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The classical 'Macklers triad' consisting of (repeated) vomiting (79%), lower chest pain (83%) and subcutaneous emphysema (27%) is only present in a minority of the patients.
Although he had experienced repeated episodes of small bowel obstruction, which had all recovered fully following conservative management, at 5, 9, and 14 months post-transplantation, continuous epigastralgia and repeated vomiting for 7 h during the present admission prompted clinical suspicion of bowel strangulation.
None of the children had repeated vomiting.
He had repeated vomiting with poor feeding and failure to thrive at 5 weeks of age.
The wife experienced weakness, nausea, and repeated vomiting, while the husband complained of dyspnea and restlessness.
An obvious risk factor considering dental health in individuals suffering from BN, certain forms of AN or other EDs, is repeated vomiting.
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All nine patients had repeated projectile vomiting and vomited their initial dose of oral prazosin (injectable prazosin is not available in India) so that their repeated first dose was received 60 minutes late.
After each treatment dose, patients were observed for one hour, if the drug was vomited during the first half hour a full dose was repeated, if vomiting occurred after one hour half a dose was repeated.
The full dose was repeated if vomiting occurred within 30 minutes, and half-dose given if vomiting occurred within 30 60 minutes.
The dose was repeated if vomiting occurred within the observation period.
The full dose was repeated if vomiting occurred within 30 minutes after drug administration, and half of the dose was given if within 30 60 minutes.
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