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Last update: July 2019 Page 201 of 206 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007) 1034 cholesterol lowering foods coconut oil buy cheap atorlip-10 line. Background cholesterol levels hypothyroidism order atorlip-10 10mg on line, vaccination technique cholesterol levels and alcohol purchase atorlip-10 10mg free shipping, normal vaccination and revaccination cholesterol za wysoki przyczyny trusted 10mg atorlip-10, and expected normal reactions. Smallpox in Tripolitania, 1946: an epidemiological and clinical study of 500 cases, including trials of penicillin treatment. Efficacy of portable filtration units in reducing aerosolized particles in the size range of Mycobacterium tuberculosis. Parasitic disease control in a residential facility for the mentally retarded: failure of selected isolation procedures. Last update: July 2019 Page 202 of 206 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007) 1050. Acquisition of coccidioidomycosis at necropsy by inhalation of coccidioidal endospores. Acute hemorrhagic conjunctivitis outbreak caused by Coxsackievirus A24- Puerto Rico, 2003. An outbreak of epidemic keratoconjunctivtis in a pediatric unit due to adenovirus type 8. A large outbreak of epidemic keratoconjunctivitis: problems in controlling nosocomial spread. Hepatitis A outbreak in a neonatal intensive care unit: risk factors for transmission and evidence of prolonged viral excretion among preterm infants. Last update: July 2019 Page 203 of 206 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007) 1068. Herpes Simplex virus infections in Infectious Diseases of the Fetus and Newborn Infant, ed. Human metapneumovirus infection in the United States: clinical manifestations associated with a newly emerging respiratory infection in children. Nosocomial malaria from contamination of a multidose heparin container with blood. Increased risk of illness among nursery staff caring for neonates with necrotizing enterocolitis. Last update: July 2019 Page 204 of 206 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007) Pediatr Infect Dis 1985;4(3):246-9. Outbreak of adenovirus 35 pneumonia among adult residents and staff of a chronic care psychiatric facility. A recent outbreak of adenovirus type 7 infection in a chronic inpatient facility for the severely handicapped. An outbreak of multidrug-resistant pneumococcal pneumonia and bacteremia among unvaccinated nursing home residents. Concurrent outbreaks of rhinovirus and respiratory syncytial virus in an intensive care nursery: epidemiology and associated risk factors. Rhinovirus infection associated with serious lower respiratory illness in patients with bronchopulmonary dysplasia. Nosocomial transmission of Trichophyton tonsurans tinea corporis in a rehabilitation hospital. Molecular epidemiology of staphylococcal scalded skin syndrome in premature infants. An outbreak of fatal nosocomial infections due to group A streptococcus on a medical ward. Clusters of invasive group A streptococcal infections in family, hospital, and nursing home settings. Last update: July 2019 Page 205 of 206 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007) 1099. Rethinking the role of isolation practices in the prevention of nosocomial infections. No commercial Phone numbers and Web site addresses are involvement of any kind has been solicited or as current as possible, but may change at accepted in the development of the content any time. The development of this curriculum was the recommendations in this curriculum do supported in part by McNeil Consumer not indicate an exclusive course of treatment Healthcare. No part of this curriculum may be reproduced; stored in a retrieval system; or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. In the Healthy Futures: Improving Health Outcomes structors should select from the notes the details for Young Children, Curriculum on Infectious that match the sophistication, interests, and time Diseases in Early Education and Child Care has available to conduct the course for each group been made available by the American Academy of they teach. When time and child care providers with all levels of understanding the interest of the group warrants, plan to spend about infectious diseases. Please check videos to make sure Voices, the National Association for the Education they work correctly prior to presenting the of Young Children, the National Association of curriculum. Care; the Committee on Infectious Diseases; the l Materials needed include fip chart/chalkboard/ Section on Infectious Diseases; and the Section on whiteboard; markers/chalk; overhead projector Early Education and Child Care. It or other licensed health care professionals with is recommended that instructors have a copy of experience in child care settings. Managing Infectious Diseases in Child Care and Schools when presenting this curriculum as Instructor Guidance: a reference. The l Curriculum materials can be downloaded from proposed time to cover the material allows all This will allow the instructor to have a better idea of the knowledge level of the group. Items such as eggs, meat, and dairy products need to be handled carefully to ensure they are safe to eat. Instructors should select from the notes the details that match the sophistication, interests and time available to conduct the course for each group they teach. The times suggested for individual slides or activities are the minimum times required to present the material. When time and the interest of the group warrants, plan to spend more time on them. Many groups of people in the fields of child care, health, and public health contribute to the review of the standards. State standards may apply to graduated recognition systems or may be used as a regulatory tool. American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. Cares for infants Prepares food Checks vaccine records Cleans up after meals Changes diapers Performs daily health check Stays home when sick Up-to-date on vaccines Washes hands after helping with toileting the recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Children who attend child care are less likely to have antibiotic resistant ear infections and have tubes placed. Children who attend child care are more resistant to infections after their frst year of attendance. Quickly remove children who seem sick from the facility and do not allow them to return until they have a note from a health care professional that says they are well MoDulE 3: Recognizing and Managing Infectious Diseases 8. Circulate fresh outdoor air, use right-size fushing toilets, wash hands, and clean and sanitize surfaces that have been in contact with body fuids b. Before the child actually starts receiving care in the program, child care staff should discuss the following with parents: a.

When unavailable to provide on-call support cholesterol medication in pregnancy purchase genuine atorlip-10, providers must arrange for alternative coverage with another participating clinician or provide after-hours messaging about how to access care cholesterol in shrimps good or bad proven atorlip-10 10 mg. Crisis/Emergency Room Usage Presbyterian strives to provide the appropriate behavioral health services in a timely manner for all members cholesterol test over the counter atorlip-10 10 mg generic. The care coordinator can assist with identifying and referring members to the appropriate level of care definition du cholesterol ldl discount 10mg atorlip-10 otc. Note: Advising members to call 911 is not an acceptable form of crisis intervention for Centennial Care behavioral health providers. Authorization of Services Appendix E provides a detailed description of the authorization requirements for all services, including behavioral health services. Cultural Sensitivity Presbyterian is committed to embracing the rich diversity of the people we serve. We believe in providing high quality care to culturally, linguistically and ethnically diverse populations, as well as to those who are visually and hearing impaired. Magellan also provides cultural competency training, technical assistance and online resources at Access Standards Members must have timely access to appropriate mental health and substance abuse services from an in network provider 24/7. Our access standards enable members to obtain behavioral health services by an in network provider within a time frame appropriate for the clinical urgency of their situation. Timely access to services is an essential first step in meeting the needs of our members. Member access to providers is regularly monitored against established standards as a core care coordination activity. Timely Access and Follow-up for Medication Evaluation and Management Members must receive timely access and regular follow-ups for medication management. Providers can find the Critical Incident Management Guide and the Critical Incident Training Guide at The goal of critical incident reporting is to partner with providers to ensure that providers and members have the resources needed to promote independence and safety. Reporting the Quality department aims to maintain a prime status of healthcare that is safe, effective, member-centered, timely, efficient and equitable. The reports are sent to state and accreditation facilities to help identify improvement opportunities. Benefits of Filing Electronically Presbyterian generally processes electronically submitted claims in an average of seven business days, whereas hard copy claims are generally processed in an average of 14 business days. Providers can gain access to Claims Courier by signing onto the Magellan website with their username and password, and then following the instructions under Submit a Claim. The provider simply enters the claims information data into the online Claims Courier application. Note: Magellan must be the designated payer in order to process the submitted claims. Direct Submit is available to all Presbyterian Centennial Care providers regardless of claims submission volume. Providers are assigned an information technology analyst to guide them through the process and address any questions. Paper Claims Presbyterian and Magellan encourage electronic claims submissions and offer technical assistance to providers to address any difficulties with accessing or using our electronic submission tools. Both Presbyterian and Magellan accept 837 transactions from a number of clearinghouses. Clearinghouse Contact Information (Magellan) Clearinghouse Address Contact Information Website 9030 Stony Point Pkwy Suite Payerpath 440 1-877-623-5706 Long-Term Care Please note that this chapter applies specifically to the Centennial Care program. The goal is to provide members with access to services and supports necessary to maintain the highest level of function and independence in their communities. For members residing in nursing facilities or other institutions, our goal is to ensure quality healthcare aimed at reducing the number of acute inpatient admissions through effective care coordination and successful care transitions. All individuals assessed as Medicaid-eligible members are required to participate in Centennial Care unless specifically excluded by a 1115(a) Waiver. The state maintains a central registry for persons waiting for the Community Benefit who are not otherwise eligible for Medicaid. The central registry is managed on a statewide basis using a standardized assessment tool and in accordance with criteria established by the state registry. The services of a support broker are available to assist members in understanding and using the community benefits as well as developing and managing their budgets. The support broker provides the worksheets and other tools needed to assist the member. Presbyterian aims to ensure that members are effectively encouraged to choose the services, supports and goods they believe best meet their community living needs. The member is also encouraged to identify his or her short-term and long-term goals, including needs related to life goals and any anticipated life changes, such as living situation, caregiver availability and/or community participation. The member shall have the right to appeal the determination by requesting a fair hearing. The notification should include the effective date of termination and/or disenrollment, as applicable. Family members or spouses may serve as providers under extraordinary circumstances in order to assure the health and welfare of members and to avoid institutionalization. Presbyterian approves these instances on a case-by-case basis using pre-established criteria. Review Criteria Presbyterian references nationally recognized, evidence-based standards to develop criteria. Both committees include local (New Mexico) community-based, actively practicing clinicians. The care model promotes collaboration and supports providers in advancing wellness and promoting independence, resiliency, healthy living, health literacy and personal responsibility.

Indications Bladder stones cholesterol test foods to avoid buy genuine atorlip-10 on-line, acute or chronic Pain and pressure in lower back Blood in urine from kidney or and abdomen from stones bladder stones Urinary tract infection Kidney stones cholesterol medication joint pain order atorlip-10 10 mg fast delivery, acute or chronic Urination cholesterol definition mayo clinic buy 10mg atorlip-10 fast delivery, pain with Tongue: Red and scalloped cholesterol in shrimp vs lobster buy atorlip-10 10mg otc, red on the edge or tip, yellow or white coating. If pain has not signifcantly decreased in 12 hours, patient should consult heath practitioner. The chief herb, andrographis (chuan xin lian), is noted for its strong anti-viral, anti-bacte rial, anti-pyretic, and anti-inflammatory actions. Dandelion (pu gong ying) clears both interior and exterior heat, resolves toxin, eliminates damp-heat, and has anti-bacterial actions. With its broad therapeutic scope, Andrographis Formula can be used to clear heat-toxin anywhere in the body. It is especially effective for treating viruses affecting the throat, lymph, or liver. Ingredients Andrographitis Herba (Andrographis / Chuan Xin Lian) 50% Isatidis seu Baphicacanthis Radix (Isatis Root / Ban Lan Gen) 25 % Taraxaci Herba (Dandelion / Pu Gong Ying) 25 % Chinese Medical Actions Clears heat, resolves toxin, cools blood, disperses swelling, reduces inflam mation in the three burners. Indications Bronchitis Laryngitis Carbuncles Lymph nodes, enlarged Chicken pox Measles Common cold, from wind-heat Mouth sores Dysentery, bacterial Mumps Ear infections Pelvic Inflammatory Disease Fever Respiratory infections Gastroenteritis, acute Sinus inflammation or infection Gum infections Skin infections such as boils Hepatitis Strep throat (Streptococcus) Herpes simplex Throat, sore Herpes zoster (shingles) Tonsillitis Influenza Urinary tract infections Kidney infection Tongue: Red or red spots. Prolonged use may injure stomach fire and lead to digestive hypofunction or epigastric discomfort. The frst three in gredients are among the most frequently used substances for treating anxiety, insomnia, and the feeling of emotional fragility. Part of the genius of this for mulation is the recognition of the roles digestion and phlegm play in insomnia and anxiety. Ingredients Ziziphi Spinosae Semen (Sour Date Seed, Jujube Seed / Suan Zao Ren) 25% Polygalae Radix (Polygala Root, Licorice-boiled / Qing (Zhi) Yuan Zi) 20% Poriae Sclerotium Pararadicis (Poria Spirit / Fu Shen) 16% Gardeniae Fructus (Gardenia Fruit / Zhi Zi) 15% Jujubae Fructus (Jujube Date, red / Hong Zao, Da Zao) 12% Amomi Fructus Rotundus (Chinese Cardamom / Bai Dou Kou) 4% Amomi Fructus (Amomi Fruit / Sha Ren) 4% Raphani Semen (Radish Seeds, dry-fried / Chao Lai Fu Zi) 4% Chinese Medical Actions Nourishes heart qi, yin, and blood, supports spleen qi, calms and stabilizes shen (spirit), opens the heart orifce, resolves phlegm in the heart, lung, and stomach, drains heat from all three burners, transforms and regulates the qi of the heart and stomach, aids sleep. Indications Anxiety Palpitations Depression Panic attacks Dream-disturbed sleep Restlessness Fragility, feeling of Shen, disturbed Insomnia Tongue: Could be pale or small and red, possibly with thick coating. If defciency is primary, the pulse may be weak, feeble, or thin and rapid; if phlegm or stagnation is primary, then it may be slippery. Its mild action and sweet fla vor make it an excellent formula for reconstructing the middle after surgery or to restore digestive function damaged by chemotherapy. Indications Abdominal pain, chronic, cold Fatigue Allergies, chronic Fever, low grade or occasional Appetite, poor Fright, in children Back spasms Hemorrhoids Body weakness and heaviness Immune system, weak Children, poor health in Post-operative pain Cold limbs Shortness of breath Complexion, pale or lusterless Sweating, nocturnal or spontaneous Constitution, delicate Ulcer, peptic Digestion, weak Weakness, general or after illness Ear infections, chronic Tongue: White coating, body may be pale. Contraindications: Do not use with signs of heat, with heat from yin defi ciency, or in cases with abdominal distension. Fu zheng therapy originally used tonic or adaptogenic herbs to protect the immune systems of cancer patients from the toxic effects of radiation or chemotherapy. The focus of Astragalus & Ligustrum Formula is on supplementing the upright or righteous qi by supporting the spleen and kidney. In addition to the tonic herbs, this formula has poria (fu ling) to drain dampness, and tangerine peel (chen pi) to move the qi. Chen pi also helps prevent the bloating and stagna tion that can develop when taking tonic herbs. Indications Chemotherapy, side effects of Postpartum fatigue Fatigue, chronic Post-operative fatigue Immune deficiency syndromes Weakness, general Immune system impaired Contraindications: During pregnancy, consult a health practitioner before taking. This formula can be combined with an appropriate anti-toxin formula, like Viola Clear Fire Formula, in cases with microbial activity or heat-toxin. The typical presentation is one with a history of an external pathogen that has depleted the body of both qi and blood, and most obvious in signs and symptoms related to the heart: irregular pulse, pal pitations, and generalized weakness. Today it is a primary formula for treating many types of coronary and cardiac disorders. Baked Licorice Formula is a versatile formula, but is usually considered the most important formula when one of two types of irregular pulses is present: knotted (jie mai) or intermit tent (dai mai). The knotted pulse is a slow to moderate rate with an occasional dropped beat at irregular intervals. The intermittent pulse is usually moderate in rate but misses beats at regular intervals. The consumptive disorders that are efectively treated by Baked Licorice Formula are lung atrophy (characterized by a chronic weak pulse in the right cun position with generalized weakness and shortness of breath) and heart qi and blood defciency. Ingredients Rehmanniae Radix (Rehmannia, unprocessed / Sheng Di Huang) 28% Jujubae Fructus (Jujube Date, red / Hong Da Zao) 13% Glycyrrhizae Radix Preparata (Chinese Licorice Root, honey-fried / Zhi Gan Cao)12% Cinnamomi Ramulus (Cassia Twig, Chinese Cinnamon / Gui Zhi) 10% Ophiopogonis Radix (Ophiopogon Tuber / Mai Men Dong) 8% Zingiberis Rhizoma Recens (Ginger, fresh / Sheng Jiang) 8% Polygoni Multifori Radix (Polygonum Root / He Shou Wu) 7% Rehmanniae Radix Preparata (Rehmannia, cured / Shu Di Huang) 6% Lilii Bulbus (Lily Bulb / Bai He) 4% Ginseng Radix (Asian Ginseng Root / Ren Shen) 4% Chinese Medical Actions Supplements qi, nourishes blood and yin, restores and regulates pulse. Indications Anxiety Insomnia Arrhythmia Irritability Body fuid, damage to , from illness Myocardial infarction, sequella of Breathing, diffculty Myocarditis, sequella of Cardiac insuffciency Night sweats Cardiomyopathy Palpitations Constipation Pulmonary heart disease Coronary heart disease Rheumatic heart disease Cough, dry and weak Sputum, frothy Dry mouth and throat Sweating, spontaneous Hypertensive heart disease Weight loss, unintended Tongue: Pale and shiny. Pulse: Irregular, dropping a beat at regular or irreg ular intervals, knotted, or intermittent. It can relieve hypertension and treat mild cardiovascu lar diseases when blood stasis is part of the pattern. Indications Afternoon fever Headache w/fixed, piercing pain Angina Hiccough, chronic Breast lumps Hypertension Chest, pain or stifling sensation in Hypochondriac pain Coronary heart disease Insomnia and restless sleep Depression w/sensation of Intercostal neuralgia warmth in chest Irritability Dry heaves Palpitations Emotional outbursts or instability Post-concussion syndrome Fibromyalgia w/blood stasis Tongue: Purple or dark red, with dark or purple spots on sides. It is intended to treat the second and third stages of trauma where initial swelling and inflammation have dissipated and what remains is blood stasis and invasion of wind and dampness. The herbs in this formula center on moving and supplementing blood to dispel blood sta sis, supplementing the kidneys to heal bones and sinews, and dispelling wind and dampness to drive out bi and prevent its return. It is ideal for speeding the healing of torn ligaments or tendons, broken bones, or damaged cartilage. Ingredients Taxilli Herba (Loranthus, Chinese Mistletoe / Sang Ji Sheng) 10% Angelicae Sinensis Radix (Dong Quai Root, Tang Kuei / Dang Gui) 8% Lycopodii Herba (Clubmoss, Lycopodium / Shen Jin Cao) 8% Acanthopanacis Giraldii Cortex (Acanthopanax Stem Bark / Hong Mao Wu Jia Pi) 8% Spatholobi Caulis (Spatholobus / Ji Xue Teng) 8% Eucommiae Cortex (Eucommia Bark / Du Zhong) 8% Angelicae Pubescentis Radix (Pubescent Angelica Root / Du Huo) 8% Drynariae Rhizoma (Drynaria Rhizome / Gu Sui Bu) 7% Psoraleae Fructus (Psoralea Fruit / Bu Gu Zhi) 7% Dipsaci Radix (Japanese Teasel Root, Japanese Dipsacus / Xu Duan) 7% Olibanum (Frankincense / Ru Xiang) 6% Myrrha (Myrrh / Mo Yao) 6% Notopterygii Rhizoma seu Radix (Notopterygium / Qiang Huo) 5% Jujubae Fructus (Jujube Date, red / Hong Zao, Da Zao) 3% Pyritum (Pyrite / Zi Ran Tong) 1% Chinese Medical Actions Dispels wind and dampness, knits bones and sinews, supplements and moves blood, relieves pain. For example, if yin deficiency is prominent, combine Bone & Sinew Formula with Rehmannia Six Formula, or if liver qi stagnation is an underlying issue, combine with Bupleurum & Tang Kuei Formula or Free & Easy Wanderer Plus. It is used to harmonize the interior and exterior, and in shaoyang disorders, when the exterior has not been completely released. It is commonly used for digestive disorders resulting from disharmony of liver and spleen. This formula can be used for psychological boundary issues seen in socially uncomfortable patients who have hostile outbursts or are passive-aggressive. It is also good for joint pain triggered by an acute or recent virus, distending pain around the xyphoid, and intercostal neuralgia. Indications Abdominal distension Muscular tension Chills Nausea Common cold w/chest constriction Nervous exhaustion Constitution, delicate Neurotic disorders Emotional instability Passive-aggressive behavior Fat digestion, poor Pneumonia Flatulence Psychological boundary issues Gallstones Pulmonary tuberculosis Hepatitis Stomach pain Influenza Vertebral subluxation Irritability Vomiting Joint pain w/crackling sensation Tongue: Pale, swollen, with white or yellow coating. It is useful for a diverse range of symptoms resulting from liver qi stagnation, deficient liver blood, and liver/spleen disharmony. It is an excellent formula for men strual and premenstrual disorders when strong signs of heat are not present. Indications Abdominal distension or bloating Irritability Allergies, food Lactation, insufficient Appetite, poor Menopausal symptoms Breast distension or tenderness Menstrual pain Breast lumps, fibrocystic Menstruation, fatigue after Constipation Menstruation, irregular Depression Mood swings Dizziness Nausea Emotional instability Palpitations Fatigue Premenstrual syndrome Hay fever, chronic Stools, erratic Headache Uterine bleeding, dysfunctional Hot flashes Weight loss, unintended Hypochondriac pain Tongue: Pale body, slightly red, especially on the sides. Contraindications: When heat signs are present, use Free & Easy Wanderer Plus instead. Reduce dose if irritability or digestive disturbance increase while taking this formula. From the Shang Han Lun, this formula is a modification of Minor Bupleurum Formula (Xiao Chai Hu Tang) for improperly treated wind-cold disorders. Over centuries of use, this formula has been expanded to treat a variety of internal and emotional patterns, especially those whose symptoms are marked by fullness in the chest, irritability, and palpitations. Altai anemone (jiu jie chang pu) has been added to aid in transformation of phlegm. This formula is useful for drug and smoking withdrawal, vivid dreaming, and any pattern of excess qi or yang. Indications Anxiety Hypertension Chest, fullness in Hypochondriac pain Constipation Insomnia Convulsions Irritability Delirium Mania Dream disturbed sleep Menopausal symptoms Drug withdrawal Palpitations Emotional instability Post-concussion syndrome Fright, disorders due to Post-traumatic Stress Disorder Headache Restlessness Heat sensation in head Smoking withdrawal Hot flashes Urinary difficulty or incontinence Tongue: Red, with slippery coating. In this stage, patients exhibit elevated liver enzymes on blood tests and may have the associated symptoms of fatigue, headache, fibromyalgia, and darkening spots on the skin. The formula helps to promote natural immunity, inhibit viral growth, reduce symptoms of fatigue and poor appetite, and is effective for lowering liver enzymes back into the normal range. Ingredients Ganoderma (Reishi / Ling Zhi) 9% Paeoniae Radix, rubra (Chinese Peony, red / Chi Shao) 9% Astragali Radix (Astragalus / Huang Qi) 8% Lycii Fructus (Lycium Fruit, Chinese Wolfberry / Gou Qi Zi) 8% Salviae Miltiorrhizae Radix (Chinese Salvia Root / Dan Shen) 8% Artemisiae Scopariae Herba (Capillaris / Yin Chen Hao) 8% Hedyotis Diffusae Herba (Hedyotis, Oldenlandia / Bai Hua She She Cao) 8% Bupleuri Radix (Bupleurum Root / Chai Hu) 8% Gardeniae Fructus (Gardenia Fruit / Zhi Zi) 8% Curcumae Radix (Turmeric, Curcuma Tuber / Yu Jin) 8% Polygoni Multiflori Radix Preparata (Fo-Ti / Zhi He Shou Wu) 7% Schisandrae Fructus (Northern Schisandra Fruit / Wu Wei Zi) 6% Toosendan Fructus (Melia Fruit / Chuan Lian Zi) 5% Chinese Medical Actions Supplements qi and blood, clears damp-heat, dredges the liver, invigorates blood, clears heat and resolves toxin, relieves pain. Originally formulated for costal fullness and fank pain, as these are common signs for when the liver qi is stuck in the chest/thorax, it has also become famous for its ability to unbind stuck liver qi that is invading the spleen or lower burner. Where fank pain or costal fullness is usually part of the pattern of liver qi stuck in the upper burner, abdominal distension is the chief sign of the liver invading the spleen pattern.

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