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Melena is a form of blood in stool which refers to the dark black, tarry feces that are commonly associated with upper gastrointestinal bleeding. [1] The black color and characteristic strong odor are caused by hemoglobin in the blood being altered by digestive enzymes and intestinal bacteria .
Blood in stool looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. [6]
Tetracaine is the T in TAC, a mixture of 5 to 12% tetracaine, 0.05% adrenaline, and 4 or 10% cocaine hydrochloride used in ear, nose, and throat surgery and in the emergency department where numbing of the surface is needed rapidly, especially when children have been injured in the eye, ear, or other sensitive locations.
Some clinics do not have 6-metre eye lanes available, and either a half-size chart subtending the same angles at 3 metres (9.8 ft), or a reversed chart projected and viewed by a mirror is used to achieve the correct sized letters. In the most familiar acuity test, a Snellen chart is placed at a standard distance: 6 metres.
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An example of the Landolt C eye chart (also known as the Japanese eye chart). Numerous types of eye charts exist and are used in various situations. For example, the Snellen chart is designed for use at 6 meters or 20 feet, and is thus appropriate for testing distance vision, while the ETDRS chart is designed for use at 4 meters. [16]
Psilocybe mexicana cheilocystidia and spores 400x. Cap: (0.5)1 — 2(3) cm in diameter, conic to campanulate or subumbonate and often with a slight papilla, hygrophanous or glabrescent, even to striate at the margin, ocherous to brown or beige to straw color in age, sometimes with blueish or greenish tones, easily turning blue when injured.
The first version of the LEA test was developed in 1976 by Finnish pediatric ophthalmologist Lea Hyvärinen, MD, PhD. Dr. Hyvärinen completed her thesis on fluorescein angiography and helped start the first clinical laboratory in that area while serving as a fellow at the Wilmer Eye Institute of Johns Hopkins Hospital in 1967.