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His face has lost all expression, is mask-like,
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and there's a wont of tone in all muscles.
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When he speaks, this condition becomes more
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apparent, speaking as with evident effort,
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and the voice is low and monotonous.
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The patient is listless and indifferent to surroundings.
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The mental attitude is similar.
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There's a loss of tension, a lengthening of reaction time,
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and defective control.
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In the most fulminant cases, the aspect of the patient
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resembles that of someone suffering from severe shock and
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loss of blood.