| Contributors |
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xi | |
| Introduction |
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xiii | |
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Case 1 Respiratory distress in a tracheostomy patient |
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1 | (4) |
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5 | (4) |
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Case 3 Shortness of breath and painful swallowing |
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9 | (4) |
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Case 4 Collapse while hiking |
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13 | (4) |
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Case 5 Fever, headache and a rash |
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17 | (2) |
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Case 6 Nausea and vomiting in a diabetic |
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19 | (4) |
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23 | (4) |
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Case 8 A bad chest infection |
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27 | (4) |
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Case 9 Head-on motor vehicle collision |
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31 | (4) |
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Case 10 Intravenous fluid resuscitation |
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35 | (2) |
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Case 11 Found unconscious in a house fire |
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37 | (4) |
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Case 12 Painful, spreading rash |
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41 | (4) |
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45 | (4) |
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Case 14 Crushing central chest pain |
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49 | (4) |
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Case 15 Short of breath and tight in the chest |
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53 | (4) |
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Case 16 A productive cough |
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57 | (4) |
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Case 17 A collapse at work |
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61 | (2) |
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Case 18 Dysuria and weakness |
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63 | (4) |
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Case 19 Leg swelling, shortness of breath and weight gain |
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67 | (4) |
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Case 20 Chest pain in a patient with sickle cell anaemia |
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71 | (4) |
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Case 21 Fever, rash and weakness |
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75 | (2) |
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Case 22 Rectal bleeding with a high INR |
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77 | (4) |
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Case 23 Back pain, weakness and unsteadiness |
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81 | (2) |
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Case 24 Feeling unwell while on chemotherapy |
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83 | (4) |
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Case 25 Productive cough and shortness of breath |
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87 | (2) |
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Case 26 Vomiting, abdominal pain and feeling faint |
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89 | (2) |
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Case 27 Seizure and urinary incontinence |
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91 | (4) |
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Case 28 Chest pain in a young woman |
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95 | (4) |
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Case 29 Faint in an elderly woman |
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99 | (4) |
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103 | (4) |
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Case 31 Fever in a returning traveller |
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107 | (4) |
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Case 32 Loose stool in the returned traveller |
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111 | (4) |
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Mental Health and Overdose |
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Case 33 Unconscious John Doe |
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115 | (4) |
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Case 34 An unresponsive teenager |
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119 | (6) |
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Case 35 Deteriorating overdose |
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125 | (4) |
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Case 36 Attempted suicide |
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129 | (4) |
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Neurology and Neurosurgery |
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Case 37 Back pain at the gym |
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133 | (4) |
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Case 38 Passed out during boxing |
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137 | (4) |
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Case 39 Headache, vomiting and confusion |
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141 | (2) |
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Case 40 Motor vehicle accident |
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143 | (4) |
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Case 41 Slurred speech and weakness |
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147 | (4) |
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Case 42 A sudden fall while cooking |
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151 | (2) |
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Case 43 Neck pain after a road traffic accident |
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153 | (2) |
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155 | (4) |
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Case 45 My shoulder popped out |
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159 | (4) |
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163 | (2) |
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165 | (2) |
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Case 48 Fall onto outstretched hand (FOOSH) |
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167 | (4) |
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Case 49 Painful hand after a night out |
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171 | (2) |
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173 | (4) |
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Case 51 Pelvic injury in a motorcycle accident |
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177 | (4) |
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Case 52 Unable to stand after a fall |
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181 | (4) |
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Case 53 Twisted my knee skiing |
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185 | (2) |
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187 | (4) |
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Case 55 I hurt my ankle on the dance floor |
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191 | (4) |
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Case 56 Fall whilst walking the dog |
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195 | (4) |
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General Surgery and Urology |
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Case 57 Upper abdominal pain |
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199 | (4) |
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Case 58 Gripping abdominal pain and vomiting |
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203 | (4) |
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207 | (4) |
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Case 60 Severe epigastric pain |
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211 | (2) |
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Case 61 Left iliac fossa pain with fever |
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213 | (4) |
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Case 62 Acute severe leg pain |
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217 | (2) |
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Case 63 Abdominal pain and nausea |
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219 | (4) |
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Case 64 Epigastric pain and nausea |
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223 | (4) |
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Case 65 A 68-year-old man with loin to groin pain |
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227 | (4) |
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Case 66 Right flank pain moving to the groin |
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231 | (4) |
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Case 67 Testicular pain after playing football |
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235 | (2) |
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ENT, Ophthalmology and Maxillofacial Surgery |
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Case 68 Recurrent nosebleeds in a child |
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237 | (4) |
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Case 69 Worsening ear pain |
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241 | (2) |
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Case 70 Chicken bone impaction |
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243 | (2) |
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Case 71 Ear pain with discharge and facial weakness |
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245 | (2) |
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Case 72 Post-tonsillectomy bleed |
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247 | (2) |
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249 | (4) |
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Case 74 Red eye and photosensitivity |
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253 | (4) |
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257 | (4) |
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Case 76 Visual loss with orbital trauma |
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261 | (4) |
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Case 77 Difficulty opening the mouth |
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265 | (4) |
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Case 78 Cough and difficulty breathing in an infant |
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269 | (2) |
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Case 79 A child with stridor and a barking cough |
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271 | (2) |
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Case 80 A child with fever of unknown origin |
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273 | (4) |
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Case 81 My son has the `runs' |
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277 | (4) |
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Case 82 A child with lower abdominal pain |
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281 | (2) |
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Case 83 A child acutely short of breath |
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283 | (4) |
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Case 84 A child with difficulty feeding |
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287 | (4) |
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Case 85 A child with head injury |
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291 | (2) |
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Case 86 The child with prolonged cough and vomiting |
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293 | (4) |
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Case 87 A child with a prolonged fit |
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297 | (4) |
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Obstetrics and Gynaecology |
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Case 88 Vomiting in pregnancy |
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301 | (4) |
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Case 89 Abdominal pain in early pregnancy |
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305 | (4) |
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Case 90 Bleeding in early pregnancy |
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309 | (4) |
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313 | (4) |
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Case 92 Abdominal pain and vaginal discharge |
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317 | (4) |
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321 | (4) |
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Case 94 Fertility associated problems |
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325 | (4) |
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Case 95 Headache in pregnancy |
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329 | (4) |
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Case 96 Breathlessness in pregnancy |
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333 | (4) |
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Case 97 Postpartum palpitations |
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337 | (4) |
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Case 98 Consenting a patient in the ED |
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341 | (4) |
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Case 99 A missed fracture |
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345 | (4) |
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Case 100 A serious prescription error |
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349 | (4) |
| Appendix: Laboratory test normal values |
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353 | (2) |
| Index |
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355 | |
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