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The possibility of multiple sites of partial obstruction needs to be carefully considered as this may limit surgical options.
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Uncommon occurrence of hepatic peliosis and sinusoidal obstruction syndrome also needs to be kept in mind in patients with cancer [ 4].
This is of importance, as asthma needs to be diagnosed by bronchial provocation testing when spirometry shows no airway obstruction [ 8].
ECD needs to be distinguished from immune-mediated or secondary (radio-induced) retroperitoneal fibrosis (RPF), a rare disease that often causes hydronephrosis and urinary tract obstruction.
Remember that the obstruction doesn't need to be a disabled vehicle.
Such patients typically have both RVOT obstruction and PR, and in order for a transcatheter device to provide viable therapy, it would need to be able to treat both, relieving the obstruction and providing a competent valve.
If it's split, as if there's an obstruction in the milk duct, the cow might have mastitis, which will need to be treated.
These are often molded assemblies, and may need to be guided while the tank is lowered to avoid obstructions and possible damage to this part.
International guidelines need to be revised in the light of the evidence of antihistamine effects on nasal obstruction.
The next time was right by the corner flag where Windass had no obvious need to be and referee Keith Stroud reacted by giving him a rare yellow card for obstruction while outside the field of play.
Obstruction has to be seen to be intentional and it clearly isn't here.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com