By Renaud Camus
«On healthy pour lui un trou sous l. a. façade au midi, un peu à l'écart des autres chiens : c'est ainsi qu'il avait vécu. Sa tombe se trouve exactement sous l. a. fenêtre de son maître, celle d'où vient l. a. lumière à l. a. desk de travail, toute los angeles journée. Et quand le maître, pour mieux observer los angeles campagne, fait quelques pas jusqu'à cette embrasure, l. a. pensée du Horla monte vers lui, de los angeles dépouille enterrée là, dix ou quinze mètres plus bas. Elle se mélange dans son regard au paysage, à ces plateaux et ces collines, ces bois, qu'ils ont tellement courus ensemble, l'homme et le chien.»
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«On healthy pour lui un trou sous los angeles façade au midi, un peu à l'écart des autres chiens : c'est ainsi qu'il avait vécu. Sa tombe se trouve exactement sous los angeles fenêtre de son maître, celle d'où vient los angeles lumière à l. a. desk de travail, toute los angeles journée.
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Additional resources for Vie du chien Horla
Review the patient’s medical history for neurologic, cerebrovascular, and neoplastic disease; atherosclerosis; and infection. ● Obtain a drug history, including prescription and over-thecounter drugs, herbal remedies, and recreational drugs. Also, ask the patient about alcohol intake. ● Ask the patient about recent headaches or dizziness. PHYSICAL ASSESSMENT ● Take the patient’s vital signs. ● Assess level of consciousness, keeping alert for evidence of aphasia or dysarthria. ● Test motor function, observing for weakness and tremors.
If possible, observe the patient’s gait and posture, and assess his balance and coordination. ● Evaluate muscle tone and strength in all extremities. ● Thoroughly check pain sensitivity, vibration sense, and temperature sensation over all dermatomes. 20 A N A LG E S I A Focus your care on preventing further injury to the patient because analgesia can mask injury or developing complications. P E D I AT R I C POINTERS Because a child may have difficulty describing analgesia, carefully observe the patient during your assessment for nonverbal clues to pain, such as facial expressions, crying, and retraction from stimuli.
Note the source and character of nasal discharge. ● Palpate the sinus areas for tenderness and contour. SPECIAL CONSIDERATIONS Although permanent anosmia usually doesn’t respond to treatment, vitamin A given orally or by injection occasionally provides improvement. P E D I AT R I C POINTERS Anosmia in children usually results from nasal obstruction by a foreign body or enlarged adenoids. PATIENT COUNSELING If anosmia results from nasal congestion, instruct the patient to use a local decongestant or antihistamine, along with a vaporizer or humidifier.