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be forthcoming Careful probing almost invariably reveals that the earliest manifestations of the illness had appeared before the age of about 25 years Other important data are also revealed by eliciting a careful past history During late childhood and adolescence, the normal activities of the patient, including education, had often been interrupted by periods of ill-de ned illness In the past, rheumatic fever, and in the current era, some obscure disease may have been suspected Later in life, problems in work adjustment and marriage are frequent Notable in many cases is a high incidence of marital incompatibility, separation, and divorce The patient s life history is punctuated by symptoms that do not conform to recognizable patterns of medical and surgical disease For these ailments, many forms of therapy including surgical operations will have been performed In the past, rarely had adult life been reached without at least one abdominal operation, which was usually done because of vague abdominal pain, persistent nausea and vomiting, or an obscure gynecologic complaint Often the indications for the surgical procedures were unclear; moreover, the same symptoms or others often recurred to complicate the convalescence The biographies of these patients are replete with disorders that center about menstrual, sexual, and procreative functions Menstrual periods may be painfully prostrating, irregular, or excessive Sexual intercourse may be painful or unpleasant Pregnancies may be dif cult; the common vomiting of the rst trimester may persist all through the gestational period, with weight loss and prostration; labor may be unusually dif cult and prolonged, and all manner of unpredictable complications are said to have occurred during and after parturition Hysteria is, then, a polysymptomatic disorder, involving almost every organ system The most frequent symptoms that were reported by Purtell and colleagues during a study of 50 unmistakable cases of hysteria (as compared with a control group of 50 healthy women) included the following: headache, blurred vision, lump in the throat, loss of voice, dyspnea, palpitation, anxiety attacks, anorexia, nausea and vomiting, abdominal pain, unusual food allergies, severe menstrual pain, urinary retention, sexual indifference, painful intercourse, paresthesias, dizzy spells, nervousness, and easy crying The mental examination of the patient with hysteria demonstrates a number of characteristic ndings There is a lack of precision in relating the details of the illness Questions regarding the chief complaint usually elicit a vague reply or the narration of a series of incidents or problems, many of which prove to have little or no relevance to the question Memory defects (amnesic gaps) are usually demonstrated while the history is being taken; the patient appears to have forgotten important segments of the history, some of which she had clearly described in the past and are part of the medical record The description of symptoms may be dramatic and exaggerated and not in accord with the facts as elicited from other members of the family Often, a rather casual demeanor is manifest, the patient insisting that everything in her life is quite normal and controlled, when, in fact, her medical record is checkered with instances of dramatic behavior and unexplained illness This calm attitude toward a turbulent illness and seemingly disabling physical signs is so common that it has been singled out as an important characteristic of hysteria, la belle indifference Other patients, however, are obviously tense and anxious and report frank anxiety attacks; or the patient may appear to be putting on an act, and demanding constant attention Emotional reactions are super cial and scenes that are disturbing to others are quickly forgotten Claims of early-life sexual abuse are common and often prove to. open pdf file in iframe in asp.net c# ASP . NET MVC PDF Viewer | Reliable & Responsive UI | Syncfusion
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What are you tried here is put whatever File("~/HelpFile/awstats. pdf ", "application/ pdf ") returns (the content of the pdf ?) inside the #PDF123 ... be imagined, but a valid history of such abuse is frequent enough in our experience to play a role in the genesis of some cases (see further on) There are no pathognomonic ndings Although many have commented on the rather youthful, girlish appearance and coquettish ( seductive ) manner of the patients, these by no means characterize all patients The abdomen may be diffusely and exceedingly tender but without other signs of abdominal disease The so-called stigmata of hysteria ie, corneal anesthesia; absence of gag re ex; spots of pain and tenderness over the scalp, sternum, breasts, lower ribs, and ovaries are often suggested by the examiner and are too inconsistent to be of much help in the diagnosis The variation and pleomorphism of the physical signs are limited only by the patient s ability to produce them by voluntary effort Accordingly, symptoms and signs that are beyond volitional control should not be accepted as manifestations of hysteria Sometimes the patient s physical signs are an imitation of those of another member of the family ( folie a deux ) or are evoked by a stressful event in the patient s personal life However, this may not be disclosed at the time of the rst examination birt code 128, birt ean 13, birt report qr code, birt upc-a, birt barcode, birt data matrix c# mvc website pdf file in stored in byte array display in browser How to view PDF document in MVC and not download it directly ...
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