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DEFINITION Any diagnosis of insomnia should have a type of daytime impairment due to inadequate sleep   PREVALENCE Affects about 10% of adults chronically Affects 25-50% children and adolescents   RECOMMENDED SLEEP DURATIONS BY AGE (PEDIATRICS)

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Ascites

ASCITES It is the accumulation of fluid in the abdomen, usually as a result of liver cirrhosis. The less common causes are carcinoma, heart failure, renal failure, pancreatitis, tuberculosis, portal hypertension, viral hepatitis, Budd Chiari syndrome and Meig's syndrome. References: 1. Ascites. Merck Manual. (Accessed 5 Aug 2018)

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Brachydactyly

BRACHYDACTYLY Is the term used for disproportionately short fingers or toes. Of all the many subtypes, Type B is very rare characterized by under-development of fingers with complete absence of fingernails with the thumb intact. Associated with ROR2 gene mutation. References: 1. Int J Case Rep Images 2014; 5(10): 723-726

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Winged Scapula

WINGING OF THE SCAPULA It is paralysis of the serratus anterior muscle due to injury to the long thoracic nerve resulting in the medial winging of the scapula. Most cases resolve spontaneously. Most factors that result in this condition are due to trauma, idiopathic or iatrogenic causes. References: 1. Current Reviews ...

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