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| | Clinical Scenarios In Renal Problems and Fluid Balance in Critical Care |
 | | In this tutorial we will look at a number of clinical scenarios in which patients developed oliguria or renal failure, and you will learn a simple method for thinking your way through the problems encountered. | | | It is now time to take the information that we have learned into the clinical setting. | | | To learn to explain the solution to these problems using basic physiologic principles. |
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http://www.ccmtutorials.com/scenarios/renal
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| | Dopamine vs no treatment to prevent renal dysfunction in indomethacin-treated preterm newborn infants |
| | Seri 1988 is a study in which infants received dopamine on the basis of clinical condition: controls did not require dopamine, whereas patients in the treatment group received dopamine for edema, moderate oliguria, poor peripheral perfusion and/or mild systemic hypotension. | | | The power of the individual studies, or of this systematic review, to detect effects on clinical outcomes is therefore limited. | | | Furosemide has been used in an attempt to prevent oliguria in indomethacin-treated preterm infants, but in a systematic review Brion 2001 found no evidence of benefit. |
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http://www.nichd.nih.gov/cochraneneonatal/Barrington2/Barrington.htm
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| | [No title] |
| | Members of the Surgical Research Team observed that oliguria occurred most frequently in the individuals who were most severely wounded and whose resuscitation was most difficult. | | | The condition may not be reflex in origin, but it appears to be a normal response to this type of stress and lasts only a few hours. | | | Patients whose cooperation was doubtful because of associated wounds or illnesses were placed up on Stryker frames where turning and drainage could be assured. |
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http://history.amedd.army.mil/booksdocs/korea/recad1/ch5-4.htm
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| | Early Postoperative Care |
| | In cardiac surgical patients with normal preoperative renal function, 15 percent have an increase in serum creatinine above 1.5 mg/dL postoperatively. | | | [ 271 ] did not find age, sex, preoperative renal dysfunction, severity of underlying heart disease, cardiopulmonary bypass time, or oliguria to be significant influences in a univariate analysis of patients who required hemodialysis after heart surgery. | | | Age is a significant prognostic factor in determining survival from acute renal failure after heart surgery, [ 269 ] although Lange et al. |
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http://www.ctsnet.org/edmunds/Chapter12section7.html
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| | Aggressive Management of Hellp Syndrome and Eclampsia |
| | and notification of primary care provider if signs of toxicity develop (loss of knee-jerk reflexes, respiratory depression, oliguria, respiratory arrest, cardiac arrest) or if the woman complains of shortness of breath or chest pain. | | | Placement of an indwelling Foley catheter with urometer facilitates accurate assessment of fluid balance and early signs of renal compromise. | | | Cerebral or visual disturbances including but not limited to altered level of consciousness, headache, scotomata, or blurred vision |
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http://www.aacn.org/AACN/jrnlci.nsf/GetArticle/ArticleThree84?OpenDocument
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| | eMedicine - Oliguria : Article by Prasad Devarajan, MD |
| | Obstruction of the bladder neck due to posterior urethral valves should be immediately relieved by gentle insertion of a fine urethral catheter. | | | Vigorous fluid administration has been successfully employed to prevent ARF following cardiac surgery, cadaveric renal transplantation, hemoglobinuria, myoglobinuria, hyperuricosuria, radiocontrast infusion, and therapy with amphotericin B or cisplatinum. | | | Although oliguria is usually acute at initial presentation, it may also be a presenting symptom of chronic renal failure. |
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http://www.emedicine.com/ped/topic1637.htm
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| | The District of Columbia Academy of Veterinary Medicine |
| | In any patient, catheter patency should be assured. | | | If fluid therapy alone is not adequate to improve or maintain sufficient arterial blood pressure then a positive inotrope such as dobutamine (5 - 10 ug/kg/min) or a vasopressor such as dopamine (5 - 10 ug/kg/min) should be utilized. | | | Successful diagnosis and therapy requires the clinician to be aware of factors which predispose to oliguria and to monitor the renal function and urine production in those patients at risk. |
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http://www.dcavm.org/04jan.html
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| | [No title] |
| | Describe the relationship between serum creatinine and glomerular filtration rate. | | | Define the terms "oliguria", "nephritic syndrome", and "acute renal failure". |
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http://www.med.unsw.edu.au/pathology/path97/ARF.HTM
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| | THE MERCK MANUAL, Sec. 17, Ch. 222, Renal Failure |
| | Oliguria (urine < 500 mL/day) results from reduced GFR and enhanced Na and water resorption, a normal response to ineffective circulating blood volume. | | | Oliguria may occur; anuria suggests bilateral renal artery occlusion, obstructive uropathy, acute cortical necrosis, or rapidly progressive glomerulonephritis. | | | Clinical conditions associated with rapid (days to weeks), steadily decreasing renal function (azotemia), with or without oliguria. |
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http://www.merck.com/pubs/mmanual/section17/chapter222/222b.htm
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| | Acute renal failure: oliguria: mannitol may improve urine output. |
| | Inception cohort study with objective outcomes, not adjusted for confounding factors, not validated in an independent set of patients. | | | In patients with oliguria who responded to mannitol, the mean increase in urine output was 80 ml/hour. | | | Around half of patients with oliguric acute renal failure increased their urine output when given mannitol. |
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http://www.eboncall.org/CATs/1674.htm
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| | News - Clinical Response, Hypotension, And Oliguria Independent Prognostic Factors In Renal Cell Carcinoma Patients ... |
| | Eastern Cooperative Oncology Group (ECOG) performance status (PS), clinical response and dose were statistically significant prognostic factors at the univariate analysis and at multivariate analysis, clinical response, hypotension, and oliguria were significant prognostic factors. | | | News - Clinical Response, Hypotension, And Oliguria Independent Prognostic Factors In Renal Cell Carcinoma Patients Treated With Interleukin-2 | | | Clinical Response, Hypotension, And Oliguria Independent Prognostic Factors In Renal Cell Carcinoma Patients Treated With Interleukin-2 |
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http://www.docguide.com/news/content.nsf/news/8525697700573E1885256DDC003EC575
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| | eMedicine - Glomerulonephritis, Acute : Article by Amin Antoine Kazzi, MD |
| | Note that early antibiotic therapy does not affect the development of poststreptococcal glomerulonephritis. | | | Loop diuretics are indicated for patients with nephrotic syndrome (4% of patients) or massive proteinuria. | | | Admit patients presenting with oliguria and renal failure. |
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http://www.emedicine.com/emerg/topic219.htm
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| | WebHealthCentre.com - Health Centre - Renal Failure |
| | Peritoneal or haemodialysis is the treatment of choice when other measures fail. | | | Antibiotics may be needed to treat associated infections (predominantly only antibiotics excreted by the liver are used if there is no liver disease). | | | In acute renal failure, the patient may have oliguria (reduced urine output) along with generalised swelling (oedema) of the body together with high blood pressure. |
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http://www.webhealthcentre.com/centers/kidney.asp
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| | Dr. Rose's Peripheral Brain--RENAL FAILURE |
| | In a cohort study of 552 patients with acute renal failure, after adjustment for confounding variables, diuretic use as ass'd with sig. | | | Diuretics inhibit tubular Na and can mask the oliguria and high urinary Na of prerenal azotemia | | | Often used in acute renal failure, especially when oliguria is present |
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http://www.raywhowemd.com/azotemia.htm
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| | Farmamondo - International drugs and foreign medicines |
| | As a consequence of inhibiting the renin-angiotensin-aldosterone system, changes in renal function may be anticipated in susceptible individuals. | | | SPECIAL WARNINGS AND SPECIAL PRECAUTIONS FOR USE: Accupro should not be used in patients with aortic stenosis or outflow obstruction. | | | In patients with severe heart failure whose renal function may depend on the activity of the renin-angiotensin-aldosterone system, treatment with ACE inhibitors including quinapril, may be associated with oliguria and/or progressive azotemia and rarely acute renal failure and/or death. |
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http://www.farmamondo.com/vista.cfm?ID=864&LI=e
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| | Important Information About Avapro |
| | PRECAUTIONS: Impaired Renal Function: As a consequence of inhibiting the renin-angiotensin-aldosterone system, changes in renal function may be anticipated in susceptible individuals. | | | In patients whose renal function may depend on the activity of the renin-angiotensin-aldosterone system (e.g., patients with severe congestive heart failure), treatment with angiotensin-converting-enzyme inhibitors has been associated with oliguria and/or progressive azotemia and (rarely) with acute renal failure and/or death. | | | Exchange transfusion or dialysis may be required as means of reversing hypotension and/or substituting for disordered renal function. |
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http://www.physweekly.com/ads/avapro
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| | [No title] |
| | Oliguria Maintenance phase: Oliguria, uremia, Na and H20 retention. | | | Phase Polyuria in recovery phase due to impaired tubular respobtion Hyaline and granular casts Vascular obstruction Initiating phase: Toxins and hypotensive episode. |
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http://nsucomems.tripod.com/renalchart2.doc
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| | ABSITE |
| | The goal of postoperative therapy is to keep systolic blood pressure >100 and urinary output >30-50cc/h. | | | This condition is sometimes difficult to distinguish from oliguria resulting from intrinsic renal disease (renal azotemia). | | | Extracellular fluid volume deficit is the most common fluid disorder in the surgical patient, the resulting oliguria is secondary to renal hypoperfusion (prerenal azotemia). |
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http://www.yaroslavl.net/Victor96-2.htm
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| | Oliguria |
| | for link, clot, to perform catheter flush before taking other consideration of oliguria. | | | Oliguria (urine output less than 20 ml/hr) may be found in any patient due to cardiology, nephrology, urology, endocrinology, medical or surgical disorders. | | | Oliguria cause fluid and electrolyte imbalance with effect in the heart, lungs, central nervous system, skin and gastrointestinal. |
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http://www.geocities.com/baddarni/Oliguria.html
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| | Worldbook Medical Encyclopedia > Obesity - Oxyuriasis > Oliguria |
| | Documents 1 - 7 of 7 on the subject : Oliguria | | | Mild febrile responses usually require nothing more than giving an antipyretic (eg, acetaminophen) before future... | | | Worldbook Medical Encyclopedia > Obesity - Oxyuriasis > Oliguria |
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http://www.surfablebooks.com/wbmedical/32340/32358/1.htm
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| | The MSDS HyperGlossary: Oliguria |
| | Oliguria is a symptom of several potentially life-threatening conditions. | | | Oliguria is usually a symptom of a much more serious condition. | | | Watch for other symptoms such as nausea, vomiting, etc. and consult a physician if you suspect a more significant problem. |
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http://www.ilpi.com/msds/ref/oliguria.html
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| | ATN & ARF |
| | ?Describe each of the following stages of acute renal failure (ARF): oliguria, diuresis, recovery by meh, 1999, Oct 09 | | | re: re: ?Describe each of the following stages of acute renal failure (ARF): oliguria, diuresis, recovery by Catherine Lorenze lorcath@6@aol.com, Oct 24, 13:15 | | | re: ?Describe each of the following stages of acute renal failure (ARF): oliguria, diuresis, recovery by Stacie, Oct 23, 18:49 |
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http://hyper.vcsun.org/HyperNews/mhighfield/get/hs302A/atnarf.html
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| | Department of Neonatal Medicine Protocol Book: Hyperkalaemia |
| | , oliguria (although non- oliguric hyperkalaemia is the usual situation | | | Many of these infants do not have evidence of impaired renal function such as oliguria or high creatinine levels | | | Early hyperkalaemia in very low birthweight infants in the absence of oliguria. |
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http://www.cs.nsw.gov.au/rpa/neonatal/html/newprot/hyperk.htm
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| | Merck Vet. Edition - Renal Failure |
| | Once fluid therapy is begun, animals with anuria or oliguria may become overhydrated. | | | Animals with ARF or end-stage CRF may be anuric or oliguric. | | | Volume depletion should be corrected rapidly because hypovolemia and hypotension cause oliguria and contribute to further renal damage or acute tubular necrosis. |
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http://www.merckvetmanual.com/mvm/htm/bc/190902.htm
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| | Mannitol |
| | Mannitol is used for improving of the renal function during a surgical interventions and in the treatment of oliguria.Indications: The preparation is indicated for: prophylaxis and treatment of oliguria, acute renal failure and cerebral edem, reduction of intracranial and intraocular pressure, injury of the central nervous system and to provoke osmotic diuresis in oliguria. |
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http://www.actavis.bg/Products/Mannitol.htm?lng=en
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| | THE MERCK MANUAL, Sec. 17, Ch. 224, Glomerular Diseases |
| | About 50% of patients have edema and a history of an acute influenza-like illness within 4 wk of onset of renal failure, usually followed by severe oliguria. | | | Although the immune complex is presumed to contain an antigen related to streptococcal organisms, no such antigen has been found. | | | Microthrombosis may occur; if damage is severe, hemodynamic changes produce oliguria, frequently accompanied by epithelial crescents (formed within Bowman's space from epithelial cell hyperplasia, probably mediated by growth factors from stimulated macrophages). |
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http://www.merck.com/pubs/mmanual/section17/chapter224/224b.htm
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| | Oliguria |
| | Oliguria is the condition of less than normal urine output of about 0.5 ml per kg. |
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http://www.cartage.org.lb/en/themes/Reference/dictionary/Biologie/O/37.html
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| | ischemic acute tubular nephropathy |
| | Her latest contribution to the field of nephrology, Mechanisms of Injury in Renal Disease and Toxicity, promotes an understanding of the pathophysiologic mechanisms mediating renal dysfunction in disease. | | | Various pharmacologic agents and poisons can produce nephrotoxic acute renal failure which is clinically very. | | | Renal Pathology ACUTE RENAL FAILURE Acute Renal Failure Sudden suppression of renal function with retention of nitrogenous wastes (azotemia) often accompanied by oliguria (24-hour.. |
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http://icarus.med.utoronto.ca/week1/ischaemic.htm
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| | renal.html |
| | Optional dilutional filtration technique: The patient will not be able to excrete the potassium administered via the cardioplegia system. | | | The patient's mean arterial pressure should be maintained at a higher than usual level, particularly in the patient with oliguria. | | | If the patient has oliguria, high doses of diuretics may be required. |
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http://www.perfusion.ca/categ/renal.html
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| | * Oliguria - (Disease): Definition |
| | Alternative Names: Oliguria Considerations: Though a significant decrease in urine output may indicate a serious, and even life-threatening condition, adequate urine output can often be corrected with prompt medical treatment. | | | Note: There may be other causes of oliguria. | | | Male urinary tract Definition: This symptom is described as decreased urine output, defined as less than 500 ml in 24 hours. |
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http://en.mimi.hu/disease/oliguria.html
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| | DS036 POSTOPERATIVE OLIGURIA: RX |
| | If patient cannot or has no desire to urinate after several hours postoperatively, consider oliguria secondary to hypovolemia. | | | Drainage of even 1 liter of urine is not associated with hypotension, etc. | | | Look for signs of hypovolemia such as decreased skin turgor or dry mucous membranes, tachycardia, hypotension. |
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http://www.rashaduniversity.com/dsposolrx.html
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| | acute renal failure (arf) |
| | NB: causes of oliguria or anuria may overlap or follow each other, e.g. | | | [= acute reversible renal hypoperfusion; usually gives OLIGURIA] |
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http://www.geocities.com/davidscerri/arf.htm
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| | Renal24 |
| | This is an example of an aorta from a man who died in oliguria. | | | Renal failure can be caused by vascular disease external to the kidneys. | | | Above this, there is severe atherosclerosis occluding the orifices of the renal arteries. |
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http://www.mcl.tulane.edu/classware/pathology/medical_pathology/McPath/GR_Renal/Renal24.html
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| | BestBETs: Is ibuprofen or indomethacin better for medical cl... |
| | In addition, three studies showed a significant increase in oliguria among patients treated with intravenous indomethacin, and two studies showed a significant increase in serum creatinine. | | | Each study clearly shows the equivalence of ibuprofen and indomethacin in the treatment of patent ductus arteriosus. | | | Patients receiving intravenous ibuprofen have a smaller rise in serum creatinine, and are less likely to develop oliguria (NNT = 6) than those receiving intravenous indomethacin. |
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http://www.bestbets.org/cgi-bin/bets.pl?record=00385
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| | oliguria : Online Dictionary at Datasegment.com |
| | 1 definition found oliguria - definition from wn oliguria n 1: abnormally small production of urine; can be a symptom of kidney disease or obstruction of the urinary tract or edema or an imbalance of fluids and electrolytes in the body 2: production of an abnormally small amount of urine |
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http://onlinedictionary.datasegment.com/word/oliguria
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| | Mannitol Dosage, Interactions, Side Effects, How to Use |
| | A test dose is given in clients with impaired renal function or oliguria. | | | Other symptoms include hypotension, polyuria that rapidly becomes oliguria, stupor, seizures hyperosmolality, and hyponatremia. | | | If urine flow is inadequate, pulmonary edema or water intoxication may occur. |
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http://www.healthdigest.org/drugs/mannitol.html
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| | Virtual Hospital: Glomerulonephritis: Introduction |
| | Although much overlap exists, glomerular diseases may be classified by their predominant clinical manifestations | | | Rapidly progressive glomerulonephritis: Hematuria, oliguria and acute renal failure. |
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http://www.vh.org/adult/provider/pathology/GN/01Introduction.html
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| | CHOLERA |
| | The resultant severe water and electrolyte depiction leads to intense thirst, oliguria, muscle cramps, weakness, and marked loss of tissue turgor, with sunken eyes and wrinkling of skin on the fingers. | | | Abrupt, painless, watery diarrhea and vomiting are usually the initial symptoms; stool loss may exceed I L/h but is usually much less. | | | Hypovolemia, hemoconcentration, oliguria and anuria, and severe metabolic acidosis with potassium depletion (but with normal serum sodium concentration) occur and, if untreated, circulatory collapse with cyanosis and stupor may follow. |
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http://bbh.hhdev.psu.edu/courses/440/SnowCholera/cholera.htm
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