone. v { i
tne peck: ondeileus, Bx. aya neo Rae
Look, Aewss toe Abdomen Joc peristalsis,
Meiblesin clin perzn
2
woassess
ig vat visible
Noemnalli} wo ada “Balk rae
Kesearttalhoo” : .
yb Ss done tone edietlely Offer the Pie: to preveot
alterakon in bowel Stunde _
Y tk Wnclader Uéstersing Ae Ned on \peod bose sound ¢{
Vaccetlaw Soutad 5 +
* Geotly aso sp he Stettoescape | in the hands do [eee
Abdemiinal muicle Goo ha das
* Diapgm- high pitch Sound »
~ Bell- ow pitched Soundhearel De. my.
‘i Normally =~ 36 time “the bowel Sound ts rie Pea: rnin
ute.
@ listen in dhe € pigashio and inall 4 quadrants fr
R4o 5 minater, -
. onal the Sound entll: be high pitched and |
and toud garglet indicate: byperpar peristalsis :
, Nownally no aorte rai Ghoul be heard and it
19 best head ooith dhe bell of sterthercope tthe Sound
will be ai cieg or bozcig and i Indicate fe bblen
blood Pow -
Percustien i= te ic dene qo Acdeemine che preuoceagl
4
fiad » distension and masjou doe preunce of ate {
preduce a higher pitched allow Sounol it ds, teamed
a Fyrpan 4.© Me prune af feat mauey ja thert high pitched]
Sound with ite ronan Ik ts toemed as dedlauy,
percau 4 epadeanh af abdomen : Begin dhe
fu ser Algol: qradrank :
Palpatron tro he part of tng Pinger Hor ip used fr
palpation de pratiny dhe abdsmmal oll vyto 4]
inch C (ero) Ligut palpation ty uled fo dlefel- " eedidn
in wustular reUntane, man 4 gurellmg iialts
trove men (-
Deca patyrs ben Is Used
Abdewinal cilhersermoqa phe
> Senino laborafiny Sectier
on+ Breouh doe ah aoe ea ve4~bue
+ gtool dee ;
. bmacing shicleu ‘
+ Gnalosconyy : VAT $a he
+ Qoshac malts { ayia aid shmutatiwn ed-
utha : i
e ulhaseand “imaging tbe abdomen oss oand aavet to produce
pictues of the a herchurer whhin the abdomen -
wk Is used - help Bragnose pain ov distostion (enlargement
and evaluate the EiAnty, Over, gattbladde, bile duct , peanere
gpen and abdominal curt -
atlhrasound ts Safe » noninvasive and ea nak ¢ be
vodiahoo-
° In this prowdure » bia Re
nob budy Chuchivs “gund athe sound
procdane paint ait be (yng down avee the -talhe-
oh condockng gel Ie applied fo “the skin over ~frea_aabdlornss,
2 dip belps wh alow Stodig
¥ Halonen Ahodia are tbe inikal diagnostic eststo teh
Per Pond -
- Geoplele bled cell Ccee)
* Plothidnabin we.
+ Liver finchion tert
+ Some op Specific deit uch as fiw LSPs tl cancers+ forecrnga Antigen ( (EA)
a Canter Gn
atphe - fefoprtin - iehiny
# CEA ig iets ts homeatly mw preuot Th Lady and Pit
Pana tun tb Con finn tanus preund -
Hydrogen bread desk
hpi treat tak can analyse treats for evidence of the
uneliguted 39 as that can indicafe 4 dace Tienes
We bacteria breaking down lackie carn produ bya .
© ue pattonk Shuet net ea or Sets $4 a hu priv
he hgdragen briath tuk
ne Rc ameantop Fydrgn in he beath prdieater @ Nal
arnaunt of es an
Urea breath teat
he uvea breath tet will Cement prannee of ico backer
fee ‘Tathe backetia Qive tn mucia Dring of Smach f
Came gaihie 4 peplic alec] re é
: Ingcrting a Copule oP Carbon Aabellecd trea and breath simple
oblaindl afer 1o- orvtin « :
\
- th pyfest mtabulize wea ety apeicely and labelled Catlen .
(s abrerbed vary. .mm
a ia ape
7 | Mesure the C0, In tho cared alr fo defeomine pprecence of
t pyle .
Stool dest
o Feead occu blood cond -
eee 4o See Glth our naked sf
si- Golem tanec, eee ply eRe
occalt Meec| Yn dhe Stool, i
“inchica bien
* Real Imomenclogecumical der = tel in Glorecterl rece,
egos desk wok by Adeching ocull Bho tn ohol,
2 Stool DNA esting 13 a new det dy Aekch ceefain DNA
Qesaated sid Gln Caneet -
| a hg ing Gtudies
* Deke are meen ‘maging Studies lasted ES, non Invasive
te “invasive Such a3 X- “5 wth and withouk Conhast , CT scan,
Mei per, porary &)- :
Krag eth ‘Grkast / Barlum Studies
‘6 Busan Stucties owl batiuny Swalloas, “batiamy weal ? bethany
enema used-f> yest ape totiatetinal Aisorders |tl
] «= Moaugh Ba shudie oalline ef upper und. lower _gashointestinal
can Uireallice
"Tou ‘vuhyatieo 4s an adure adwance adeston ee teb-
pique > to this (ones with X-ray 2 bagi’ fas
odeainiste O84 Conbrast and thie Conbrart ake 0
hon tradi Heaatl R-
, ee fe gfruckure fe
eine lg, dedbrique with dis Chat medium trian a
Onhast tadiog or
ioarten Qualtow 4 Bantum Meal
—————
* Barium meal ts dhe vadhologieall moe nage 5 Horned
Aeodenan 4 prairaal yenur
+ ibis cline by oral cadinishaheo of Corba st media ,
oI Is Use deteck problem ip she apper strrsiodesti
tal 4yack Such as daffratly, ov pain while sonkeott2
palin Ip Ihe exo phage), oppet nas det pawn
uneaplainad Veriin
* Baslurn Swallleen .- examinat” of hiaat # Leephagus
Baym. med) i= exarvinaken of shrmach £ eodsavraQaxtarn Qualls - OP C ae
Mrobications .
© Hiatal emt
* loParomaterd
* Bloc . . ry : ,
+ urle srders “hat caitd lead to liffieaty toallsing or Spin
* ashe cephaged efor cizear (att)
a
,
«ules:
Both Caneeour 4 hon Cancevous -tumouys..
Goohaindrealions
thn esophageal or bowel Perfacrtion
* Bowe) obibruche :
Q Diffaslly ae,
i * Sevess Conshpation: -
“parorey
Norsing Care
"Nil per aval Ba aie bn befine prudure and. ip of Gitte eucrler
mar be borg ervetptas,
* Remove meal and Joely Decaune there plu oP mefal gt
Cony ofa Cece. X- hag image. :
le Changs toto dhe cou ee InP to the pt -fo wear lene-
} ft hup preor
Sing en thou ts a] 4p yernwe and pot bacon.
= Gob W Your fiber dick in ne dep nolo eal , drink) Smoke, <
haw gum affee mudi ‘
+ pre We pt educettion * ; :
. Femove call fooling at home before ge 0 precidure
«pe prepared fr the basTur ob -faite enpleowante ‘
‘ ae 4p ea and drink Offer tne presdue Feoda
Se high an fier Ancluding -cfeuth; Silee apple,
Consfipa ico as well at gird & dase.”
+ Make tare Plenty og eater Cégfau) [4s aye procedure.
° dbl) procure will dak abouk 30 rib. }
vaspoaues
| ¢ peeypea hor)
. Gonthipra Hv if 5 i
+ Stel Apppeat Challe and abite fir few day :
| Basin Crema Toten mre]
bousel ral adminsha ten
OP Conbesl mediam rbroeigh the reckittn fo Acteck fants by
abnemalhe in he fauge ‘intestine «
| Mndieattons }
© Screening the Color:
: ues Neoplasta
skisa radiogyaphic Shida of Masa= pentfonrt :
. Desittatel ance { walatity fo cep
’ tty ofy recent t Colonte eee Clan be done apex cou)
° peqrenay . 5 :
| Nuune mle, wile
. Befrre poceclave
ty Advice totale Qoeo vecidue diet Rx ed
© Prink Gpiow Liquid on she day ef, ectaminactia.
“1 Stop joo reahneot fy 0 dow baleve procedure.
» MM Adenine, Yarahver as pe ordee.
1 Give bad ewer prevou idol 4 in dhe eri & by pi
4 Nlemmnall eaakee Chomiag. ehima of 1500 mi 70 lhe er
§ Bagiunn Crom egamination »
wtih metal xippu
| » enor. any mes & or dothing ! ith Xipppat or
huftsrw dunmig he proudure~ eutat hoipitad Gouonin fx me an '
s position “he patient ‘in left latual position
© Qrarno- ube ufll be Inieeked Toto vechiro afte tubication.
oh butun baa atl be Cmeeked to he tube fe daldver dus
baie Gluten tote Yo | ‘de ;
+ (rection oP & metallic rostance ( waste) “ad qr ‘inforte
ubit through a Small tbe thal cooks Baki post raced ve
» Check Vital san of dhe pt
* Ast dhe pt not -b dake Bed of Raid sr 3orin
pet aaa re fli meena ivelosdt i_
Colonesce jr
—————
k lea Atagnoste 4 “lherappeu he jeroepcce aE Utilizera
flectible. fiberaphe Colenescope Insert tote “the rechme to
Misualize the Yonev ving of -lbe ery Intestine -
, lodications :
: ig Q Hic Indications + —
* chronic Aiart hea
+ Pecta| Heeding
* Anemia
' uncaplained abduroinal pana -
* Qnsbhja hed
+ evaluation o£ abana bazjum Removrl of [20 4y ps
° Juma ablaten
iy Coohalndicat hens
° Pre RBA)
, Un coo)rera five pe
2 tlemedgnansicalle vastable pt
3 Su appeeted Perforation
. se syecked folic 2 bsbaches° Suspected) diverticulitis
= His toy eR recent M)
pork procure mang A veda | Beading firme
; a Any jn GU 4 bte pay 4s et forced.
fr) _igaderory
«Gear we tow part of Large tnkea ke
TA agro sup} by insettid mbo lv veching-
Wie Glan 4 a tls Zao eer
this emer
“pe prepavahan Are Sikes to Clmat ca py
| GP rateecary
- Prtoscep ts usth 40 e4taming the tana
faker Jruo/t of talon - sittin
y) 4
W) En donopie Kebuyrade Chelangiojsan creatoarrayhy €Rep), ony 4 Baer . dbegrac , real £ taming wad
¢ Pemereahic luck problems i in ae a
ay ue ae obatruchon iy dhe -haek ib can be verowed dhe
obstruchoo of Hssuer mag be -tatem fre gal
aftiee predare.
'
|
. =p Thdrations
; D1 te bedications
2 obrbuchve Jaundin
| © chanic pancreatihs
© Gall steme
| * Alle dack tomers
; * pancreatic tuner
-« Sipected. bie pb bile duck
t= Thera pretic (ndlica tons
* Removal of ou stones
° Insechon of gdenk
Dialaten of Shi chive,
=> Cohaindiahay
« Actote prancecah hr
* fre vrowg panera teduacinectimy
: Coagela hag bude.| Reant we infaseten
oy a dve : ;
ape pt nad to ancl bigh fibre Prodi ey ay porrer
pe procedere
- Remove jreleny 4 metals as Moe jpoudure davubees
a-
pogo c anth
pili shhuchw
~ pl: should tate FE
+4 duodinoseyay js pated Swiss the pln
foie toe Aterlinia Jo Vstalize aropalla of Valee
°K tan trihey aanmiakh mb he mm bile ~
to thes should Admini ft GE
perat anasIbesya.
dact a-rofe the pancweate Ae dhich bs theo
Vis alrzek cal th Plu Maes
| . An 0 technician will date a ray of the avea.,
| Aelicantns
~> Safed igfty ef fechuel:
isa Sropler shhao nol Oe SL
lee Acemulah methodk of hu mai hn, bil
ef pa
i. 4 1 porncrate'
Qisadvan
S Rick fy poerfration and hersenshagy is Gnerea
r Resin a hspH Sta
« Complecabon Such a4 panceea tity, pes 1 Perf ten
In fchion ¥ ‘
ote D800 \
elk is oe op pes Sey
|roduce aads i
, OOvera peiod oP Atvoe , these aad, a
Vv
Pa. Teeth qo
people wont in Sunlight f ht.
piney
So Ibis tne au hore Up oO Scitlors ay’)
2% Cyamm w pened, e-( ;
Y Commn mM fax - Stoned Indviclurd
Syrop hers
i bee Qresee bp sea
> vedny
Cyaks
Osta
Sealy nus,ne
y 37
Wa pertercoli« Ceshife eveerosds epicleeris) ic precok
‘(avila tion of lip ie
CPrealmnoot i j :
As tk da)! jne- Canes stage alee Yreakd with Chemethw
apy agente ‘3
dug of Chute Is, 5 fluowurac | > blak oA Syphan
Non mut adveice fy Aoligh tox poiure 4 vegulat
check of?
6) Chalikts & Poliahve
1 Rowe Divease ¥ Cnet, peqing of Gps
~ Ghnte Chr cndihoo Affect yond adult belus Br,
Y beth kip “ete but Locser lip moe DSC.
77. Caused a backeeia > Saphs lecocees avreus .
€lto
IDIOPATHIC Ga exaat cause not clear)
Bogpees) facts — Mp Biting » mouth breathing
Canclila cous oveegracd fh Cc fungal mp)
| pur oval hygeine
| NlabiHonal aefidency.© painfl peebng of Sp Cremation - Aten otter barked
+ Ajficatty, in €aling 4 Speatiry "
> buming «1 fiching Sensalin of thee afk per f
*y Uluratien oR ey: of dhe ip Lhe Lontaben g
he ajc park of he Up Aryrat of the Uppy
y hip susel (oy F (a
Y Discoleura hen -
1B dee Ihe Cortech 4 Seaphylecoceus arent {€ will be fa
ulth antiblohia - other than thak dhere is ho an pa
dreabnegt
oy hppliatoned Galati atleark toler a dag See
Gp mart
° a onal hgatene
7 foik 4 vey.
7 Vikammn .oe
Glingdvihs a.
\
isis
jams
, WePlanemertien tI ‘.
g
Hommemnal Chan gu Ht veleked fo Preeynaney ;Mens hued eye. ov bh tmbol pu
INIEC AL
Spit Sree oe
% abt ved [perple gems
y 4 which rang be pairypd tothe touch .
leony rors gum m even gn Cenheacof bro
S Bask bea to
& Panu Coflameedl ov kvallon qos
oy Soft gee i
Treabritn fy
Y Anthioht-
> good oral hygiene.
x Moutheua sh -
Y Ploss dat.
7 ose Gom heathy tooth aste .slodontts ae
ya a Serious ae ORectreo whic Aarnages Hthe BPt tssve
4 deshoy “the bone “hak Suspud leet. Ik is oa
Grom ibfeckion hut preventable oliseass,
os pedodobtitis:— chrunic carditieon ‘in cobich ploque
ams and His plaque Cavser dactuches. Ants VaiCaeee
nek fe :
Pee Pectodon tilrs .— ware type » but when Oeur
shea te ae Veg fast
Necroheing [periodontal tears 1 Camed bo wast
blood alia 3 results el neemsis lo Hesuer of gum)
Ligament
? holo.
% Blagpe foun oo sleet < tn tuack col th Sagar Astacch
| q Plaope converts Wolo Caleutus ( taster) wohich is, Mere
| hoemfdl tran plage
wthisva Comppli ca tion of xngivitis -
tar|
er
| aS ae red or porple que
|
» a From -Ibe oan tm even Uyfok Cates. ahi
a torashang ov flossing
> Rad breath .
* Painfal imflamed /‘guselten ging
> feel tender shen dour hod -
% Looting of tel i
*7 pat An bas teed eu )
* painful chewing
Nea a
+ bral hyaitent
: equate dental uisit ! Fey 3-6 meh, .
7, Bohicphe
7 hen hy ca fg
Y, Gbsiihs
p boPanomeation op “bongue
ame
‘@ Aorke Glossifis) — Apppeas Sudderdy, K orceays duning ailleeyic
mn. *chronic glossikis:- Fa pated
Mropkic fooelt Ctluntes Glossihss) - say
bon 4 cenms appeavr & Gos appearance «
Ae
ol
infectran
° pea Frey food
© \itant like tolacce
pa pillag are
© Avgei&
+ bn) such a3. bum -
wipry sce a8,
4 >
% Conape od
e7 Smaath appearance
by Qe d derdiev fmaue
& loss o€ papillas
v ai phagi aus
Treadment
Gad oral yi
7 Brasher ear hwtee
7 Pvetel rmnatern’
? Naito
? Mou tharaih
> frasld ater [unitanhStomakhs
rou «
>, 'Plammation of Murout muvdrant of |
d check o jy
C. Sore := Aese Sane occerr abe ere? ip
antee Gove = SK
S Sq
Padt op bio. Appeat as. (:cle oF ee wld Wretnded
be cotth ved lage a :
Lald Sores t= IE ocearom fn coh of lip have ‘a
t ae S ermatent
Also lenown as Aever Listers
€@
Pr cerothany / vodltation exposure
* Hees Stnaplew Vins
[Aang
| le
| > D at) Xerostria
Y Gmdida albion, inofeckrny
| ? drauma fncloding cal
* Smeting to bacco.2 and & p toms
amathpe blisters at gerl pl cheek #
5 Mouto aleer
. Barcing mouth fain
o ‘Blisters
. peeing
° een:
Treatwent oP Stonnatitis
{oa
° Covhico stewhds
© Aobb[ hy
+ Anesthehics.
, CTopleal medica tions ,
° Renuve tbe all ns
« Adminlitee Vit Sceplemanh.
. Gargle eit dool ater
+ Saline angie -
Nadstionst SE oo -
a
Y Mouth Cancer telw 4p Crnur bak Suelo, ee pat
of oral coy
& piden logy. — 144 mat Ormomen roalltgnancy tm dhei
Clogs ond _aiat actos
* Colao we Se
7 Alcoholiseo -
> Homan [papilema, Nlirus Vofeckioo
> Herpes Srroplex virus \fechino
- Scporuve fo Chemicals
Dek
v proengd expowure bh Sung ot!
gor and Broporas
® heukoplakia .— cabile pach on che oval only
P Sapte platia ~ Red Yelvely patche ,
ular, lamp of tigsve ny
ia Voi a
ly Jaw
Y Sure Aboak
v yp poinagres ,
pried anonnent,.
FPhoanestc testing
ee Pp Teal eaanina hon
> Biops
Y puac- Bne Needle Aspraon Cyto bayPre
» tpy test
a7 |maging Studia. “7 Xv
Tae ee
ae
Crreakraiok
oreo
« chemother
‘ Suropeal. Tage ea
2 Radia tory Anaraieys
oe:
chemolneray4
moedkicing which darncage dhe PNB
7 powerful Cancer ba
Atelt Soy se repr
oP dhe Covent catle and eisreR ey
Aue. : f
y claplako, 9 Parcwvadll docetaxel are able eared
& Bde effects ‘indude - Patgoe, Gorge WCU Ho, leets Nothe
ah cate Alepecta, balance problems prenal problems:
Sargiest monagcmast
y se) on Abe stage OR oral conocer Cumeh) ‘an be
Per frmned y
1 Gama resection , Pall ox pester) mandible —
ve sechen, foe ‘ ee ee rfRadia ten aheapy
y Using bah ereigy. vadtalron to 5 duty he concer oy
Grable: tre [preseevalton of normal calls. ae
a Intensity modulated vadtatios cera \= A-machine
manipulate the radbahen aoe +b dh Shape oP the
brow +
~ Bradhe sheralpy i isa Ram of Antemal radiation —
ier in which tig hy Cnantwatd vodiattan doer ts
Aye movided ~> twmerr by beeping vadioachve
ca aueering
_ | ratetal iy Ine cel ie
FDisaclers of Setivany glands
pawhts:— WF of pawtd gland
Faladonibs :- Fl o& Satlivaug hard,
Qalolitbiasic:— Cateul: mm dhe Salvaty Glands.
5)Rene on
on bleecting | ar hacroerhacy Bon of Bleeding In Ort tack
fro nactth de dhe rechun
classifred Mo
» Oppee Or bleecf
" lower GP bleed ,
epper ar BLEZoIng
;
. (Bleeding fo the epper ar syskm such as es0/2ha905 5
Storeach, ducdenua y
| |. Seen m Alsearn such as esojhagal vVavicer, /2¢PRC
eleer, duodenal oler .
howe GL bleeding ‘
«cohen eee push of digethive syste suchas Colon f
wechnn Stavh bleeding It 1s Coniikered au Loser
Ot buf
. Infla re mcerteny Bowel Mivcau
? tology
| OL bese is nat a disease Ie is a 64 raplon
. gophageal Venice
+ pephevuleer
puodana | ulcerill
a
Wi ‘ ws | oe
“ Canter
+ Diverkealar diauy »
Signe and fro
Hemalemesis- Ploal in Voraifus
Maleana - bhoel in sfoo/
Abdominal paid
Fatigue
cutatney
Aiscoleeration # Slay
by Tpnta .
Anemia.
Patho raeeny
Qi bleeding aoe to ong Covsatve factor such 45
etophag Vertes, peptic Ulcer) eleeratve eli bi Gh)
* Caua Bou of blood)
“ndlivect ty vtdice Hb leueh
sveduue of o2 Caaryiny Capaa ty.- Reduced perfuion +p trgani lve + insu ffictent blood
5 ’ sapply
+ Paligyt) weaker, Sherry of breath o1, anemia ,
shock
De anil dat
~ clinical exarsination | phytical Syroptomni 4 “is hy
. @rndoscoyng Stodin - bared an locaton.
+ 0OD- Gesophago Gastro deedenarcopy
‘ Calenoluayag.
Hreataen +
\ Greate endatying diseaue which cae OT bled,
* Maintain adequate level of tb
Grerapeuk c AnteevenHons:—
> Mirco management has mere. [pont ty au [t- haa cheney
‘tb aipivah Yood m wt bleeding Condi tov - Reailly life
| threatening
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