Download PDF by BSI: BS EN 1396:1997 Aluminium and aluminium alloys - Coil coated

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ISBN-10: 0580271447

ISBN-13: 9780580271441

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Extra info for BS EN 1396:1997 Aluminium and aluminium alloys - Coil coated sheet and strip for general applications - Specifications

Sample text

A 45-year-old woman presents to the GP complaining of a new rash. The skin under her arms and on the back of her neck is dark and velvety in texture. She has diabetes mellitus, but is otherwise well. 2. A 45-year-old woman presents to the GP complaining of a new rash. There are multiple, light-brown, depressed lesions on her shins, each around 2 cm in size. She has diabetes mellitus, but is otherwise well. 3. A 45-year-old woman presents to the GP complaining of a new rash. There are raised, erythematous, firm plaques on the front of both of her shins.

A – Clotting factor deficiency This patient has taken a significant overdose of paracetamol, resulting in hepatocellular necrosis and liver failure. Clotting factors are synthesized in the liver, and measurement of clotting is a sensitive method of assessing liver function. In cases of significant hepatocellular damage, the production of clotting factors is impaired, resulting in a propensity to bleed, which may present as bruising or haemorrhage. The clotting profile is usually measured in terms of the prothrombin time (PT), which is converted into the international normalized ratio (INR).

He feels weak in his limbs, but the weakness improves with repeated muscle use. On examination, there is no sensory deficit. 44 Options A. Acanthosis nigricans B. Alopecia C. Diabetic dermopathy D. Eruptive xanthomas E. Erythema ab igne F. Hyperhidrosis G. Necrobiosis lipoidica diabeticorum H. Paget’s disease I. Pretibial myxoedema J. Thrombophlebitis migrans K. Tylosis L. Xanthelasma Practice Paper 2: Questions Theme 4: Skin manifestations of systemic disease 1 For each of the following scenarios, select the most appropriate diagnosis.

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