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Immersion foot (or hand) is caused by prolonged immersion in cool or cold water or mud, usually less than 10 C The affected parts are first cold and anesthetic (prehyperemic stage) They become hot with intense burning and shooting pains during the hyperemic stage and pale or cyanotic with diminished pulsations during the vasospastic period (posthyperemic stage); blistering, swelling, redness, heat, ecchymoses, hemorrhage, necrosis, peripheral nerve injury, or gangrene and secondary complications such as lymphangitis, cellulitis, and thrombophlebitis can occur later Treatment is best instituted during the stage of reactive hyperemia Treatment consists of air drying, protecting the extremities from trauma and secondary infection, and gradual rewarming by exposure to air at room temperature (not ice or heat) without massaging or moistening the skin or immersing it in water Bed rest is required until all ulcers have healed read pdf in asp.net c# How to read pdf file and extract contents using iTextSharp in ASP ...
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