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A capsule endoscopy was then performed, which showed scattered duodenal erosions and two adjacent erosions in the distal duodenum without stigmata of recent bleeding.
Among them, 57.4 % were found to have varices without stigmata of recent hemorrhage [esophageal varices (EV): 51.4 %; gastric varices (GV): 0.9 %; combined EV/GV: 5.1 %].
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Physical examination showed pallor, dental caries and ankle oedema without any peripheral stigmata of infective endocarditis.
All the patients were re-evaluated to confirm the diagnosis according to the current definition of ALF by an INR ratio >2 and/or prothrombin time of 24 s or above and evidence of acute liver disease (without any clinical stigmata of cirrhosis) irrespective of the presence of encepalopathy.
His skin was ashen and diaphoretic without petechiae, purpura, or stigmata of liver disease.
In contrast to the other two locations of cholangiocarcinoma (hilar and distal bile duct), intrahepatic lesions are often asymptomatic and, therefore, present as an incidental mass lesion without jaundice or other stigmata of biliary obstruction.
Deniz Erten-Lyons, who works at Oregon Health and Science University, in Portland, and her colleagues think they have found a consistent feature of the brains of those who have the internal stigmata of Alzheimer's disease without suffering the outward manifestations: their brains are larger.
And yet the film's heartstopping denouement will make less sense without a knowledge of Wilde's story and his Christian imagery of the stigmata.
Stigmata our past.
"Stigmata," she said.
"Stigmata," he smiles.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com