Pathfinder Tales: Winter Witch by Elaine Cunningham, Dave Gross

By Elaine Cunningham, Dave Gross

In a village of the frozen north, a baby is born possessed by way of an odd and alien spirit, purely to be solid out through her tribe and brought in via the mysterious wintry weather witches of Irrisen, a land locked in everlasting magical wintry weather. Farther south, a tender mapmaker with a penchant for forgery discovers that his sham treasure maps have all started extraordinary gold. this is often the tale of Ellasif, a barbarian defend maiden who will cease at not anything to get better her lacking sister, and Decclan, the ne'er-do-well younger spellcaster-turned-forger who desires simply to end up himself to the lady he loves. jointly they'll face monsters, magic, and the fury of Ellasif's personal cold-hearted warriors of their quest to rescue the misplaced baby.

Yet after they ultimately achieve the ice-walled urban of Whitethrone, the place trolls carry court docket and wolves roam the streets as males, will or not it's too overdue to avoid wasting the lady from the forces of darkness?

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Paragangliomas are multiple in 10%of cases. 80% are glomus jugulare or carotid body tumors. Glomus rympanicum tumars: 5:1 preponderance of females over males. Peak occurence at 40-50 years. • Etiology, pathophysiology, pathogenesis Benign tumor. Arises from chemoreceptor cells. - Glamus rympanicum tumor: Tympanic nerve (branch of glossopharyngeal nerve) • Isolated middle ear lesion, begins on cochlear promontory. - Glomus jugu/are tumor: Adventitia of the jugular bulb. Imaging Signs ............................................................................................

Isolated or generalized. unilateral or bilateral extraocular muscle enlargement. Enhancement after con- trast administration due to hypervascular inflammatory process. • MRI findings Isointense on T1-weighted and T2-weighted images. Usually enhances after gadolinium administration. - Localizedfonn: Affects only one orbital structure (eyeball. fat. muscles. or optic nerve). - Diffusefonn: Affects all or multiple structures. • Pathognomonic findings Isodense on T2-weighted images. Diffuse infiltration of the orbit and orbital structures.

Role of magnetic resonance imaging in the assessment of disease activity in thyroid-associated ophthalmopathy. ~ . ~ Epidemiology Most common in children. Peak incidence at 8 years of age. Inflammatory processes account for 60% of all primary orbital diseases. ~ Etiology, pathophysiology, pathogenesis Acute inflammatory intraorbital complication. Subperiosteal pus collection under the lamina papyracea • Secondary to sinusitis (mostly staphylococci. streptococci and Haemophi/us species). Chandler classification: - Stage I: Preseptal cellulitis.

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