raising taxes on tobacco Higher increase revenue and save lives: a review of the WHO Report the Global Tobacco Epidemic, 2015 – WCO Raising tobacco taxes will save

Metal surfaces can rust and corrode when smoke and soot particle are left sitting too long

Lower leaves toward the base of the plant may be thinner as they receive less sunlight, and leaves at the top may be thicker and larger

Differentials: Retinal detachment Retinal breaks/ tears Posterior vitreous detachment Retinal dialysis (can often be related to trauma) Vitreous haemorrhage Macular oedema (1) Risk factors Advanced age Myopia (short sightedness) Trauma to the eye Family history of retinal tears or detachment Prior eye surgery Lattice degeneration (1) Basic examination tests that can be performed in the A&E department: Visual acuity using a Snellen chart Pupil check for Relative Afferent Pupillary Defect (RAPD) this will often be normal Visual fields to confrontation if the patient is describing a shadow in their vision this will be confirmed with this test Findings on examination: Shafers sign tobacco dust these are pigment cells that come from the RPE of the retina

RMID:Image ID:2B06F1J Image details Contributor: Wolfgang Kaehler Image ID: 2B06F1J File size: 53.9 MB (2.5 MB Compressed download) Releases: Model - no | Property - noDo I need a release