White Patch On Left Side Of Tongue
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Learn about Daytrana Methylphenidate Transdermal may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. Dave Barnes Mediafire here. You put your feet together sidebyside and open your legs through your knees. White Patch On Left Side Of Tongue' title='White Patch On Left Side Of Tongue' />Side Effects, Interactions, Warning, Dosage Uses. WARNINGSIncluded as part of the PRECAUTIONS Section. PRECAUTIONSSerious Cardiovascular Events. Sudden Death and Pre existing Structural Cardiac Abnormalities or Other Serious Heart Problems. Children And Adolescents. Sudden death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems. Although some serious heart problems alone carry an increased risk of sudden death, stimulant products generally should not be used in children or adolescents with known serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug. Adults. Sudden deaths, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Although the role of stimulants in these adult cases is also unknown, adults have a greater likelihood than children of having serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems. Adults with such abnormalities should also generally not be treated with stimulant drugs. Hypertension and Other Cardiovascular Conditions. Stimulant medications cause a modest increase in average blood pressure about 2 4 mm. Hg and average heart rate about 3 6 bpm, and individuals may have larger increases. While the mean changes alone would not be expected to have short term consequences, all patients should be monitored for larger changes in heart rate and blood pressure. Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e. ADVERSE REACTIONS. Assessing Cardiovascular Status in Patients Being Treated With Stimulant Medications. Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history including assessment for a family history of sudden death or ventricular arrhythmia and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease e. Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation. Psychiatric Adverse Events. Pre Existing Psychosis. Administration of stimulants may exacerbate symptoms of behavior disturbance and thought disorder in. Bipolar Illness. Particular care should be taken in using stimulants to treat ADHD in patients with comorbid bipolar disorder because of concern for possible induction of a mixedmanic episode in such patients. Prior to initiating treatment with a stimulant, patients with comorbid depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression. Emergence Of New Psychotic Or Manic Symptoms. Treatment emergent psychotic or manic symptoms, e. If such symptoms occur, consideration should be given to a possible causal role of the stimulant, and discontinuation of treatment may be appropriate. In a pooled analysis of multiple short term, placebo controlled studies, such symptoms occurred in about 0. Aggression. Aggressive behavior or hostility is often observed in children and adolescents with ADHD, and has been reported in clinical trials and the postmarketing experience of some medications indicated for the treatment of ADHD. Although there is no systematic evidence that stimulants cause aggressive behavior or hostility, patients beginning treatment for ADHD should be monitored for the appearance of or worsening of aggressive behavior or hostility. Seizures. There is some clinical evidence that stimulants may lower the convulsive threshold in patients with prior history of seizures, in patients with prior EEG abnormalities in absence of seizures, and, very rarely, in patients without a history of seizures and no prior EEG evidence of seizures. In the presence of seizures, the drug should be discontinued. Priapism. Prolonged and painful erections, sometimes requiring surgical intervention, have been reported with methylphenidate products in both pediatric and adult patients. Priapism was not reported with drug initiation but developed after some time on the drug, often subsequent to an increase in dose. Priapism has also appeared during a period of drug withdrawal drug holidays or during discontinuation. Patients who develop abnormally sustained or frequent and painful erections should seek immediate medical attention. Peripheral Vasculopathy, Including Raynauds Phenomenon. Stimulants, including Daytrana, used to treat ADHD are associated with peripheral vasculopathy, including Raynauds phenomenon. Signs and symptoms are usually intermittent and mild however, very rare sequelae include digital ulceration andor soft tissue breakdown. Effects of peripheral vasculopathy, including Raynauds phenomenon, were observed in post marketing reports at different times and at therapeutic doses in all age groups throughout the course of treatment. Signs and symptoms generally improve after reduction in dose or discontinuation of drug. Careful observation for digital changes is necessary during treatment with ADHD stimulants. Further clinical evaluation e. Long Term Suppression Of Growth. Careful follow up of weight and height in children ages 7 to 1. Published data are inadequate to determine whether chronic use of amphetamines may cause a similar suppression of growth, however, it is anticipated that they likely have this effect as well. Therefore, growth should be monitored during treatment with stimulants, and patients who are not growing or gaining height or weight as expected may need to have their treatment interrupted. Chemical Leukoderma. Daytrana use may result in a persistent loss of skin pigmentation at and around the application site. Loss of pigmentation, in some cases, has been reported at other sites distant from the application site. Chemical leukoderma can mimic the appearance of vitiligo, particularly when the loss of skin pigmentation involves areas distant from the application site. Individuals with a history of vitiligo andor a family history of vitiligo may be more at risk. Skin depigmentation may persist even after Daytrana use is discontinued. Monitor for signs of skin depigmentation, and advise patients to immediately inform their healthcare provider if changes in skin pigmentation occur. Discontinue the Daytrana patch in patients with chemical leukoderma. Contact Sensitization. In an open label study of 3. ADHD treated with Daytrana using a 9 hour wear time, one subject 0. This subject experienced erythema and edema at Daytrana application sites with concurrent urticarial lesions on the abdomen and legs resulting in treatment discontinuation. This subject was not transitioned to oral methylphenidate. Use of Daytrana may lead to contact sensitization. Daytrana should be discontinued if contact sensitization is suspected. Erythema is commonly seen with use of Daytrana and is not by itself an indication of sensitization. White Swan Wikipedia. White Swan c. 1. Mee nah tsee us in the Crow language, was one of six Crow Scouts for George Armstrong Custers 7th Cavalry Regiment during the 1. Sioux and Northern Cheyenne. At the Battle of the Little Bighorn in the Crow Indian Reservation,1 White Swan went with Major Renos detachment, and fought alongside the soldiers at the south end of the village. Of the six Crow scouts at the Battle of the Little Bighorn White Swan stands out because he aggressively sought combat with multiple Sioux and Cheyenne warriors, and he was the only Crow Scout to be wounded in action, suffering severe wounds to his handwrist and legfoot. After being disabled by his wounds, he was taken to Renos hill entrenchments by Half Yellow Face, the pipe bearer leader of the Crow scouts, which no doubt saved his life. On the 2. 7th, after the battle, Half Yellow Face made a special travois for White Swan and moved him to the Far West steamship so he could get medical care. White Swan was treated in a temporary Army hospital at the junction of the Bighorn and Yellowstone rivers. At the Crow encampments on Pryor Creek, other returning scouts reported that White Swan had died, but he survived his wounds. Following the Battle of the Little Bighorn, White Swan continued for five years 1. U. S. Army, though he was significantly disabled. He had a severely deformed right wrist and hand, and he limped from the wound in his footleg from wounds received at the Battle on the Little Bighorn. In photographs White Swan also had a scar on his forehead where he been struck with a war club in a separate battle with a Sioux warrior. Lightzone 3.9 Build 9746 here. Either from this blow or from other sources White Swan could not hear and thus was unable to speak in his later life. Eventually he was awarded a small army pension. In White Swans later life he lived at the Crow Agency, after it had been moved in 1. Little Bighorn valley in Montana, close to the site of the battlefield. When he could no longer be an Army scout White Swan began to produce drawings that represented key events in his life, including events of the Battle of the Little Bighorn. These drawings were bought by visitors to the Crow Agency and the nearby Custer Battlefield, providing White Swan with a welcome source of income. These drawings have now been discovered by collectors and their artistic value has been recognized. They have recently become the subject of collectors, exhibitions, books and university theses, and prints of his drawings are now commercially produced. While living at Crow Agency, White Swan was painted by the artist J. H. Sharp, who knew him and described him as Jolly, good natured and a general favorite. White Swans wife had died when he was only 2. He lived for a time with an aunt, Strikes By The Side Of The Water who was also the mother of Curly, another Crow scout, and he and Curly were known in the Crow Agency community as brothers, though their personalities were said to be the opposite of each other. He died in 1. 90. He is buried in the National Cemetery at the Little Bighorn Battlefield. Although his early death, and his inability to hear and speak left him out of the limelight that later fell on the other surviving Crow scouts, his outstanding bravery during the battle and his artistic ability established an enduring legacy. White Swan, photo by William A. Petzoldt. This photo shows White Swans battle scars, including a the disabling injury to his right wrist received at the Battle of the Little Bighorn, b scar on his forehead from an individual and separate encounter with a Sioux warrior. BiographyeditEarly life, NameseditWhite Swan was born in approximately 1. He had been raised in the traditional manner of his tribe, and would have acquired warrior status in his early teens through deeds of bravery. White Swan married, but his wife died in 1. He never remarried. In historical references White Swan is also referred as Strikes Enemy and White Goose or Mee nah te hash in the Crow language. Army Service as a Crow Scout in the Great Sioux War of 1. Enlistment with the 7th Infantry, early skirmishesedit. White Swan, photo by Frank Rinehart. Sonic Game Maker'>Sonic Game Maker. This photo shows White Swans tomahawk, now in the National Museum of the American Indian, as an example of artistic expression in a weapon with spiritual or symbolic significance4 White Swanss battle scar to his right wrist may also be seen. From 1. 87. 0, the Crows had complained about hostile Lakotas in the Crow Indian reservation5 and called for the U. S. Army to take actions against the Indian trespassers. Finally, the time had come. On April 9, 1. 87. Col. John Gibbon went with Lt. James Bradley to the Crow Indian Agency, which was then located on the Rosebud River in Montana, to recruit Indian scouts. In an embarrassing two hour council the chiefs of the Mountain Crows expressed their reluctance to help the expedition. They pointed out that Indian warriors traveled light and fast and struck quickly, but the soldiers marched slowly with wagons and thus never found the enemy. Fortunately for Gibbon the young Crow braves sought adventure and on April 1. Crows were enlisted for six months in the 7th Infantry by Lt. James Bradley, chief of scouts,7 including White Swan and Half Yellow Face. On April 1. Crow Scouts went with Gibbons 7th Infantry force of 4. Yellowstone to the mouth of the Bighorn River, arriving on April 2. Gibbon then moved downstream along the Yellowstone from the Bighorn to Rosebud Creek7 The Crow Scouts skirmished with Sioux scouts as the Sioux village passed from Tongue River to the Rosebud valley in May 1. Gibbons column rendezvoused on June 2. General Terrys column at the mouth of Rosebud Creek. Scouting activities with Custers 7th Cavalry leading up to the Battle of the Little BighorneditOn June 2. White Swan was detached from the 7th Infantry to go with the 7th Cavalry,4 along with five other Crow Scouts who were Half Yellow Face leader of the Crow Scouts, White Man Runs Him, Goes Ahead, Hairy Moccasin, and Curley. The 7th Cavalry, under the command of Lt. Col. George Armstrong Custer, were ordered by General Terry to follow the trail of a large encampment of off reservation Sioux who lived nomadic lives off the Great Sioux Reservation9 in present South Dakota. This group was making an annual westward spring migration from their camp on the Powder River valley to the Tongue and then to the Rosebud Valley, and on to the Little Bighorn. Custer was ordered to locate the encampment of these off reservation Sioux on the Rosebud Creek, or in the adjacent Little Bighorn Valley, around 2. Crow Indian reservation. The six Crow Scouts shared duties with 2. Arikara Ree Scouts, under a Chief of Scouts Lt Charles A. Varnum. 1. 1 However, the Crow scouts knew the Rosebud country much better than the Arikara because this was old Crow country. In 1. 80. 5, the fur trader Francois Antoine Larocque had camped with a band of Crows at the Little Bighorn River1. Fort Laramie Treaty of 1. Crow Indian territory. Now, the Crows often traveled across this country to raid Sioux camps for horses. The Crow scouts joined Custer on June 2. They are magnificent looking men, so much handsomer and more Indian like than any we have ever seen, and so jolly and sportive. Custer to his wife, Elizabeth B. Custer. 1. 4 He also pointed out, why it was important to get them connected to the U.