teex condition cards

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teex condition cards
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2010-07-25 17:06:10
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  1. Asthma
    • Vitals: BP: Elevated due to anxiety / beta 2 agonist Pulse: Elevated due to anxiety / b-2 agonist Respirations: labored / rapid SPO2: low ETCO2:
    • Breathing: distressed w/ wheezing. tightness. dry cough if any
    • Temperature: Normal
    • BGL: Normal
    • AMS: Only in cases of severe hypoxia
    • Posture: Tripod / Accesory muscle use
    • Skin:Pale usually dry
    • Lung Sounds: wheeze / diminished
    • Meds: Albuterol (beta 2 agonist), smooth muscle relaxant, steroids
    • Treatments: Oxygen, Albuterol (nebulizer: .083%- 2.5mg in 3mL N/S), Mag Sulfate (pregnancy: 1-2gm in 50ml over 20 min), steroid (Solu-Medrol 125-250mg over 5-10 min)
    • Stable: Usually Not
  2. Bronchitis
    • Vitals: BP: Normal Pulse: Normal Respirations: Labored SPO2: Low ETCO2: High
    • Breathing: Productive Cough with normally labored breathing
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Tripod / accessory muscle esp after exhertion
    • Skin:Normally cyanotic
    • Lung Sounds: Wet
    • Meds: Albuterol, Oxygen
    • Treatments: Oxygen, Albuterol (nebulizer: .083%- 2.5mg in 3mL N/S)
    • Stable: Usually except in cases of exaserbation
  3. Bronchiolitis
    • Vitals: BP: Normal Pulse: Rapid Respirations: Tachy / Labored SPO2: Low ETCO2: High
    • Breathing: Labored / Cough (usually unproductive)
    • Temperature: Normal or elevated
    • BGL: Normal
    • AMS: In cases of hypoxia
    • Posture: comfort-
    • Skin: Pale
    • Lung Sounds: Wheezing / crackles
    • Meds: Oxygen (albuterol not proven to give sig. relief)
    • Treatments: Supportive
    • Stable: Not in cases of low SpO2
  4. Pneumonia
    • Vitals: BP: Varies Pulse: Usually slightly rapid Respirations: Shallow / labored SPO2: Low ETCO2: High
    • Breathing: Labored / Productive cough / yellow brown sputum
    • Temperature: Febrile
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Tripod / Accessory muscle use
    • Skin: Pale / moist
    • Lung Sounds: Wet / crackles / one side only in some cases
    • Meds: Antibiotics / Oxygen / Bronchodilators
    • Treatments: Supportive / suctioning / oxygen / bronchodilators (Albuterol (nebulizer: .083%- 2.5mg in 3mL N/S))
    • Stable: Depends
  5. Emphesema
    • Vitals: BP: Varies Pulse: Norm to fast Respirations: Labored / Rapid SPO2: Low ETCO2: High
    • Breathing: Labored with barrel chest productive cough sometimes
    • Temperature: Normal
    • BGL: Normal
    • AMS: Except in hypoxia cases
    • Posture: Tripod / Accesory muscles
    • Skin:Pale
    • Lung Sounds: Crackles / Wheeze
    • Meds: Bronchodilators Oxygen
    • Treatments: Oxygen, Albuterol (nebulizer: .083%- 2.5mg in 3mL N/S)
    • Stable: Sometimes
  6. Chronic Bronchitis
    • Vitals: BP:Norm / Elevated Pulse: Norm / Elevated Respirations: Fast / Labored SPO2: Low ETCO2: Fast
    • Breathing: Labored / productive cough (for 2 years or more)
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Tripod in exhaserbation
    • Skin: Pale
    • Lung Sounds: Wet Crackles / Wheeze
    • Meds: Cardiac Meds (heart failure), Oxygen, bronchodilators
    • Treatments: Supportive / Oxygen / Bronchodilators Albuterol (nebulizer: .083%- 2.5mg in 3mL N/S)
    • Stable: Varies
  7. Guillain-Barre Syndrome
    • Vitals: BP: Normal to Abnormal Pulse: Fast at times Respirations: Normal to Apnea SPO2: Normal / Low ETCO2: Normal to High
    • Breathing: Normal except in cases where condition has progressed to diaphram
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Unable stand. Paralysis from feet upward
    • Skin:Normal
    • Lung Sounds: Normal except in cases of apnea
    • Meds: N /A
    • Treatments: Supportive / Transport / Airway management
    • Stable: Unstable
  8. Posterior Cord Syndrome
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal
    • BGL: Normal
    • AMS: Unable to percieve the positiion and movement of ones body, sensitive to light, vibration
    • Posture: C-Spine imobilized
    • Skin: Normal
    • Lung Sounds: Normal
    • Meds: N/A
    • Treatments: Stabilization
    • Stable: No, extra caution
  9. Anterior Cord Syndrome
    • Vitals: BP: Normal / Low Pulse: Normal / Low Respirations: Normal / Absent SPO2: Normal / Low ETCO2: Normal / High
    • Breathing: Normal / Absent (depends on where fragments lodged and point of injury)
    • Temperature: Normal
    • BGL: Normal
    • AMS: Loss of sensation below injury site
    • Posture: See above
    • Skin:Normal
    • Lung Sounds: Normal / Absent
    • Meds:N/A
    • Treatments: C-Spine
    • Stable: Unstable
  10. Brown Sequard Syndrome
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal
    • BGL: Normal
    • AMS: 1 sided loss of sensation
    • Posture: In positiion of injury / C-Spine
    • Skin: Normal
    • Lung Sounds: Normal (but could be absent on effected side)
    • Meds:N/A
    • Treatments: C-Spine
    • Stable: Unstable
  11. Pericardial Tamponade
    • Vitals: BP:systolic drop of 10mmHg or more Pulse: alternating strong and weak Respirations: distressed SPO2: low ETCO2: high
    • Breathing: distressed
    • Temperature: Normal to elevated(infection)
    • BGL: Normal
    • AMS: in cases of hypoxia / poor cardiac output
    • Posture: upright
    • Skin:pale / hypoxic
    • Lung Sounds: muffled heart sounds, equal breath sounds
    • Meds:cardiac / resp meds
    • Treatments: transport / supportive (IV/O2/Monitor) (pericardial sentesis is required)
    • Stable: Unstable
  12. Tension Pneumothorax
    • Vitals: BP: poss low Pulse: rapid Respirations: shallow / tachy SPO2: low ETCO2: high
    • Breathing: extremely labored / absent
    • TemperatureL Normal
    • BGL: Normal
    • AMS: Normal except w/ hypoxia
    • Posture: Severe diff breathing
    • Skin:Shocky
    • Lung Sounds: unequal. diminished on one side
    • Meds:N/A
    • Treatments: needle decompression where indicated, intubation if required
    • Stable: Not stable
  13. Hemothorax
    • Vitals: BP:Low in Shock cases Pulse: Tachy Respirations: Rapid SPO2: Low ETCO2: High
    • Breathing: Body Sputum Possible
    • Temperature: Normal
    • BGL: Normal
    • AMS: Anxiety, agitation
    • Posture: Resp Distress
    • Skin: Pale / Clammy
    • Lung Sounds: Fluid sounds on one side, possible absent on one side. No tracheal deviation or jugular vein distention
    • Meds: N/A
    • Treatments: Large Bore IV's, Treat for shock
    • Stable: No
  14. Pneumothorax
    • Vitals: BP:Normal Pulse: Rapid severe cases Respirations: rapid SPO2: Low ETCO2: High
    • Breathing: Severe Dyspnea, Absent breath sounds on effected side
    • Temperature: Varies (Normal in trauma, but may have underlying illness
    • BGL: Normal
    • AMS: Agitation and anxiety can occur from hypoxia
    • Posture: Severe Dyspnea
    • Skin: Pale in cases of severe hypoxia
    • Lung Sounds: Absent / diminished on one side with severe pleural pain upon inspiration
    • Meds: N/A
    • Treatments: Watch for progresssion to tension pneumo. Supportive care including oxygen
    • Stable: No
  15. Pericardial Contusion
    • Vitals: BP: Low in cases of shock Pulse: Usually fast (depending on arryhthmia) Respirations: Vaires SPO2: Varies ETCO2: Varies
    • Breathing: Crackles or rales usually found due to left ventricular dysfunction
    • Temperature: normal
    • BGL: Normal
    • AMS: Normal except in cases of shock
    • Posture: Varies
    • Skin: Shock signs
    • Lung Sounds: Crackles / Rales
    • Meds: N/A
    • Treatments: Supportive. Consult Med Control before giving anti arrhythmics
    • Stable: N0
    • Notes; Occurs after trauma and may cause arrhythimias (usually tachycardia or A-Flutter). Do not treat arrhythmias without consultation to medical control
  16. Epidural Hematoma
    • Vitals: BP: Hypertension Pulse: Bradycardia Respirations: Erratic SPO2: Varies / Low ETCO2: Varies / High (Cushings Triad)
    • Breathing: Erratic
    • Temperature: hyperpyrexia can develop (fever like condition)
    • BGL: Normal
    • AMS: Altered
    • Posture: Posturing
    • Skin: Shock
    • Lung Sounds: Varies
    • Meds: N/A
    • Treatments: C-Spine / Maintain Airway / Transport to an appropriate facility
    • Stable: No
    • Notes: Occurs with blood between skull and dura mater after trauma to temporal area. Always associated with a linear fracture to the thin temporal bone usually disrupting meningeal artery. Rapidly declining patient
  17. Subdural Hematoma
    • Vitals: BP:Hypertension Pulse:Bradycardia Respirations:Erratic SPO2:Varies / Low ETCO2: Varies / Low
    • Breathing: Erratic
    • Temperature: Normal / Hyperprexia (fever like) in some cases
    • BGL: Normal
    • AMS: Altered
    • Posture: Posturing
    • Skin:Shocky
    • Lung Sounds:
    • Meds: N/A
    • Treatments: C-Spine / Airway management / transport
    • Stable: Not
    • Notes: Blood beneath the dura mater but outside the brain. Occurs in rapid deceleration forces and 5% of all head injuries
  18. Croup / Laryngotracheolbronchitis
    • Vitals: BP: Normal Pulse: Normal Respirations: Labored / Tachypnic SPO2: Low ETCO2: Normal / High
    • Breathing: Seal Like Barking Cough
    • Temperature: High
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Upright / Resp distress
    • Skin:Pale in cases of hypoxia
    • Lung Sounds: Loud upper airway sounds
    • Meds: N/A
    • Treatments: Oxygen, do not manipulate airway, Racemic Epinephrine (.25-.75 ml of a 2.25% solution in 2.0ml of N/S)
    • Stable: No
    • Notes: Usually occurs in children and in cool night air (spring and fall)
  19. Tonsilitis
    • Vitals: BP:Normal Pulse: Normal Respirations: Dyspnea SPO2: Normal / Low ETCO2: Normal / High
    • Breathing: Dyspnea in upper airway with loud barking cough
    • Temperature: High
    • BGL: Normal
    • AMS: Normal except in cases of hypoxia
    • Posture: Dyspnea
    • Skin:Hot / Moist
    • Lung Sounds: Loud upper airway sounds
    • Meds:May be on antibiotics
    • Treatments: Oxygen / Airway management
    • Stable: No
    • Notes: Similar to croup. Monitor airway diligently
  20. Epiglotitis
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal / Fast SPO2: Normal / Low ETCO2: Normal / High
    • Breathing: Hoarse voice / attempted painful cough
    • Temperature: High
    • BGL: Normal
    • AMS: No execpt in cases of hypoxia
    • Posture: Purposeful hyperextention / dyspnea
    • Skin: Hot
    • Lung Sounds: Hoarse voice, loud upper airway sounds
    • Meds: May be on antibiotics / etc
    • Treatments: Monitor Airway
    • Stable: No
    • Notes: Look for hoarse cough. True emergency, swelling can cut off airway
  21. Pulmonary Embolism
    • Vitals: BP:Normal Pulse:Fast Respirations:Fast SPO2:Low ETCO2: High
    • Breathing: Sudden Dyspnea that does not get better with oxygen
    • Temperature: NOrmal
    • BGL: Normal
    • AMS: In cases of hypoxia
    • Posture: Dyspnea
    • Skin: Pale
    • Lung Sounds:Clear
    • Meds: N/A (Look for Coumadin / Etc. Recent bone breaks, IV's, ETC)
    • Treatments: CPR Where needed, Oxygen, Transport
    • Stable: NO
    • Look for: Chest pain and low SPo2 levels that do not increase with oxygen
  22. Multiple Sclerosis
    • Vitals: BP:Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal to high
    • BGL: Normal
    • AMS: Normal to altered in severe cases
    • Posture: Ataxia / weakness / lack of touch senses
    • Skin:Normal to Hot
    • Lung Sounds: Normal
    • Meds: Unk
    • Treatments: Supprotive
    • Stable: Varies
    • Notes: Breakdown of myelin sheath
  23. Parkinson's Disease
    • Vitals: BP:Normal Pulse: Normal Respirations: Normal / Rapid SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal
    • Posture: Tremors / inability to move
    • Skin: Normal
    • Lung Sounds: Normal
    • Meds: Levodopa in hospital setting
    • Treatments: Supportive
    • Stable: Mostly
    • Notes: Lack of dopamine in the brain
  24. Bells Paulsy
    • Vitals: BP:Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal to High (due to underlying infection)
    • BGL: Normal
    • AMS: Normal
    • Posture: Normal but paralysis of facial nerve (7th cranial nerve)
    • Skin: Normal
    • Lung Sounds: Normal
    • Meds:Corticosteroids may be given for unlying viral infection
    • Treatments: Supportive / Rule out CVA
    • Stable: Yes
    • Notes:
  25. A.L.S / Amyotrophic Lateral Sclerosis / Lou Gehrig's Disease
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal (early) SPO2: Normal ETCO2: Normal
    • Breathing: Normal (Late stages include inability to breath on own)
    • Temperature: Normal
    • BGL: Normal
    • AMS: Inability to speak in some cases
    • Posture: INabilty to support themselves or move
    • Skin: Normal
    • Lung Sounds: Normal to absent in some cases
    • Meds: N/A
    • Treatments: Supportive care
    • Stable: Yes
    • Notes: Usually fatal in 3-5 years. May have many apparatus to maintain life. Death usually results from an infection.
  26. Myostenium Gravis
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal / Labored in attack SPO2: Normal ETCO2: Normal
    • Breathing: Normal to absent in attack
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal but can have inability to speak
    • Posture: Normal but severe weakness
    • Skin:Normal
    • Lung Sounds: Normal
    • Meds:N/A
    • Treatments: Supportive / Support respiratory function
    • Stable: Varies
    • Notes: Destruction of acetylcholine resulting in weakness
  27. Hypoglycemia
    • Vitals: BP: Normal Pulse: Rapid Respirations: Normal to low SPO2: Normal to low ETCO2: Normal to high
    • Breathing: Normal / Shallow
    • Temperature: Normal
    • BGL: LOW; less than 45
    • AMS: Altered in severe cases
    • Posture: n/a
    • Skin:Cool and moist
    • Lung Sounds: Clear
    • Meds: Diabetic Meds / Insulin / Glucophage / etc
    • Treatments: Oxygen and respiratory assistance. Oral glucose if gag reflex, IV (18g or larger) and admin of D50 (25gm in 50ml). If no IV available admin of Glucagon (1 unit IM)
    • Stable: No- brain starved of oxygen
  28. Diabetic Ketoacidosis
    • Vitals: BP: Normal to Low (dehydration) Pulse: Rapid (dehydration) Respirations: Kussmaul (Rapid and Deep) SPO2: varies ETCO2: varies
    • Breathing: Kussmaul Deep and Rapid
    • Temperature: Normal (warm dry skin)
    • BGL: Greater than 300
    • AMS: Yes but usually not fully comatose
    • Posture: N/A
    • Skin: Warm / Dry
    • Lung Sounds: Clear
    • Meds:Diabetic Meds
    • Treatments: IV- 1L of Normal Saline over 1st half hour. Monitor cardiac rhythm. Treat shock. Oxygen / Transport
    • Stable: No
    • Notes: Ketone release will usually give fruity odor on the patient's breath
  29. Anaphylaxis
    • Vitals: BP: Low Pulse: High Respirations: Dyspnea / Tightness SPO2: Low ETCO2: High
    • Breathing: Wheezing / Swelling of face and tounge / stidor / hoarseness / bronchoconstriction (wheeze / crackles)
    • Temperature: Normal
    • BGL: Normal
    • AMS: Possible due to hypoxia / hypotension / shock
    • Posture: N/A
    • Skin: Uticaria / Pruritis (itching) / flushed skin
    • Lung Sounds: Wheeze / Crackles / Stridor
    • Meds: N/A but check for allergies
    • Treatments: Airway: Consider Cricothyrotomy. Administer IV Epi: .3-.5mg for adults (.01mg /kg for pediatrics) Admin Diphenhydramine 25-50mg IV/ IM, Admin Solumedrol 125-250mg
    • Stable: NO
  30. Addison's Disease
    • Vitals: BP: Low Pulse: Normal to High Respirations: Normal SPO2: Normal / Low ETCO2: Normal / High
    • Breathing: Normal
    • Temperature: Can be elevated
    • BGL: Low or Normal
    • AMS: Lethargy, confusion, Loss of consciousness
    • Posture: N/A
    • Skin: Hot
    • Lung Sounds: Clear
    • Meds:N/A
    • Treatments: IV and infuse up to 1L of N/S. Correct Hypoglycemia with D50 (25g)
    • Stable?
    • Notes: Steroid Withdrawl is most common cause
  31. Cushing's Disease
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal
    • BGL: Low
    • AMS: Normal / Depression / fatigue
    • Posture: Normal
    • Skin: Thinning of skin, easy brusing, pink purple stretch marks (straie) on abdoman thighs breasts and shoulders
    • Lung Sounds: Normal
    • Meds: N/A
    • Treatments: Supportive: Monitor glucose and vitals
    • Stable: Yes
  32. Appendicitis
    • Vitals: BP: Normal Pulse: Normal to fast Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Hot in cases of infection / impedning sepsis / rupture
    • BGL: Normal
    • AMS:Normal
    • Posture: Gaurding possible
    • Skin:Hot / Dry
    • Lung Sounds: Clear
    • Meds: N/A
    • Treatments: Supporitve / Transport
    • Stable: No
    • Note: Periumbilical pain that migrates to right lower quadrant. Rebound tenderness
  33. Cholecystitis
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal
    • Posture: Gaurding possible
    • Skin:Normal
    • Lung Sounds: Clear
    • Meds: N/A
    • Treatments: Supportive, Pain medication (use Meperidine rather than morphine because morphine is thought to cause a contraction of the sphincter of Oddi) Control nausea. Fluids if patient is vomitting
    • Stable: Yes
    • Notes: Upper right quadrant pain. Normally from gallstones (obstruction of cystic duct). Normal patient is: Fair / Fat / Female / Fifty
  34. Esophageal Varicies
    • Vitals: BP: Normal to Low Pulse: Normal to High Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal (watch for aspiration)
    • Temperature: Normal
    • BGL: Normal
    • AMS: N/A except in cases of hypoxia and shock
    • Posture: Normal
    • Skin: Normal
    • Lung Sounds: Normal
    • Meds: N/A
    • Treatments: Fluid resusitation, suctioning, airway management
    • Stable: No
    • Notes: Caused by increase in pressure of vessels around esophagus and the portal system.
  35. Peptic Ulcer
    • Vitals: BP: Normal to low Pulse: Normal to low Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal (watch for aspiration)
    • Temperature: Normal
    • BGL: Normal
    • AMS: Normal
    • Posture: Abdominal guarding possible
    • Skin: Normal
    • Lung Sounds: Normal
    • Meds:Normal (abuse of NSAIDS possible)
    • Treatments:Treat hypotension
    • Stable: No
    • Notes: Look for abdominal pain, nausea, vomitting, belching, heartburn, gastric bleeding
  36. Hep A
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: High
    • BGL: Varies
    • AMS: Normal
    • Posture: Abdominal guarding possible
    • Skin: Hot / Jaundice
    • Lung Sounds: Clear
    • Meds: N/A
    • Treatments: Supportive, protect yourself
    • Stable: No, requires treatment
    • Notes: From fecal oral transmission, most people immunized.
  37. Hep B / Serum Hepatitis
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Low grade fever
    • BGL: normal
    • AMS: normal
    • Posture: normal (with generalized abdominal / joint pain
    • Skin: hot / juandice
    • Lung Sounds: warm
    • Meds: n/a
    • Treatments: supportive
    • Stable: Depends
    • Notes: From shared IV needes / sexual interaction / etc
  38. Hep C
    • Vitals: BP: Normal Pulse: Normal Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Low grade fever
    • BGL: normal
    • AMS: normal
    • Posture: normal (with generalized abdominal / joint pain
    • Skin: hot / juandice
    • Lung Sounds: warm
    • Meds: n/a
    • Treatments: supportive
    • Stable: Depends
    • Notes: Most common type. blood to blood contact. can live outside the body
  39. Thyroidoxicosis / hyperthyroidism
    • Vitals: BP: Normal Pulse: Tachy in severe cases Respirations: Normal SPO2: Normal ETCO2: Normal
    • Breathing: Normal
    • Temperature: Hot
    • BGL: Normal
    • AMS: Normal to altered in severe cases
    • Posture: Normal
    • Skin: Hot
    • Lung Sounds: Heart failure possible
    • Meds: N/A
    • Treatments: Supportive / manage airway
    • Stable: Fatal in severe cases
  40. Myxedema / Hypothyroidism
    • Vitals: BP: NOrmal Pulse: Normal Respirations: Normal to labored SPO2:Low ETCO2: High
    • Breathing: (cough?)
    • Temperature: Often Low
    • BGL: Normal to low
    • AMS: Altered in Coma situation
    • Posture: N/a
    • Skin:Cool Dry
    • Lung Sounds: Clear
    • Meds:N/A
    • Treatments: Oxygen, Correct hypoglycemia (25g D50), Treat hypothermia (warming). Avoid narcotics, sedatives, anesthetics because of delayed metabolism
    • Stable?

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