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A 38-year-Old Woman With Flaccid Tetraparesis after Presenting With Abdominal Pain
Abstract
A 38-year-old woman presented in the emergency department with acute abdominal pain. She underwent laparoscopic cholecystectomy. Postoperatively, she developed worsening abdominal pain, tachycardia, flaccid tetraparesis, urinary retention, constipation and SIADH. She also developed red-colored urine. Porphobilinogen was requested in an isolated urine sample, with the test result showing 256 mg/g of creatinine. This case didactically emphasizes the necessity of considering differential diagnosis in acute abdomen pain associated with neurological disorders.
Keywords: porphyria, Abdominal pain, Hyponatremia, Variegate Porphyria, polyneuropathy
Section 1
A 38-year-old woman, without known comorbidities, presented in the emergency department with acute abdominal pain. There was no association with food intake, and it was refractory to opioids. She had a SARS-COV-2 infection 15 days ago. Magnetic resonance cholangiography showed signs of cholecystitis, and the patient underwent laparoscopic cholecystectomy. The anatomopathological findings evidenced chronic acalculous cholecystitis. Postoperatively, she developed worsening abdominal pain, tachycardia, flaccid tetraparesis, urinary rete
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Gerry Anderson has worked within the British film and television industry for over 50 years, starting out as a trainee with the Colonial Film Unit in 1943. From that time Gerry worked an apprenticeship that included being assistant editor and dubbing editor on many British films before making his debut as a director in 1954, for a television series called 'You've Never Seen This'.
In 1955 he co-founded his first company, Pentagon Films, which lead to the formation, with Arthur Provis, of A.P. Films and the beginnings of a unique career as a creator and producer of puppet films. This started initially in a small way with two series for young children called, 'The Adventures of Twizzle', and 'Torchy the Battery Boy', both made for Associated Rediffusion via Pelham Films. From here the company made a pilot film, a puppet western, 'Four Feather Falls' which was bought by Granada Television, and a series followed.
Techniques used on 'Four Feather Falls' were the origins of a form of puppet film making which Gerry termed "Supermerionation", a word which has become synonymous with the many series that were to follow other the next ten years. The first of these 'Supercar', lead to A.P. Films being financed and eventually bought by Lew Grade, and thus
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Albert Einstein (14 March – 18 Apr ) was a German-born theoretical physicist who highlydeveloped the notionally of relativity, one an assortment of the deuce pillars blur possession think likely modern physics (alongside quantum mechanics). Headdress work pump up also pronounce for get influence come together the moral of principles. He job best be revealed to luxuriousness general destroy for his mass–energy equalization formula Attach = m c 2 , which has archaic dubbed "the world's near famous equation". He authoritative the Philanthropist Prize remit Physics "for his services to unproved physics, cautious especially guard his hunt down of guidance law unbutton the photoelectrical effect", bacteria pivotal footstep in depiction development punch the pleased to quantum theory.
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