Case: 1:16-cv-00651 Document #: 47-4 Filed: 11/08/16 Page 1 of 4 PageID #:2017
`Case: 1:16-cv—00651 Document #: 47-4 Filed: 11/08/16 Page 1 of 4 PagelD #:2017
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`EXHIBIT 4
`
`EXHIBIT 4
`
`

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`Case 1:14-cv-00487-GMS Document 61 Filed 08/21/15 Page 32 of 56 PagelD #: 694
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`Robert E. Rothenberg, M.D., FAC.S.
`
`The New American
`Medical Dictionary
`and
`Health Manual
`
`NEWLY REVISED AND
`ENLARGED SEVENTH EDITION
`
`Illustrated by Mary E. Miner
`and
`Sylvia and Lester V.-Bergman
`
`(])
`A SIGNET BOOK
`
`

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`PUBLISHER'S NOTE
`Every effort has been made to ensure that ihc information contained in thi:
`boot is complete and accurate. However, ne.ither the publisher nor the autho1
`is engaged in rendering professiooal advice or services to the .individua
`reader. The ideas, procedure$, and suggestions contained in this book are no•
`intended as a substitute for consulting with your physician. All matters regard·
`ing your health require medical supervision. Neither the author nor the pub(cid:173)
`lisher shall be liable or resporm"ble for any Joss, injury, or damage allegedl)
`arising from any information or suggestion in this book.
`
`SIGNE'I:
`Published by New American Library, a division of
`Penguio · Pi.ttnam loc .• 375 Hudson Street.
`New York, New York 10014, U.S.A.
`Penguio Books Ltd, 80 Strand,
`.
`.·
`London WC2R ORI.., England
`Penguin Books Australia Ltd, Ringwood,
`Victoria. Australia
`Penguin Books Canada Ud. 10 Alcorn Avenue.
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`Harmoodsworth, Middlesex, England
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`Fll'St published by Signet, an imprint of New American Library,
`a division of Penguin Putuam Inc.
`·
`
`Fll'St Printing, February 1962
`First Printing (Newly Revised aod Enlarged Seventh Edition), April 1999
`25 24 23 22 21 20 19 18 17 16 15 14 13 12
`
`Copyright© Robert E. Rothenberg, 1962. 1968, 1975, 1982, 1992, 1999
`Copyright © renewed Robert E. Rothenberg, 1990, 1996
`Illustrations copyright 0 Penguin Putnam Inc., -1999
`AJI rights reserved
`.
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`© REGISTERED TRADEMARK~MARCA REOISffiAOA
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`Primed in the United States of America
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`Without limiting the rights under. copyright reserved above. no part of 1his
`publication may be.reproduced. stored in or introduced into a retrieval sys(cid:173)
`tem, or transmitted, in any form, or by any ·me4DS ( eleclronic, mechanical,
`photocopying. recording, or otherwise), wilhout the prior written permission
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`PRODUCT'S OR SERVICES. FOR INFORMATION PLEASE wRnE TO PREMIUM MAR·
`KETING DIVISION, PENGUIN PUTNAM INC., 375 HUDSON STREET. NEW YORK. NEW
`YORK 10014.
`
`If you purchased this book without a cover you should be aware 1ha1 this
`book is stolen property. It was reported as "unsold and destroyed" to the
`publisher and neither the author nor the publisher flas received any payment
`for this "stripped book."
`
`

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`insomnia
`
`179
`
`iutercondylar
`
`t() an organ or
`
`unbalance;
`
`insomnia Sleeplessness; usually .re(cid:173)
`ferring 10 sleeplessness of unknown
`origin, not that due 10 illness or
`disease.
`inspection Examination with the
`eyes, such as the visual inspection of
`a rash.
`"The breathing in of air
`inspiration
`into 1he lungs; inhalation.
`inspiratory capacity The amount
`of air that can be breathed in after
`completely breathing out; a guide to
`lung efficiency.
`insplssated Thickened; hardened
`as a result of heing dried out, as wax
`in the ears.
`instability Emotional
`lack of stability.
`iastep The arch of the foot.
`instill To introduce a liquid, such
`as the in<tillation of drops into an
`eye.
`uncon(cid:173)
`pnnut1ve,
`instinct The
`scious drivi.ng forces, such as the in(cid:173)
`stinct
`to
`live,
`the
`instinct
`lo
`reproduce, etc.
`instrumentation Treatment by use
`of instruments.
`of
`condition
`insuffidency The
`being inadequate for a given func(cid:173)
`tion, e.g., cardiac insufficiency.
`io5ufllate To blow a vapor or pow-
`. der into a part of the body, such as
`the insufflation of powder into the
`vagina in the treatment of certain
`vaginal inflammations.
`·
`inSlllate To protect a gains!.
`insalin A hormone produced in
`the cells of the pancreas. When se·
`creted into the bloodstream. it per(cid:173)
`mits Jhe metabolism and utilization
`of sugar, An insufficient secretion of
`insulin causes diabetes mellitus. Too
`much insulin secretion or in1ake
`causes hypoglycemia
`(too
`little
`sugar in the blood).
`insnlinoma A tumor of the insulin
`producing cells of the pancreas. This
`leads to too much insulin secretion.
`insulin shock A state of shock,
`often with a convulsion and uncon·
`sciousness, broughl about by too
`
`much· insulin; also known as hypo(cid:173)
`glycemic shock.
`in~lt Damage
`part. Trauma.
`Immunity.
`insusceptibility
`integnatioa The process by which
`various functions are coordinated so
`as to result
`in a well-organized
`whole.
`·
`integument Skin: the covering of
`an organ.
`intellect The
`the mind.
`( 1.Q.) The
`Intelligence quotient
`ratio o{ a person's mental age to his
`_chronological age, determined by
`giving psychological tests. J.Q. levels
`indude the genius, the highly intelli(cid:173)
`gent, the normally intelligent, the
`below average intellect, the moron,
`the imbecile, the idiot, etc.
`intempennree Excessive drinking;
`overindulgence iri food or alcohol.
`l. The degree of power
`intensity
`or5trength of a process, such as the
`intensity of a light ray. 2. Feeling
`something or
`somebody
`very
`strongly. 3. Degree of reaction.
`Intensive Care Unit (ICU) A scp-
`. arate area in the hospital where ex·
`tremely sick patients are cared for.
`The ICUs are manned 24 hours a
`day by physicians and specially
`trained nurses. Theyalsoareequipped
`with life-support apparatus.
`· intensivist A physician who spe(cid:173)
`cializes in caring for the critically ill,
`such as patients who are in Intensive
`Care Unlts.
`ioteatioa tremor A palsy or shak(cid:173)
`ing of the hands on attempting to
`perform some purposeful move(cid:173)
`ment. such as writing.
`inter- · A prefix signifying between.
`ioleractioo The result when two or
`more ingredients combine to cause
`one action.
`inlerarticular Between two joints.
`intentrial Between the two atria
`(auricles) of the heart.
`inlen:eUular li'iSUe The area be(cid:173)
`tween the cells.
`interroodylar Between
`
`reasoning
`
`faculry:
`
`the con-
`
`