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It is the greatest single cause of absence from school and work among menstrual-age women Dysmetria – an inability to fix the range of a movement, rapid and brisk movements made with more force than necessary, seen in cerebellar affections Dysostosis – defective bone formation Dyspepsia - Imperfect digestion, not a disease in itself, but symptomatic of other diseases or disorders, indigestion Dysphagia - inability or difficulty in swallowing, impairment of speech resulting from a brain tumor Dysphonic – difficulty in speaking, hoarseness Dysphoric – exaggerated feeling of depression and unrest without apparent cause Dyspnea – air hunger resulting in labored or difficult breathing usually accompanied by pain, insufficient oxygenation of the blood resulting from disturbances in the lungs, low oxygen pressure in the air, circulatory disturbances, hemoglobin deficiencies, acidosis, excessive sodium bicarbonate content of the blood, excessive muscular activity, lesions of the respiratory center, emotional excitation, asthma Dysrhythmia – irregular possibly painful heart rhythm due to a variety of reasons Dystonia – not having the ability to possess muscular tone or unable to have a state of normal tension or partial contraction of muscle fibers while at rest Dysuria – painful or difficult urination, symptomatic of numerous conditions, usually frequent urination, may be indicative of cystitis, neuralgia of the bladder, urethritis, ulcerated prostate in the male or prolapsed uterus in the female, pelvic peritonitis and abscess, pain and burning may also be caused by concentrated acid urine 406 E Ecchymosis – when blood leaks into the skin or mucous membrane, due to injury, clotting mechanism problems, etc. In hepatitis, the rise in serum conjugated bilirubin condition that also results in retention of conjugated can be caused by: bilirubin. 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