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Chapter 15 Gross Anatomical Studies of Some Crude Drugs Q 1

Differentials: Retinal detachment Retinal breaks/ tears Posterior vitreous detachment Retinal dialysis (can often be related to trauma) Vitreous haemorrhage Macular oedema (1) Risk factors Advanced age Myopia (short sightedness) Trauma to the eye Family history of retinal tears or detachment Prior eye surgery Lattice degeneration (1) Basic examination tests that can be performed in the A&E department: Visual acuity using a Snellen chart Pupil check for Relative Afferent Pupillary Defect (RAPD) this will often be normal Visual fields to confrontation if the patient is describing a shadow in their vision this will be confirmed with this test Findings on examination: Shafers sign tobacco dust these are pigment cells that come from the RPE of the retina

Spotting 50 l of each sample onto P-81 phosphocellulose papers (Whatman, Clifton, NJ) halted the incubations

One shop assistant seeks out a specific cigar for a customer

It will take less than a hour and will only cost around $2,000, money that you will get back from the mission rewards and by selling duplicates at fences

It keeps a cleaner rectangular shape and protects the product better