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This is a grave matter, as Mr Obama has indicated that he would like health reform to pass without resorting to a hugely provocative procedure known as budget reconciliation, which would require only 50 votes.One senator with his nose out of joint is Joe Lieberman of Connecticut who is now officially an independent but who still caucuses with the Democrats.
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Fig. 4 Provocative procedures to reproduce pain in various secondary headaches and Neuralgia.
We suggest that examination for provocative procedures should be done on each patient with side-locked headaches as many of these headaches may closely mimic primary headaches.
Fig. 4 Provocative procedures to reproduce pain in various secondary headaches and Neuralgia Step-3: Identification of red flag signs on the basis of history and physical examinations Classically red flag signs are described with the mnemonics of SNOOP4 [17].
Moreover, recent knowledge have suggested that physical examination for provocative procedures should be done on each patient with side- locked headaches as many of these headaches may closely mimic primary headaches [4].
One of the characteristics features of the headache attributed to extra-cranial structures (group-11 of ICHD-3β) is that headache gets aggravated by some provocative procedures (either pressure to tissues or some other manoeuvres) [5].
We suggest an orderly approach for such provocative procedures, so that it can be remembered easily and physicians can make a reflex or habit to do it in all patients with side-locked headaches.
Because spontaneous activation of AF-initiating triggers is infrequently observed during electrophysiological procedures, provocative maneuvers are required in the vast majority of patients presenting in SR to the procedure.
The provocation proved provocative.
Provocative discography, an invasive diagnostic procedure involving disc puncture with pressurization, is a test for presumptive discogenic pain in the lumbar spine.
All procedures were carried out under general anesthesia, without provocative testing (Amytal), via femoral puncture.
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