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abdominal pain acidosis acute airway aneurysm angiography aortic arterial aspiration bacteremia bacterial bladder bleeding blood pressure cardiac cardiovascular catheter cause cerebral chest pain chest X-ray cholecystitis chronic Clin clinical colon coma common complications congestive heart failure depression diabetic diabetic ketoacidosis diagnosis disease disorders dose drugs edema elderly patient elderly person emergency room esophageal etiologies evaluation fever fluid frequently gastric gastrointestinal geriatric glucose gram stain gram-negative hemorrhage hepatic hospital hyperosmolar hypoglycemia hypotension hypothyroid patients hypothyroidism illness increased infarction infusion initial ischemia ketoacidosis lesion loss Massachusetts Medicine metabolic mortality myocardial myocardial infarction myxedema neurological normal obstruction occur oxygen peptic ulcer physical examination pleural pneumonia present problem prostate pulmonary embolism reduced renal respiratory risk serum sputum stroke studies suicide surgery surgical suspected symptoms syndrome Table thyroid hormone tient tion tissue transient ischemic transient ischemic attack treatment ulcer upper urethral urinary retention urinary tract usually vascular vasopressin