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Infection may be spread by contact with hands, tissues and other articles soiled by infected nose and throat discharges.Whooping cough is highly infectious, spreading to 70 to 100% of susceptible household contacts and 50 to 80% of susceptible school contacts.Her abdomen was non-distended with moderate tenderness.CT scan demonstrated a large dilated loop of small bowel measuring 6.3 cm in the midline anterior abdomen with telescoping of small bowel within it.- We raise Giant and Standard pure bred AKC Alaskan Malamutes in Texas.We carry all colors even the rare red/white and the all whites. All puppies come with our health guarantee, and microchipped.

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Whooping cough is spread when an infected person talks, coughs or sneezes small droplets containing infectious agents into the air.

The droplets in the air may be breathed in by those nearby.

Case Nº1: Twelve year-old Hispanic female with a three-week history of periumbilical abdominal pain associated with multiple episodes of non-bilious non-bloody emesis.

The patient had multiple hyperpigmented macules over her lips.




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Khushroo Anita, a 35-year-old Parsi, often dates women outside his faith when he travels for work. Khursheed Narang, left, and Meyer Amersey founded the Association of Inter-Married Zoroastrians 20 years ago. A sign outside a Mumbai fire temple limits entry to “Parsees only.” Under current rules, this excludes children who have Parsi mothers but fathers of other faiths. They’ve both finished school, established careers and grown eager to start families.


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