Her upper extremities have normal tone and equal grips. Her lower extremities are flaccid without voluntary movement. Patellar and Achilles reflexes are absent. A physician's rectal examination revealed complete loss of rectal sphincter tone with an absence of an anal wink reflex or perirectal ...
The patient was found awake, alert, in no distress and without new complaints. On exam he was found to have cool upper extremities with absent radial pulses bilaterally but normal carotid and lower extremity pulses. Blood pressures taken from the lower extremities were found to be 130's/80's...
At their upper extremities, the bags are sealed into a conventional tube plate leading to a plenum discharge chamber. Cylinders of compressed air are mounted exterior to the discharge chamber and are connected to discharge piping running across the top of the tube plate with discharge nozzles ...