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    Axons carrying information from viagra online usa pharmacy the lower limb ascend in the most medial portion of the dorsal column, the gracile fascicle (Figure 8-7). The dorsal columns and the ascending axons of the anterolateral system are somatotopically organized. The cuneate fascicle begins approximately at the level of the sixth thoracic segment.

    Similar principles apply to the topographic organization of the peripheral viagra online usa pharmacy receptive sheet in the visual system and in the auditory system. Axons from the lower trunk ascend lateral to those from the lower limb, but still within the gracile fascicle. Figure 7-5.

    Within the cuneate fascicle, axons from the rostral trunk, upper limb, neck, and occiput ascend.

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    Patients with thrombocytosis (>780,000/µL) should receive a low-dose platelet anti-aggregating agent if there is no hemorrhagic viagra online usa pharmacy tendency. A second treatment option for patients with PCV is a cytotoxic treatment with hydroxyurea. The usual dose for hydroxyurea is 1–3 g/d. Subcutaneous IFN-α has been shown to be effective in the control of PCV and may be indicated for patients who do not tolerate hydroxyurea or in younger patients who fear a possible mutagenic risk of hydroxurea.

    Patients with PCV should avoid dehydration or other conditions that predispose to vascular complications. The use of radioactive phosphorus or alkylating agents for PCV have been abandoned because of the high risk of leukemic transformation induced by these agents. Hydroxyurea is indicated if phlebotomies fail to control the increase in red cell volume or if an excessive thrombocytosis (>790,000/µL) occurs.

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    In at least 25% of defecations. Population studies reveal that 7% to 27% of the population experiences constipation and that its prevalence increases with age. Straining In at least 21% of defecations.

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