Many patients with diabetes, however, have no change in palpable temperature due to distal vasodilation related to autonomic neuropathy. |
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There's a palpable venomousness in the exchanges across and around the floor of the Chamber. |
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A thyroid nodule is a palpable swelling in a thyroid gland with an otherwise normal appearance. |
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Only at the end of the section does he hone the poem down from the music of the spheres to the more palpable sphere of a doorknob. |
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Contraindications to sentinel node biopsy include suspicious palpable axillary adenopathy, pregnancy, and multicentric carcinoma. |
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There's almost a palpable feeling of arms being twisted behind backs when a politician gives his or her non-negative view of the war. |
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We are left with a deep and palpable sense of the class hatred that gained momentum in the lead-up to the coup. |
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Lymph nodes were not palpable, the chest was clear to auscultation, and the abdomen was found to be normal. |
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On physical examination, the thickened bowel loops are often visible and palpable through the abdominal wall. |
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The hallways are deathly silent and the misery is a palpable living thing in the air. |
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That put the pressure firmly on Best Mate's shoulders with the tension in the crowd palpable as the horses cantered down to the start. |
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The emotion of the tour was palpable and everywhere they played, capacity crowds were there to welcome them. |
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Or at the palpable and irresistible downward stroke of Mill's intellectual steam hammer. |
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The heat of their exertions is palpable, their hot breath rising in steamy clouds towards the corrugated roof. |
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The tumour is often palpable on rectal or abdominal examination, and malignant ascites may also be evident. |
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A mass may be palpable in patients with localised perforation, and computed tomography is the most useful investigation. |
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The tension was palpable and a crowd of onlookers had gathered, fearing for the man's life. |
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The leg is mottled and digital gangrene is common, but pedal pulses are usually palpable. |
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There is a palpable sense of the ghosts of ancient wars looking down grimly on a humbled leviathan. |
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But the underlying dissatisfaction of society is palpable there, and oppositionist forces have significant roles in parliament. |
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Poverty and oppression are palpable here, as is the social anger of the working class at these conditions. |
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Identify the mental foramen, which is palpable subcutaneously halfway between the upper and lower border of the mandible. |
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The power of repression is almost palpable in her gestures and intonations. |
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Over the next eight hours our oral symptoms slowly began to subside, but our cervical lymph nodes became very tender and easily palpable. |
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The anterior apical and tumor was palpable within the hilum and appeared to be centered in the hilum of the left lung. |
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The colour, excitement and passion was palpable even on the television screen. |
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If bony tissue is not palpable, the application of a ligature around the pedicle allows the digit to fall off. |
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The sexual chemistry between Wilks and Gray is palpable as they bounce ripostes off each other with wry wit and superb timing. |
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On physical examination, the patient was obese, with a protuberant abdomen but without palpable splenomegaly. |
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The precision necessary when writing programming languages is palpable not only for the author of technology but also for the user of technology. |
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It was unbelievable and the sense of shock and sadness was palpable all around the region. |
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Their grief was palpable, for his great-heartedness had touched them financially, morally and emotionally. |
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The palpable anger and sadness at a village fair, usually an occasion for gaiety, was a poignant commentary on the hypocritical times we live in. |
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The F sharp Nocturne comes to life in a remarkable manner whilst the C sharp minor Etude also creates a palpable sense of mystery. |
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The excitement was almost palpable in each of the locations as children enthusiastically waved flags and banners to welcome the President. |
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Cysts are a common cause of palpable breast masses in premenopausal women older than 40 years. |
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But when there is a chance to confront the lovelessness and loss of respect in Phil's household, there is a palpable sense of transformation. |
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Their misery is palpable without ever becoming sentimental, and both boys are astonishingly good. |
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This of course is palpable nonsense, and raises fundamental problems about the whole enterprise. |
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They are roughly textured lumpen masses, yet they're instantly recognizable, which makes for a palpable tension. |
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It's impressive how the continual repetition of palpable nonsense can create widespread illusions. |
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However, the idea that there could be a casino in every high street is palpable nonsense. |
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The abscesses may be visible and palpable if they are superficially located. |
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Physical examination revealed no palpable nodules, and FNA of the left lobe was performed. |
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The mammographic size of a palpable metastatic lesion corresponds closely with the size on physical examination. |
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The lesions were palpable, did not blanch on pressure, and had no overlying warmth or tenderness. |
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Based on her history and physical examination with a palpable mass, a computerized tomography was performed. |
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Four of his cases were palpable lesions and were entirely made up of gynecomastia-like changes. |
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The nodules were palpable and no ultrasound was employed in the biopsy procedures. |
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A chain linked the two cuffs together, but it was still palpable that he was a prisoner. |
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If a testis is not palpable, it is important to determine if it is retractile, ectopic, or cryptorchid. |
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But compared with sickness that is always real and palpable, defilement not resulting from disease, is fictional. |
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It was also the last of village France, with palpable limits, yet freedom from ephemeral diversions. |
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She teases, criticizes and satirizes American democracy, but she cares so much it's positively palpable. |
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On stage, he is truly dynamic, exuding a palpable charisma comparable to the likes of Elvis Presley and Frank Sinatra. |
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He captured them seated practically back to back on spindly gilt chairs at a fashion show, in an invisible yet palpable fog of unpleasantness. |
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Such tension is palpable across villages, as distrust and wariness between communities mount. |
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When Chris came down he found his parents sitting stiffly opposite each other, the tension palpable. |
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Both had brought contingents of their supporters who clapped dutifully, but the hostility of large sections of the audience was palpable. |
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Whether he's on a resonator or a flattop guitar, his joy for playing is palpable and addictive. |
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A palpable sense of irony, derived from Greek tragedy, embeds itself in the noirish landscape. |
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The elation in the air was probably palpable as birders trained their scopes and cameras on the accidental tourist for a once-in-a-lifetime view. |
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This, along with his decision not to score the film, gives it a palpable, documentary feel. |
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The feeling that we have passed a momentous inflection point is almost palpable. |
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For the pagan, the alienation from divinity is so palpable and painful that it must be overcome at all costs, even if ethics are the price. |
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The city is home to one and a half million people, and there's a palpable energy in the air. |
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Tenderness and a palpable mass were found at the adductor muscle insertion area. |
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Physical findings include a normal or slightly enlarged uterus, pelvic pain with movement of the cervix and a palpable adnexal mass. |
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These durational variations make the internal states of the protagonists palpable. |
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Their confidence and self-assurance is indeed palpable, as is their ability to express themselves uninhibitedly. |
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There was a palpable sense of self-importance in much of the media's response. |
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The effortless and natural acting of the children add a unique flavour to the film making it realistic and palpable. |
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The video playing in the back gallery rendered palpable the physicality of a young man getting dressed. |
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But Serenity has an indescribable atmosphere, a palpable sense that living in this world is dangerous. |
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The two seconds of palpable ecstasy dissipates to a sudden realization that the action is over. |
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The presence of the legendary tinsel queens has been palpable from day one. |
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The physical examination showed pallid mucosa and a palpable mass in the epigastrium and mesogastrium. |
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The power of the Western media in lending impetus to a popular cause is palpable. |
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A nodule secondary to the tenosynovitis is usually palpable in the region of the metacarpal head of the affected tendon. |
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It is not just rumours and a palpable sense of impending danger that throw people off balance. |
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The excitement was almost palpable as Michael stepped on the blocks on Day One for his first race, the 200 meter individual medley. |
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All of them sensed the palpable miasma of evil which clung to its tunnels, though some were more sensitive to it than others. |
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The smells of the peppermint groves, the sea and the sand dunes are almost palpable. |
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The Soviet Union undermined its own objectives by minatory behavior that produced a palpable sense of threat in the Japanese public. |
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Obviously, the death threat ratchets up the tension, but it's not really all that palpable. |
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An awesome academic and bibliographer in the social sciences, he was also a palpable influence in my becoming a librarian. |
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The writer's sense of uneasiness and disappointment is palpable throughout the book at she surveys the scene. |
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Two day old full term male with bilious vomiting and a palpable right lower quadrant mass. |
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If the organ is bimanually palpable, it is a kidney since the spleen can't be palpated bimanually. |
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His abdomen was severely distended, with liver and spleen palpable to just above the pelvic brim. |
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The foulness of the air was a palpable thing, a reek that stunned and then settled upon the senses, a weapon and then a shroud. |
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Whereas dubstep tended to loiter without much palpable intent, Grime has an implacable Terminator-focus, a stalker's unwavering sense of purpose. |
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All that was palpable, tactile, realizable, was a distant mirage of dead spirit. |
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No, what struck him more was the palpable sense of depression, as if the entire country was feeling hung-over. |
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Thus it wasn't long before we began to hear dubitable dons mouth palpable absurdities. |
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Each act of violence plays against a subtle though constantly palpable sense of a blankly indifferent world. |
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You sense that staff morale is high and the eagerness to please is palpable. |
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Karen had promised, and her palpable disappointment had given him reason to believe she was sincere. |
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He said the legislation which he introduced last week is necessary because fear of ecoterrorism is palpable in the research community. |
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The palpable swelling at the site of injection is measured and reported as mm of induration. |
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The motherless family's pain is palpable and the sense of hopelessness can almost be smelt. |
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If the area is not palpable, diagnostic mammography and ultrasonography should be performed. |
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There's a growing and palpable dissatisfaction with what material things can provide. |
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It's the only brand of suspense I know in fiction that is so palpable, you can feel it on your skin. |
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An even less appetizing quality of the new privileged is their palpable and apparently unassuageable envy. |
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He didn't know I'd detoxed myself already and I wanted to make his disappointment at that discovery all the more palpable. |
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But the palpable excitement of managing the undisputed champion of heavyweight boxing has gone. |
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Gripped by a palpable fatigue due to work pressure, he remains eloquent and sweetly amusing, despite complaining of sleep deprivation. |
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The physician should palpate bony prominences and tendinous insertions near the heel and midfoot, noting any tenderness or palpable defects. |
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Malignant masses of the stomach or splenic flexure of the colon are sometimes palpable in the splenic area. |
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His unrest was palpable, overriding the lucrative offers to produce more nostalgia in favor of following this higher calling. |
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Thomas was watching her with relief so palpable that she ached in sympathy. |
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The excitement is palpable as we queue up, as is the strong scent of ammonia from the horses and bulls snorting eagerly in the paddocks. |
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Susan ran back to Ian, but her insincerity to Ian, and to herself, was soapily palpable. |
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After struggling 27 kilometres up hill and down dale today, the relief is so palpable that I can almost hear all my limbs sigh in unison. |
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On physical examination a palpable, nontender abdominal mass was identified in the patient's right upper quadrant. |
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The artist's skill at rendering the atmosphere above the field makes the clouds nearly palpable. |
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His excitement is palpable and his enthusiasm for playing to a non-American crowd is obvious. |
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Scenes of deep tragedy are treated with such a matter of factness and raw economy they become almost palpable in their unprotected sorrowfulness. |
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George discusses some of his night terrors and reveals that he has palpable hallucinations of an evil force. |
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Prepared either by Russian anti-Communist exiles or by the British security services, the letter was larded with palpable absurdities. |
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Findings on physical examination include decreased range of motion, crepitus, a mild joint effusion, and palpable osteophytic changes at the knee joint. |
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There was a palpable excitement in the air as the town prepared for the festival. |
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In both book and movie, his sense of alienation is almost palpable, but only the novel supplies explanations. |
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But three hours from the construction site, the war between oil and conservation is palpable. |
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Potokar's poetry seems rather abstract, at times cryptic, but at the same time palpable and relentless in its attempt to fight despair and solitude. |
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Muldoon's ambition was always palpable, but Johansson quarrels with the common view that he simply used power in the service of his own ambitions. |
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He wants to get back in they sky, where the sense of danger and consequence is palpable. |
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What roles does affliction, the suffering constrained by the sense of God's palpable absence, play in divine providence, according to Herbert's poetry? |
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In trademark whiteface and Buster Keaton regalia, Viglione pummeled his drums in a murderous rage, while Palmer's full, rich voice created a palpable drama. |
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As soon as we got to Seattle there was a palpable tension in the air. |
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His sadness over her descent into shooting up after managing to stay clean for a period is palpable. |
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Her Scandinavian English is sharp, heavily accented, the grammar and syntax strange in some places, but the emotions are palpable, resonant, honest. |
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Pulses that arc palpable in the foot while the patient is at rest or with the leg in a dependent position may disappear when the patient exercises. |
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As copious steam clouds and sharp hoots pierce the morning calm, an air of excitement and expectation is palpable among those who have got into the coaches. |
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More to the point, he makes his fascination palpable in this journey from the heights of the WWF to the depths of one-night stands in tank towns in Nebraska. |
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Never lose the palpable faith in human progress that is the greatest gift of a Jesuit education from Holy Cross. |
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There was an endearingness to the spontaneity of it all, but also a palpable stress accompanying the frenzy. |
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These are palpable, identifiable matters that are ingrained into the very fabric of The Babadook. |
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She was the yin to Indy's yang, the pepper to his salt, and the chemistry between them was palpable. |
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No matter what Hitchcock said, what he did was to photograph our fears and make palpable the invisible. |
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An arteriovenous fistula of the left arm had a palpable thrill. |
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There is a throb of constant excitement, an irrepressible energy as palpable as the tangled screech of a bird chorus in the wash, glow and lightness before sunrise. |
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Oddly, the quality of the recording is stellar in contrast to the rest of the album's material, and every vocal tic and nuance is instantly palpable. |
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Night blanketed the land as she settled in, she had almost fallen asleep when an angry and threatening presence enveloped her, almost palpable menace. |
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The artery should be easily palpable or visible with transillumination. |
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Photographs taken in Moscow and St. Petersburg in 1993 reflect Lawton's palpable empathy for his shopworn subjects, two years after the breakup of the Soviet Union. |
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He makes each character jump out at his audience, breathing into each an authenticity which is palpable, even down to the sibilations caused by missing teeth! |
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There is a palpable new confidence and sense of purpose in the squad. |
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The fear was palpable, yet it was no longer the citizens but the regime that was afraid. |
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On abdominal examination, more than half the fetal head is above the symphysis pubis and the occiput is palpable at a higher level than the sinciput. |
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The harmonic and rhythmic tension in this motive is palpable. |
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Crime and noir have always told the story of people who decide to cross an invisible but palpable moral line. |
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The unshakeable loyalty and belief in this room was palpable. |
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The boom of the bell and the drum calling everyone to pray at 4.30 in the morning had a powerful sonorous sound with an eerie mystical feel that was palpable, not imagined. |
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He brings a palpable sense of decency and a pleasantly crinkly face to the role. |
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The tension is great and palpable, a pressure cooker close to bursting. |
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Any hypoesthetic, hairless or dry lesion should immediately raise suspicion of Hansen's disease, particularly if there is an adjacent palpable nerve. |
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A palpable hush descended on the hundreds of spectators as they waited for the Bentley to stop and for the Queen to emerge to begin her walkabout. |
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These two don't strike sparks, but there is a palpable chemistry. |
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The sense of public outrage is palpable, as is the desire for justice. |
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The flawless engineering creates a palpable feeling of performance space. |
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Two postal workers here had just died, apparently from inhaling anthrax spores, and my US friends told me that the fear was palpable throughout the city. |
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In the legion of plot twists that assault the viewer in the final part of the film, one can almost sense the palpable desire to leave the audience stunned and amazed. |
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Morgan's version of Charlie's vulnerability is palpable and touching. |
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She'd sensed a palpable fear among members of the Task Force. |
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With a smile rarely far from his lips, his sense of fun is palpable. |
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There is a feeling outside, a palpable fear that you can almost taste. |
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I suppose that I might have been tempted otherwise if the argument had been such palpable nonsense that it was instantly obvious that it could not possibly be right. |
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The prosecution claimed that the defendant had perjured himself and lied to the court, but the defence described that accusation as palpable nonsense. |
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His neck was swollen, with no palpable subcutaneous emphysema. |
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A 16 year old young woman presented with iron deficiency anaemia and a palpable mass the size of an orange in the left upper quadrant of her abdomen. |
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Physical examination may reveal effusion and palpable osteophytes. |
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Three months later, he was icteric and had a palpable liver edge, but splenomegaly, ascites, and other stigmata of chronic liver disease were absent. |
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The first part of his letter was a palpable impeachment of the ministry. |
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The song is a touching, acoustic-guitar driven meditation on poverty, in which the oppressive hopelessness of lower-class impoverishment is palpable. |
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No glands were palpable, so it might be that previously both patients and doctors have misinterpreted the tenderness of fibromyalgia as lymphadenopathy. |
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Any preoperative symptoms of axillary web syndrome, such as palpable or visible tissue cords, pain, or limitation of range of motion, were documented. |
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There is very little spectacle, beyond the sumptuous costumes, but the actors approach the verse with such attack and panache that a palpable energy is generated. |
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Quite what it has done to deserve this ministerial froideur is hard to explain, but the alienation is almost palpable and something must be done to change things. |
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The air of expectation was almost palpable in the hall as mammies, daddies, grannies, grand dads, sisters, brothers, cousins and friends waited for the show to begin. |
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A palpable gall bladder suggests pancreatic malignancy, but it can be difficult to detect when displaced laterally or covered by an enlarged liver. |
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Blanching macules or papules on the extremities appear two to three days later, which may then progress to palpable purpura or necrotic ecchymoses. |
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The paintings exert an almost palpable pull, urging you closer. |
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Strange, though, exerts a pull, it draws you in to a place you've never been and may not understand, but which takes on a palpable and seductive existence. |
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But thanks to the efforts made by the municipal government, the sizable additions to the city's green space are making spring more palpable in its natural pulsations. |
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This study therefore does not support the teaching of the advanced trauma life support course on the relation between palpable pulses and systolic blood pressure. |
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Certainly, she's arrogant and her disdain for them is palpable. |
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A large mass was palpable in the epigastrium and right upper quadrant. |
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There's a palpable sense of excitement as the song suddenly explodes into a frenetic blast of crashing cymbals, screeching guitars, and thumping bass. |
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The story is schematic and contrived rather than palpable and lived. |
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The mandible and central symphysis area were deficient, and the entire mentum was underprotruded and featured palpable clefting. |
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The vessel's surface was carved, which enhanced its three-dimensionality and set up a palpable tension. |
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The sense of angst was palpable among the White House press corps. |
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The storm hit the coast near Punta Perula, where fear among residents was palpable before impact. |
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Victims of palpable injustice enjoy a moral authority that is likely to provide access to even busy players. |
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The excitement is palpable as Penangites wait for the opening of Sephora this morning. |
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The stone was palpable and visible through the pylorus, and an anterior gastrotomy was performed in the antrum. |
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We report a ganglion cyst that was not palpable due to its intrapelvic location. |
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In the palpable region of concern, prominent lactational changes were seen without any apparent mammographic abnormality. |
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The patients neck was slender, and her tracheal rings were readily palpable down to the suprasternal notch. |
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Examination revealed a soft, distended, nontender abdomen without guarding, rebound tenderness, or palpable masses. |
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After being forced to fly next to this leper, their disgust is palpable. |
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Pulmonary crackles were heard dorsally and bilaterally, and the coelom was markedly distended, with a palpable fluid wave and no masses. |
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Examination of the chest revealed palpable subcutaneous crepitus over both sternoclavicular joints. |
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Over dinner in Beverly Hills recently, the sisterhood was palpable. |
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Her voice, her palpable agitation, prepared us for something extraordinary. |
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No use in raging, in reasoning, in arguing. No use in setting forth the facts, the palpable right and wrong. |
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I had felt that some palpable although invisible object had passed lightly by my person. |
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Examination of the uterus in situ disclosed a 2 cm defect in the uterine serosa in the posterior fundal location with palpable placenta. |
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Manassas was his 12th and last runner of the meeting, so the relief was palpable. |
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The facts, however, are of so clear and palpable a nature, that there is no gainstanding them. |
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The next morning the fog had given way to a palpable, horizontally driving rain. |
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The threat of life of this appalling violence is palpable and so is the serous economic threat to a fledgeling and vulnerable nation. |
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There were disseminated palpable purpuric lesions on her skin as a sign of purpura fulminans and disseminated intravascular coagulation. |
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There was bilateral lower-extremity pitting edema and a hyperpigmented pretibial rash that was not palpable. |
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Cameron framed the romance with the elderly Rose to make the intervening years palpable and poignant. |
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On examination, he had palpable bilateral femoral and left popliteal pulses. |
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Internal haemorrhoids are not palpable on digital examination and are diagnosed with a proctoscope. |
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The monumentalising of a memorable historical moment is very palpable in the plays that seek to recreate aspects of a pre-colonial past, as will be shown later on. |
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The sense of anticipation before the show got underway was palpable and the low ceilinged venue helped create a claustrophobic and intense atmosphere. |
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Caithness was infiltrated with a palpable sense of being underimagined. |
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Snappings, audible or palpable, were noted in 45 cases. They were either heard in the course of the examination, or were mentioned in the anamnesis. |
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He understands that the Egyptians knew the occult mathematics of nature, never the unadorned figuration which is palpable to the mentation of the moderns. |
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The commitment to quality is almost palpable, and certainly tastable. |
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Even though the woman didn't work closely with Barsade, so palpable was her complaining and snappish temperament that it had infected everyone who worked around her. |
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Silicosis was defined as the presence of palpable silicotic nodules on macroscopic examination of the lungs, which was then confirmed on microscopic examination. |
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His patient was a 72-year-old man who presented with chronic prostatism and was subsequently found to have a palpable prostatic nodule on rectal examination. |
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When the recurrence is palpable and recognizable enough, we would probably place the line within metricity, and therefore certainly within rhythmicity. |
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By charting this otherworldly universe, Matthew Carl Strecher makes palpable for the reader a bizarre literary landscape where the metaphysical and the tangible often collide. |
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