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Pruritic, exudative, or lichenified eruption on face, neck, upper trunk, wrists, and hands and in the antecubital and popliteal folds (Plate 2) Personal or family history of allergic manifestations (eg, asthma, allergic rhinitis, atopic dermatitis) Tendency to recur

impaired Partial seizures of either type sometimes become secondarily generalized, leading to a tonic, clonic, or tonicclonic attack 1 Simple partial seizures Simple seizures may be manifested by focal motor symptoms (convulsive jerking) or somatosensory symptoms (eg, paresthesias or tingling) that spread (or march ) to different parts of the limb or body depending on their cortical representation In other instances, special sensory symptoms (eg, light flashes or buzzing) indicate involvement of visual, auditory, olfactory, or gustatory regions of the brain, or there may be autonomic symptoms or signs (eg, abnormal epigastric sensations, sweating, flushing, pupillary dilation) The sole manifestations of some seizures are phenomena such as dysphasia, dysmnesic symptoms (eg, d j vu, jamais vu), affective disturbances, illusions, or structured hallucinations, but such symptoms are usually accompanied by impairment of consciousness 2 Complex partial seizures Impaired consciousness may be preceded, accompanied, or followed by the psychic symptoms mentioned above, and automatisms may occur Such seizures may also begin with some of the other simple symptoms mentioned above

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There are several different varieties of generalized seizures, as outlined below In some circumstances, seizures cannot be classified because of incomplete information or because they do not fit into any category 1 Absence (petit mal) seizures These are characterized by impairment of consciousness, sometimes with mild clonic, tonic, or atonic components (ie, reduction or loss of postural tone), autonomic components (eg, enuresis), or accompanying automatisms Onset and termination of attacks are abrupt If attacks occur during conversation, the patient may miss a few words or may break off in mid sentence for a few seconds The impairment of external awareness is so brief that the patient is unaware of it Absence seizures almost always begin in childhood and frequently cease by the age of 20 years, although occasionally they are then replaced by other forms of generalized seizure Electroencephalographically, such attacks are associated with bursts of bilaterally synchronous and symmetric 3-Hz spike-and-wave activity A normal background in the electroencephalogram and normal or above-normal intelligence imply a good prognosis for the ultimate cessation of these seizures 2 Atypical absences There may be more marked changes in tone, or attacks may have a more gradual onset and termination than in typical absences 3 Myoclonic seizures Myoclonic seizures consist of single or multiple myoclonic jerks 4 Tonic-clonic (grand mal) seizures In these seizures, which are characterized by sudden loss of consciousness, the patient becomes rigid and falls to the ground, and respiration is arrested This tonic phase, which usually lasts for less than a minute, is followed by a clonic phase in which there is jerking of the body musculature that may last for 2 or 3 minutes and

The amount is entered in a Textbox control, but for the tax, you want to restrict the values the user can enter, so you should use a numericUpDown control use the Help files or IntelliSense to examine the properties for that control and figure out how to use them to your advantage There s a Clear button that clears the Amount TextBox when clicked To output a double with two decimal places, use ToString("F") The F applies the two-decimal-place formatting You may also want to implement some exception handling to ensure that the user enters a number in the TextBox The C# code in this exercise is mostly trivial, but the point is to extract the values from the controls, use them, and then output them to the user.

Seizures can be categorized in various ways, but the descriptive classification proposed by the International League Against Epilepsy is clinically the most useful Seizures are divided into those that are generalized and those affecting only part of the brain (partial seizures) (Table 24 2)

The initial clinical and electroencephalographic manifestations of partial seizures indicate that only a restricted part of one cerebral hemisphere has been activated The ictal manifestations depend on the area of the brain involved Partial seizures are subdivided into simple seizures, in which consciousness is preserved, and complex seizures, in which it is

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