The lesions are usually asymptomatic, but can become pruritic The causative agent is a DNA poxvirus The characteristic lesions are multiple, small and smooth papules (36 mm diameter) with a central punctum or umbilication (Fig
Similar to others, we define clear fluids as water, coffee, tea, pulp-free juice and soft drinks, but also included the pre-operative carbohydrate drink intended for preoperative nutrition (Nutricia Preop, Numico, The Netherlands) 16,19,23
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