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The diagnosis can be con rmed by placing 1 or 2 drops of 2 to 10% cocaine in each eye; the Horner pupil dilates not at all or much less than the normal one a response that can be documented by photos taken after 5 and 15 s of darkness Such a response to cocaine will occur with a defect at any point along the sympathetic pathway (page 461) because lesions of the rst- or second-order sympathetic neurons eventually deplete norepinephrine at the synapses with third-order neurons The reduction of neurotransmitter at the nerve endings in the ciliary dilator muscle greatly reduces the reuptake blocking effects of cocaine If the subsequent (24 h after cocaine) application of the adrenergic mydriatic hydroxyamphetamine (1%) has no effect, the lesion can be localized to the postganglionic portion of the pathway since this drug releases any norepinephrine that may remain in the third-order neuron.

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Six foot 9-pin Male / Female RS-232 Cable - Cost: $5.00 Enclosures for the PSN-ADC-SERIAL Board. Plastic Box with Metal Front/Rear Panels - Cost: $15.00 Box Size: L: 8.0 W: 7.8 H: 2.5 inches. This box can be used to hold the A/D and Amp/Filter boards. Note: This is just the box, you will need to drill any front/rear panel and mounting holes.

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Localization of the lesion to the central or preganglionic parts of the sympathetic pathway depends upon the associated symptoms and signs (Chap 26) A variety of lesions, some of them purely ocular, such as uveitis, may give rise to a dilated pupil Neurologically, there are three main diagnostic considerations: An interruption of the parasympathetic preganglionic pupilloconstrictor bers in the third nerve It is a safe clinical rule that the interruption of these bers is practically always associated with ptosis, palsy of the extraocular muscles, or signs of other brainstem or cerebral disease The importance of unilateral pupillary enlargements in the diagnosis of coma is discussed in Chap 17 Often in this circumstance the pupil goes through an early phase of miosis followed by irregularly shaped enlargement 2 The presence of a tonic or Adie pupil.

Several RPDs are also included with this book. Each is designed for a specific authentication style or security feature. If you want to use any of these RPDs, you will need to make some modifications so that they will run on your system. Some of these changes are the same in each RPD and are listed in the section Common to All RPDs. Other changes are specific to that RPD and can be found in their respective section. In each section, I list the changes that should be made and point out some features of which you should be aware.

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Here one requires that the pupillary abnormalities conform to the diagnostic criteria for this disorder, enumerated above 3 Drug-induced iridoplegia Not infrequently, particularly among nurses and pharmacists, a mydriatic xed pupil is the result of accidental or deliberate application of an atropinic or sympathomimetic drug Failure of 1% pilocarpine drops to contract the pupil provides proof that the iris sphincter has 1..

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and it is important to determine which is primary and which is secondary A depressive syndrome developing for the rst time on a background of alcoholism is a common clinical occurrence In a large series of alcoholic patients studied by Cadoret and Winokur, a secondary depression occurred in 30 of 61 females and in 41 of 112 males; moreover, once the alcoholism was established, depression became evident much earlier in the women than in the men The opposite occurrence (ie, the development of alcoholism on the background of a primary depression) is less common Again, women are disproportionately affected As mentioned earlier, these differences may be spurious; Winokur s family studies have suggested that the same genetic predisposition leads to depression in females and alcoholism and sociopathy in men 3 Depression in childhood and adolescence.

This value along with the parameters then be substituted can into Eq. (7.1) to computethe maximum elevation as z: R 80 / 8 0 r Q lr \ 8 0, r 9 . 8 1 r 6 , 1 0 0 + : ; | 5 0 + " " . ; ; " , , ) ( t _ . _ , 1 58 0 , 3 8 3 1 6 " "1 _= " , , r - r . 8 3 t 6 6 ) : 9 2 . g 6 0 9 1 m

where E, : the true local truncationerror.For sufficientlysmall lz,the higher-order terms in Eq. (20.9) are usually negligible,and the result is often represented as

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