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    6 views260 pages

    Semiologie Medicala George Ioan Pandele Vol 1 2001 PDF

    Uploaded by

    Asztalos Attila

    Copyright:

    © All Rights Reserved
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    oer: Coin Rain Coperta te Inatep Hipocrar Leennee George loan Pandele SEMIOLOGIE MEDICALA Vol. 1 airs 15 ee EE Ags 2S 2 ‘cUPRINS. urocre = e ‘ Capitola SEMIOLOGIE GENERALA ‘OBIECTUL $1 IMPORTANTA SEMIOLOGIEL MEDICALE _ 1, RELATIABEDIC ROLNAV Capita FOMADE onsenvagiecunich 23. STAREAPREZENTA 223.4. itunes pian $623.11. Attn ore eatin 232. Feel 2 213. Medi ccs - 2331, Maia pple. = 2a" Mit le ci 236. Main ale mele 237. Siete) AAZILL, Defctl stata a gens 202272 Excel sna su hiperalcn 2K Tips couiaiel biel ty onsia 3239. Greonen sates dena, 22393, dennis 25.10. Senilogi nei sie 2.101. Semis urieFntieopitve 25.102 Senso tire aetve 23.103 Semologi tir activ tinct 2.104 Semioloie lb finetir von. 2.105. Prinplle afer pice 23.106 Tow dee de coin 225.1, Sewing means ner (QA. Medien apc "L112 Medi pwentne co ‘DATELE GENERALE SAU INFORMATIVE 23.113, inti " apltont 5 DAN, Nope co a 'SEMIOLOGIA APARAGUI.UI RESPIRATOR -us SNS Ee cane 3 AL AMAMINEZA UNULHOLNAY CU E106 Tames nant as AFECTIUNE RESPIRATORIE, 23.117 Peder estan cota ne 42, SIMPTOMELE FUNCTIONALE. 2308, atofitecumate En 32, Darrel. 35.119, Mites ale screed slate on $32". Diet ee aia (23.1110, Semi gh : a 323, Ten wa a QB Seog pala ” 828. sped cnn 2.312. Seaton cellrsbewtart a 335. Vomioanenss : 2.121, SemilgaderehlbelorMdeleaiie 326 Memopi mace 331122. Cancers eniologie edhe tpl aapice 33. NOTIUNIDE TOPOGRAFIE feed 2 ‘TORACOPLEUROPULMONARA 231123. Semlgia shit cS 4. EXAMENUL OBIECTIV AL APARATULUT~ 23126 semana ap, Is RESPIRATOR. cS $2118. Semolgn miler SnD Sate hapeiacencse coment 58 2114, Semlloiaceto. oe BALL Sires gels I Sie S213, Semillon BA.L2._ Ati forge crceice AS 23.6. - Senohpt pglonibr Eni “Sor 33, faci Se 23161, Chics loging 188 {ape trct oo9 23162. rene agnostic ede css Contig orcsia Se sleopto enn um S416 Molieaneespagel le (2565. Examenel practice in peepee adopts BAD” Plparen tos ASSS1T Examenl neuologie — us 34h, Poatn. —- 166 55.171, Examen sate mes BAA Accutire arent 160 23.172) Mediee teesearseotensse (RO). ( SAL, Molise cle pamdosil ee pala 17 23.13. tinesiges allie de sent bene SAS. Asal ect Ms (22.17 teste fei enor erin. ( 35” EXPLORAHEA PARACLINICA A S175. Pane nerve pare : ‘APARATULUT RESPIRATOR. atts 23176, Sindoma eingan = f 41... Expormes milo 5 33173, Exam lel eco aNlan : 382. Tomoye computer ad E15, Simone de ordi geno 353. Explores atobotopied 8 Fern 7 —— 3.55, Torceteza so pein pleural . i Hipster 5356. °Aprecie ent espa anne | eonspimtin yo : 3562 Becladebit- volar og eta, a 3563. Mecanica pulmonar 8 neni 7 31564. Sindramele fein a ptlogi epi ° > SLI Anecdeel person 46. Condit wif mand. 42. SIMPTOME FUNCTIONALE ALE APARATOLUT 34 PRINCIPALELE:SINDROAME ALE APARATULUL RESPIRATOR..... ms Stile Sinden apie sees PALL Boise Is 342A np - he 345, “Somes pac eel neeeaes 365 She Scene pon 3451. Tite Se coder inna. 3652. Sal decom hcci| 36521 Pomme 30532 Retin 346523. me besopta(H. 346524 hoc unm, 3453 Sharm doco pinot 3854. Siam otcane har ola 366 Sheol pees 362 Shanon men 348 inten mene Ccapitotul 4 SEMIOLOGIA APARATULUI ZARDIOVASCULAR LL FOAIA DE ORSERVATIE SI. Dale ein ene 12 Motiv item 413. oral LIS. Aniecdenel essa, é CARDIOVASCULAR. is 29 821." Dispres a no L211, Digest = 353 2 Doped 2 2st 22 Denn 26 42-21, Dureen nda oie ctl <8 12211. Doce chemi, st 41222. sen sine ieee prec nit ‘Sen eit ts 4223, ccs alr in sine vente coe... 261 LD Palin nnn RR 424° Absingome foejiomle - By 13. EXAMINUL OBIECTIV At APARATULUL CARDIOVASCULAR nn nena A tapi a 6 A311, ipl ential inet EB 268 2, Ate ne, SRN. eile ene SBA amend elon SLE, lget epi eval [316 Examen! ner lola 2007, pecs pectin. $32 Pape regan pectin {33. Refirl ept platen {34 even nw nn AAS. Asal cod {351 Inport etd Teich 1352. Mears romeo coi {3621 Modifenee ners goood 20 {5.522 Neate mi pmo eae ine S25 Reassessment {io keromana vanactstea a [iar CaRniOVASCOLAR a 1 Tham lp edn as SAS alegre ce 243, «Compan = oe CEL Ee moc ~ “et 145, Tenmpata compan (CT ome S8E Renin mate cet “Tam Cay Rema ae TLE Nanuet i a {eh Ribatasuut anmICUFARACUT GARI. 30 le. ENDOCARDITA INFECTIOASA (ED 4. CARDIOPATIEVALYULARE...-— TIL Dae pee 1D Senne mals = 423, «bot mod i. sna fondest a 424. Donte LA12. Shami Ea 75. Un lan cee 473, ame oo on Pe 4751. oni oi 4) = rate chai ef 136 Stemaviseptina ST. L175 indo pre conn 42.2. tin espns (Tn 4.1752, Sd tn sist EMULUT VENOS ‘ i 3% SeMrOLOGtA evan woah 3? Ue feteuteheean (hes IRs, Fach ems 4k CARDIOPATIAISCHEMICA 2 1 Ea SIA LIMPATICELOR go o-omonmen ‘Iliad neon is.” SEMMOLOGIA 9 49.) oLILE MHOCARDULE : 7 7 1491. Micrel 7 EO By m aa ciate aera eres SNPIET puncte CONSTANT BOLOSS 4922, Caopt han neo ‘Lio. SIRDROAMELE PERICARDICE ‘i ‘M0. esata ae iim = 109, Pos costs ‘Lil, HIPERTENSIUNEA ARTERIALA SISTEMICA “LI2.HIFOTENSTUNEA ARTERIALA {S,ARIIMIILE CARDIACE non B.. Ghnftane ati “ALS, Blo sate = S42. Bloewie atrovent (BAY). “LIS INSUFICIENTA CARDIACA GO) “Lie ANGIOCARDIOPATIILE CONGENITALE ‘it, Cann cneei lone ut ep aig “182. Cate congeins etanogee ct . 2 aban , Cardiptie concise et yt 366 SEmnovocia aRrERELON sera ba SEMOLOGIE ENERALA Insroducere “Aparitia uni now manual de semiotogte twedicala la Incepul nul now mileni reprezinta tn acelay timp 9 replica tt lim Idem penira resvaluorea elemetelor fundamenuale ale medline! de bora real umariste. Formarea unui bun cliniclan obliga In primul rand ia Inswsrea corect a semiologiel medicale, adevaratd gramatied a medicine), core oferd studentulut posibiluatea de a descoperi, deserie si aprecia.semnifcasia dagnostied a simpromelor, “emnelor # sindroumelor,elemente a cdr grapare determing infinal diverstoteatablouritor morblde indtnite in practica. ‘In doringa de a ofer sudeniulul 0 semiologie actualzat8, adaptatd modificirilor conemporare ale tabloulvl morbid, am insistan asupra sennificaie! procentwale $1 ftopatolagice a timor seme si simprome tn elaborarca didlgrosiculu ‘dor incercat reatizarea wut ebilibra intre element de nomate ghinificd, din 2 i mal abunient si tentant pent Student, ‘si nojonile cert, fundanienale. ce’ tebule. Onsale emir formarea sd ca pracician. Dd acvéa, scopulacestel elf ‘ate acela dea descrie procedurile de dlognostie al ciror succes ‘depinde, in primal rind, de anttenaiea simula clini, tncepdnd ‘cu recoltarca complet a informotilor anamreze, melodologiel ‘corecte a examenituifste sf evaluarea-nnmeroaselor elemente fle explorarti paraetinice (Realisand oceasid corte, gdndul mew de ploasd recunogtintd se tndreaps cae figivile luninoase ale celor ce Ineo fost macsirl sf profewrt: Constantin Strat, loan Lang Constantin” Negoita,” Vladimir. Bupureans, astési trecuti ernitae, Alese aulfumiri profesorilor University Frelburg: W. Govok, H. E Blum, K Just W. Roskam, Gertrude Volk care Imiaw oferit posiblitatea sil porfetiones ewnostinfele Autorut Capitolul 4 ‘SEMIOLOGIE GENERALA 1.4, OBIECTUL $1 IMPORTANTA SEMIOLOGIE! MEDICALE" Semlgls mete Geinion = sem lyse =i Sw saa desc coe Seip cna Ganaentih- urd mice ete “ce Sua ce despa, dein pitrou serine stor Semel tli, st wattage cxnmenl ine ner ‘Siler ote de exper purl Cina ance Oyama “Use een ol pte in eg Einsope scmmtel semble sewed Gea ry ‘owe basin ca cused ppc melt cee nmin cis eon Notuleguere operas seine se Sing sfeare a ol prep dst de tina 3 a sel cancers predominant ie ec dre ein es textes prserii wodfer samopn made). Sema mane’ menidh corer een, see unqi chte mete bhai anuj ae conse alt ‘Senet ce x ana, cave et pous apron ae cost poverec mot, cust vote, nro Scot mtn, uo poe Pole deomatie aeatare ropes sete clic. Acsie seme a [rth rete xtmerie ce elated prec sin ‘ites pincepeae tenn eo wlnen aco ne tent at mode eevee tases nat ogre al Conte iomogaie, reomnla tagncehtucewa, emin éeporiton ‘einnte) a bemoiogch, chic, molopch pach ce ‘Uae! singel fi somal AA soneerde swine atin ices eel 1 ner fein corespond snplomeoe ‘sate og se singoe sa serge ene (Ea, son, cern, went stra pee uatucepecaro tall saps resale 3 Stn Temes deriva de peered rocnes eu me ‘neu epeina complex despot see line iba « ‘noon irr rape conlfoan Se aman Str seit se 1s ‘avn Tip singe _ SEMOLOGIE GENERAL camel a nttenna ee sanione, de. prover die We Heian erp Tec dar a ote + eters tS se et ltr roe indroame ecanie’ obsiictive interesting “ihena eo nd i Slane meee de compen: i Sina fea cxtciveaiag, Seale crpin 1 Site de eee penn “ ‘nortan tao, ree perl ee Senile = me 1 Sndme bockince hepato, = Togo, iaenaje means, SEMOLOGIE GENERALA + sis pei mci in ce age ieee ‘© nope maar eedse de set xia prin acted |= pccal orfopatolope: mesicaile Segmice macroscopice sav Inserpte pete ‘Semin: simple stimel rin te se mae tal 1 Toone Cinch de hol sole lye cetera era lon at eit test varie eal ema fete ie seinele i sinpometescleay bl de exenple Tema edenatne ona eres pamela ‘te, foe pave, ale abortive de poimonites ‘pater boi ins dali de She eave 1 Soleil cr ot pre ns! nate roan cnsthae sere mois care va evo bain frezet mata foci Ue cancers nesta fe ‘runentlapat 5. Diagn dele gecexetia"prin “erosion sito gnc: sia 21 bent, foc cic ne innit eosin. de tenn ta icy. apices seni tow imei aioehe, opi, seinigae Sg Mecears xen! uni sion ies, de Sino emp sales unl dagnost, compat alesis ot ‘links s de toc Crit mage pai cara eg ae "edt 9 ders alae ace oar te caer ero ota. Deine rt Ge ea vele repent lees eve aca dl sera pac a reir ‘tape ciltor enamesh earn fee, eat een preliniocre ‘Splctc dnile arate ce sented abort Resuht on apt ‘ince se forme uno arsed tec pe ben daar cee din ‘storner examen ie on dgnsic de aboratr peer de eal "sist core dag poste core bite tae names csr at wong get sce se 3 Godel, mewn ick phonemionei at” peonin Feat sponte mekiopoicct te: Atk ghost rere {inc lente de amence de htt (et re simptomsk, Svs de pro de aeons hen. solely, val patie CLD. ‘wombat et) Diane complet ea in coeboraren tle ‘mena cn cr amas xine frie (nape, one Boal pone dein ex ‘os seme ery a al ent ae ee isi ot agent ain mil eto see ‘seme Semen SECA aheraten sti de st, find ex 4. inane, tec, anomoplegce.Orceopstic fl st lessee pei. acter pin ove ti ms pn iret Dp fiat ot 23, io ec ppd Seooice ae hi id sone te Fiesta, walla at diagnostic pot peop de compare = ste ou eb eee Tee es ‘ae lice de labor ve epane arena ployee sre 3 lo relied ‘ates ra in dente de car eble diferente De empl. it cael ‘dit degen de xan. ue taza str de onli ee nese oe ep Eindonlr ite: ea en can ete cen glenda Slee Sie Semel inp go pine tema din" eepoet tf ibe see. heb © pein clot enc 7 iter atic, in betel ike Bie inte a Gapeeecograishenieg, nn ee (Progen api ln sar a evan ola a pre i ier i fee de casters nee de tatenee. Pregostica Se ecsces vide compe sue soctls, sera! Je vith, enact inerore fina pi socoprofesual: Gun ad sande” O00 ad lenin vie” una abren™” hear in wei cet tc enpeien pct de man cal crea Sct Ios pe ere Giana vw 'ocipa bo wtor by proces de mane poe a de ‘ensrtie amia soipofestonlh 1.2, RELATIA MEDIC - BOLNAV Un at indivi 0 medline dei terion ae sie st doaph 9 amo ae sui al tx deotooge Ide Pract mets! ete 0a tat pe gine nna ed ‘ol rn ho peta onl olay ces fie pr vol in, ‘evn at nett ob coin” (WO). Mei, ek Se pin smn poh sin al goer ml areas dein ca fevtrotals, tet min ear Sr shee go mre ple de mune? {Choegns De elton ata reel medishtay Gps aren ‘lian pois Sesul sth ete ese tin cone “sles de lan pres ed cmp xtc ere deel eta pte, dott Se mee ec, cae mi vee a bolas dct aide statin inde mite af pe ‘iim cee, en medigap ae cae Coal eo ‘pois de od pr soe cd ent fr rama ra oat fs erat sen Se pete scons ere ‘eld ap pea: In cid rel ip pana cooper are mee teas: aap cote pi eat Sere ie ce oto ea ps fae ie Seis cients find oe mies ec eae be ‘itempioue geo sata uivineesonaises i ore de comes creo atl mele. ede ei timer or dus tie esta Serie ie Pet ied ‘nui tna in henna inept ntl ple eda ese stent bola, Potess Fodor na et ne 20 ah ic hsp» ae hy, en ten inert ols seinen eda act! doe ob Unban eae eaesa poses deepsea cir ear isa de ma oer ner abo ia gt cic ree ina ni evi, abate * baci ecu co coi a de Tomar oe in recive sei Ss ce la eR sea me iis ai iene co : ‘ele tet artist em ps i laterpeonm nso ic doco Scere tent pene rie rami cn # lone i tape tne, ore aie mi i Cae aemae SEO Seachem al ma rami ni Sentiuie ‘ee I noo ingen ei der, naa qn xi anon per apa aie wt cara vt cls at che nl ee SRS ye Sikes eter een a ca anol sin crite reclama i publicise | Pa ten eon cee st mit re re atch, in epsn msec dud nen, co nsec mar ‘pacient aparatura wisn tradi scslare pal bet Sean regain ei ors or te ca ane de vat ie que dom OE she ap edi defn) rc cea IP (cei se Se et acre promos abs eS _ ___Sei0Loau cenenacd st sora ewe sacs 2 anc eile sta cn ms ie i si awe ezine ma de nds pe open tno oa SEMOLOGIE GENERALA Capitolul 2 FOAIA DE OBSERVATIE CLINIC Faia ge obviate line reprint cuine in cae se ‘ont tate cuter fate de mee aes bose ‘nts ee se completers pertaent neal sialic re ‘samen lise de Indore Foun deb (dentate mesa lon dingostena : 1 seamen! infec sence lahore crear nie petra desi cree ln peli ce pert ‘Sorurnes ur foes de ha sn = prac cpt i CGndile,xnle de ele bol eoodrtecar erbho ‘Sincerely Un exegetical de chsnaie ese 1.00 aera = Scament medica fia de Obevale pate sii in expen Indies eases, eli complet onda cee ope Inemnen lanl co sens Compelni gt pit Se espana: re dese dle cae po Werder were ont onion shanneree suet ce compe plea palace iin arog "conecne nee, Forties implicit ele De aces, Tenis de. cbscrvale Se Completes dered yaa ees de lament te Sp te exenoten bola Febiadecbseate oi ct pi: ld rn generat vu formes poner ‘tarenpreent: oli ‘ler 2.4. ATELE GENERALE SAU INFORMATIVE “Biogen sn conan a ep Get! de aber 1 cond pumas emt bts, ame ie, tes ina PSE Se pun evden ice ccna rin ano Seca et = Seat predomi patge ct in RESIN Pl ein nga, Iscopi sit even A meningit “puemid, en erento sil tel a le ada, ting ath ade Ye a Vi oe nee BY a, tina in concn ainer y inh tart tile sem sere a a ei seeps else ed ins de 4 i Baers nines se aesleice Pete i one va real ‘ei cullen Since __-Semguocin Bena pet epescn hip in sept nah po ‘Sonal So conn cent 88 Ble aati de se ele inten (preponderets In sex Teipin). ale’ andy Tha a art tae een Ee ng dee en Seales Tiere cilimrienrh ts | eer esate “Finan? | “eae esto (sam a dae im Cushing Site | gees | ine mi eit ig | net) een helo rst Tole | tfc Mere a ith se fenitn desea ‘n pelipactinmorbidn tvs syn de tm we iit Men sae pee ine molec capil hemapilespaenae sees infor tea "= micrdopalior h peota oti taeei pn tenes il oul epi stops ge Eee ie nce Servint sence pea ims paler de sli, incest experi rete de ‘ibid Ehoia ie pr” che anensgeel ‘co-ey olive mute bene, at ies hee ice a sri eign mms pel ote can In india i realy ome int 0 onc paral fr ae Pet api sir os SEMOLIGIE GENERALA Abell bere cuntec npr cau cia pert roles rice Se ope alt su veges geen spe sce ‘ge rte li eomansir ene domi de digress inact eseorie fr pate plot ce ferme, pli “ecto dept ale i ve “Aciiten i hig wml fvorizeack tevin pn bal ssl ete crit, rumept sate, bers pln ‘Seopa esas ‘cen smeie (chesiane sn sna pene a rove pai i ads Bl ches. tahoe carci pin ice feet, lhl poet, in retina, In tore vaiene in ibowiomel erin tbe info geile nec ‘burden + ponenoren carci prin fx eer, ait a pare. dot ite de ean pron i ene ron, diel a, ei petal 1 Tiprmonaree defi x fx abundeat carats hie uk giana genie aarti entra + Senor, ica shh Tasca. Npsesopsio renenopacn elineore, defini drat do ese 6 zl «cca mens, niin pret tere ental sin tase pny ng eee SEMOLOGIE GENERALA GE ive daa hla depaseye 10. ze, ‘nana SOREN tome opti ons dee abaya 8 sande ov acter aii, esa ap i ints, anor ovine, Stet io sci, eile tins ‘mace et tie dear prescpind, ne 42 $45 bai, ‘Ris tr nacre devon sesh _meropanc, ive 489 35, ean ss eps i man vata een, sree, put die pcos bu eet ind incre c vt orien eoec fae ‘Eno seronleotce een inane seamen, Stet url amp AS eae letra, pe nk SOS SS Acree ach, Sa ae i ‘ifoeul exantematic, febra tifoida, : i curtis aniculat acu. Bolle eruptive, prim anergia, coe ‘cu se intimpla. cons eae cm = infeed earner eet varloete. raldlel si cobecicl Seartanet ney ait seepuactcgrndigenrat Suerte Seeds eee ree ans Seaes aniculae.neut in ancecedente cue pest i eaten ea fi Snares 9 or tr ene peer SSE STERN oc ane se wih irra “asi pc coe te ati len ec nec tg SEMOLOGIEGENERALA Anteccbentcteereecraente Ne iki deities reer ‘osm nso eh pit bux ol rere ce Syrconscu ar camaro mat eee inten onl a {hie femofe, tall manifest a ta transmit de fer ptine 3 ‘Ge, poosomah po need! comevomns X.Tidsieren Bl pd ‘otal sol cs veconselh peta sical Maron, lange Tremor) cei (heal Ren One Weber) heuoerormas xis de ‘ereen, tal ev Seria pantera i predapaie cer ae ‘emt nb fh fe ma event fei cia le perenne ror cel, dit sear Sent, gt Ivers de scene etre vic de’ omtomiare reset, prevela ae 4 Wbeteulr, [orl dil ln sono xa poral vil By GV "Cone dest de mach Coie ar oct Bla ‘expen mcoclnaa oat tego fr lvesines sei epi ‘ie eacle pez plete mre sai a plo de sure, cre ‘site ube de peut Se vor cone, de asemeea cone ‘cutee lea de onc: fg. aie, vl temic, ear exces ‘rents nor ons de es ere atone ‘Seat pot cornu: extensor cmt stresante peerte de sesviten ine cunts fi, de okra condie be ia de ‘reve stator cafes fine saul el de met Ete canose [eee efit ol ud tlc pel ge, dea {evn carci pe pes ese: pales tel sede: ‘lhc concur helen evoliateenl seo saree. Tacoma se vor cons dntlereernar acon de nl Dept aoolemi de Oph, echivalent cw stun ce rorl dp ana dou ste de eres nel, sede efrmun etal « Indi in ent comma conic, de peste € «8 aoc wit catego en lg prehospital 9 ep pees rac Eel profes care pred la ‘Ste: pr, bran, mere bil Se air! MEO Flatulaprciaes al de iphone ymsaral ai ‘eld rn ocd dae Poa eres at ef yee ‘ccwelocon crm cota pric pony cancer gi ean ‘Sotalangtcnce bosopainonie = “atl ee Erste pes SO i enter Sb fo tee ‘View ie alr es re 14 ona io ae 84 ‘a rac rere cee se sae hr Se SN oe ook ‘ole pata tance id» srt nt ce propos Tenet Tega le ion se cheek pho real 20.50 Se i de ieee come npr Tana 9 ve det sls td «_ SEHOLCGIE GeNiALA si ety a ee 4 ye de ‘La far dea pnd iD is oe fir 120 gu bans ms de ac Se ltt fon rae i dane ¢ toon ie war ee 3820-4 aoge 0 oe, iene dele ee Fla ttn one pat 400 compen din are + sean‘ rep Se Sepnce ne ea ina ‘eandiovascolard; me sit + oot deo: shi ne ie, cei al oan nie Pros carga ect hi soe + Roca pote am, tures cneien $99 dn cincnte de ln rs fone tel ey a treaty saul ace ins plchac Osea sey 14d 100 dear dpa sa debi, ate 2 etn de sn rp ea clr ce fea dnc clr acrgesnesperowe, fe cineserel a sce 30% i cao de ancy, cael de tcc ese sincere secon a Me we Riley ents cvpati chome ern bit: “ssn nice tt eae “i Fume ee cl pr cel pina i fos OR “eta pc ebuad eto poenapnn ORL ans i i ret 9% rc ences oeopncr de Tescomaile majore stn presen ia conti cee. A SShupa cose de ct san eel Cec moi pare tweet “gen can sue. 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