By Joseph Conrad
Within the fictional republic of Costaguana instability and revolution are the norm. whilst Charles Gould's silver mine turns into a catalyst for violence, he fears his wealth might be taken by means of his enemies. Charging Nostromo--said to be incorruptible--with the duty of marketing the silver offshore, Gould not fears for the destiny of his wealth; even though, as Nostromo's personal hope for energy and status strengthens, corruption turns out the inevitable end.
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Within the fictional republic of Costaguana instability and revolution are the norm. whilst Charles Gould's silver mine turns into a catalyst for violence, he fears his wealth should be taken by way of his enemies. Charging Nostromo--said to be incorruptible--with the duty of promoting the silver offshore, Gould not fears for the destiny of his wealth; in spite of the fact that, as Nostromo's personal hope for energy and popularity strengthens, corruption turns out the inevitable finish.
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Extra resources for Nostromo
Physical, rheumatologic and neurological Migratory nature. examinations are normal, except for pain with Worse after exercise. movement, which is frequently severe. There are Distribution inconsistent with polyarthropathy. no signs of inflammation, deformity or limited Dramatic description. mobility. Maneuvers for soft tissue lesions can be Clinical examination with no objective alterations. misleadingly positive in several locations. The diagnosis and treatment of generalized Laboratory tests and imaging normal.
Timing of the pain and stiffness, and 2. the clinical examination of the joints. 11 4. ” It worsens with the continuous use of the joint. The patient feels worse at the end of the day or after a few hours of walking or work. Rest brings considerable relief and there is rarely any pain during the night. Remember that we also move around in bed, so if the patient mentions nocturnal pain we have to find out whether the pain occurs only when the patient moves or also when s/he is immobile, and whether it is possible to find a pain-free position (typical of mechanical pain).
We should first guarantee that the problem does not originate in other areas, such as the viscera. Once this is certain, go into back or neck pain mode, following the strategy described in Chapters 7 and 11, respectively. ARTICULAR SYNDROME Articular syndrome is suggested by the interview and clinical examination, with the possible support of lab tests and imaging. The clinical elements suggesting joint disease have been described above (monoarthropathy). The presence of these features in different joints will obviously be the basis for talking about oligoarthropathy or polyarthropathy.