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Coronal reformatted images ( a b ) showwhirled mesentery ( solid arrows) in the right paramedian abdomen,with subsequent dilated closed loops (“C”) and a dilated proximal smallbowel ( empty arrow) exhibiting the small bowel feces sign. Blood pressure has droppedfrom 96/50 to 80/40 mm Hg in 1 hour, pulse 108 beatsper minute, respirations 24 per minute, and temperature95°F (35°C).
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IL-6 was suggested tobe a “myokine,” defined as a cytokine that is producedand released by contracting skeletal muscle fibers; it isresponsible for the anti-inflammatory effects of exercise,part of increasing evidence that systemic infl ammatorysignaling and “tone” are highly plastic and perhaps highlyresponsive to diet and lifestyle issues (see the last sectionson lifestyle and dietary factors.). 37.4: Relationship between filling pressure andcardiac output in normal and failing heart.
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