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Preparing to open a new subterranean section to the public, workers cleaned stones this week in an arched passageway underground. Etched in plaster on one wall was a coat of arms — graffiti left by a medieval traveler.

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Symptoms are high metabolic rate, increased temperature and sweating, nervousness, tremor, tachycardia, increased appetite and loss of weight, goitre and protrusion of the eyeballs (exophthalmia). Treatment can be by surgery or with drugs, for example carbimazole, to reduce the amount of thyroid hormone being produced.

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The only evidence used to support this is that some peers do this in other Trusts. Not only does this practice fall short of minimizing risk but it might also fail one component of the Bolam test (Bolam v Friern Hospital Management Committee, City and Hackney Health Authority, In some departments, it is clear that the implementation and development of prescription, supply and administration of medicines by radiographers has occurred in isolationsemi-isolation to the Trust as a whole.

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Excision Dermatologists rarely recommend excision because this type of surgery leaves a permanent scar. Under local anaesthetic, cytotoxic drug is injected into warts.

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