This observation occurs because gallstones are formed over an extended period of time, resulting in a shrunken, fibrotic gallbladder which does not distend easily and is less likely to be palpable on exam.
32.
During inspiration, intrapleural pressure decreases by up to 4 mm Hg, which distends the right atrium, allowing for faster filling from the vena cava, increasing ventricular preload, but decreasing stroke volume.
33.
Like practically all blood-feeding parasites, they inject biochemicals that inhibit blood clotting, plus some that stimulate host mast cells to produce histamine; this distends capillary vessels, thereby promoting blood flow.
34.
Yet for all that Burns's racial emphasis deepens the series _ morally, intellectually, even dramatically _ it also distends the prominence of the Negro Leagues in the history of the game as a whole.
35.
In most calling frogs, the sound is amplified by one or more vocal sacs, membranes of skin under the throat or on the corner of the mouth, that distend during the amplification of the call.
36.
The anglerfish is able to distend both its jaw and its stomach, since its bones are thin and flexible, to enormous size, allowing it to swallow prey up to twice as large as its entire body.
37.
A male " "'Dendropsophus microcephalus " "'frog, displaying its vocal sac membranes of skin under the throat or on the corner of the mouth that distend to amplify its call.
38.
If, instead of slapping a feeding mosquito, one stretches one's skin so that it grips the proboscis and the mosquito cannot withdraw it, the pressure will distend the gut until it breaks and the mosquito dies.
39.
On the advice of a friend, she eventually went to a hospital in nearby Danbury, Conn ., where tests revealed that she had advanced dilatory cardiomyopathy, a disease of the heart muscle that causes it to distend and lose its contractility.
40.
The century-old Century Dictionary defines the verb huff as " to swell; puff; distend, " but adds that puff does not mean " blow "; rather, it means " to puff up, inflate ."
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