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who presents with lower abdominal pain (not more than of 2 weeks duration), adnexal tenderness (usually bilateral), or cervical motion tenderness on physical examination (PE) (only one must be present) While not required to establish the diagnosis of PID, the presence of one or more of the following enhances the specificity of the minimum criteria: fever (>101 F); purulent cervical discharge; elevated erythrocyte sedimentation rate (ESR)/C-reactive protein level; leukocytosis What are other immediate differential diagnoses of a patient who presents with lower abdominal pain Appendicitis, endometriosis, (ruptured) ectopic pregnancy, irritable bowel syndrome, inflammatory bowel disease, ruptured/hemorrhagic ovarian cyst, abortion, gastroenteritis, ovarian torsion, renal colic, tubo-ovarian abscess (TOA), UTI, somatization, mesenteric adenitis Endometriosis: medical history of chronic pelvic pain, dysmenorrhea, deep dyspareunia, low sacral backache, dischezia, perimenstrual bleeding, cystic ovarian enlargement, tender adnexae, uterosacral tenderness and nodularity, retroflexed uterus (Ruptured) ectopic pregnancy: history of amenorrhea, crampy abdominal pain, abnormal uterine bleeding, nausea/vomiting (N/V), dizziness/light-headedness, palpable tender adnexal mass; other signs depend on extent of rupture and hemorrhage (peritoneal signs, tachycardia, tachypnea, and orthostatic changes) Ruptured/hemorrhagic ovarian cyst: sudden-onset bi/unilateral lower abdominal pain, rebound tenderness, guarding, N/V Ovarian torsion: intense, progressive unilateral pain combined with tense,

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Create PDF Document and Convert to Image ... - C# Corner
4 Nov 2014 ... Next is to convert the PDF document generated by ItextSharp to an image with Spire. Pdf . Open the PDF document. To open a document the Spire. PDF library contains a PdfDocument class, that allows loading PDF documents in many formats, stream, byte, and so on. Iterate through the PDF document pages and save it as an image ...

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SOLUTION: How to convert pdf to image using C# Download de library. Follow the steps in the web. Add your code to your application, like this (very simple): //Transform pdf to jpg PdfToImage. PDFConvert pp = new PDFConvert(); pp. OutputFormat = "jpeg"; //format pp. JPEGQuality = 100; //100% quality pp.

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iText - Convert PDF to Image
Convert PDF to Image. Is there a way in iTextSharp to convert a PDF to an image format? Jpeg, Tiff, etc.

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How to Convert PDF to Jpeg Image in C# in C# for Visual Studio 2012
8 Jun 2018 ... NET PDF to Image sample code project. C# developers can convert PDF to high quality image files, such as PDF to compressed jpg , PDF to ...

For each of the following differential diagnosis related to Ob-Gyn, list the main symptoms/signs that would differentiate between that diagnosis and PID

tender, and enlarged ovarian mass History of repetitive, transitory pain Wave-like episodes of N/V may also be experienced TOA: usually associated with PID Symptoms can be consistent with sepsis: high fever, N/V, tachycardia, abdominal rigidity and guarding, rebound tenderness Abortion: amenorrhea, vaginal spotting, crampy abdominal pain What are the risk factors for PID and what pathogens (if any) are associated with these risk factors <35 years old (recent reports state <25 years old); multiple sexual partners; sexual partners with Chlamydia, gonorrhea, or other urethritis, nonbarrier protection -common pathogens: C trachomatis and N gonorrhoeae Instrumentation of the cervix -common pathogen: Actinomyces israelii Bacterial vaginosis (BV) -common pathogens: Bacteroides, Peptostreptococcus, Escherichia coli Alterations in vaginal flora (ie, douching, changes in vaginal pH, necrotic tissue, foreign body reaction -common pathogens: Bacteroides, Clostridia What is Fitz-Hugh Curtis (FHC) syndrome Focal perihepatitis, causing right upper quadrant tenderness in 15 30% of patients with PID Right upper quadrant pain does not rule out PID! Name the diagnostic tests and the expected b-hCG pregnancy test (rule out results that help you make a diagnosis of ectopic pregnancy or complications PID of an intrauterine pregnancy) Microscopic examination of vaginal discharge in saline (78% for 3 WBC/hpf) Gram stain tests for Chlamydia and gonococcus Urinary analysis (UA) (rule out UTI)

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Convert PDF to Image(JPG, PNG and TIFF) in C# .NET - PDF to JPG ...
C# demo to guide how to save PDF page to high quality image, converting PDF to compressed jpg and multipage tiff image in C# language.

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Visual Studio C# Convert PDF to Image .NET PDF Converter Library ...
6 Mar 2019 ... .NET OCR Library API for Text Recognition from Images in C# & VB.NET. ... .NET Convert PDF to Image in Windows and Web Applications. ... C# convert PDF to image library; How to convert PDF to JPG /JPEG/Tiff/PNG/BMP/GIF images in .NET.

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