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Gross Clinical Assessment Assessment included edema (involving the face, upper and lower lip, snout, paws and scrotum (presented with extreme cyanosis)) that may be prominent, scored from 0 to 3 (0without swelling, 1mild swelling, 2moderate swelling and 3severe swelling), poor respiration as respiratory rate [5] and the number of fatalities after one or two applications of isoprenaline

TRMA is also referred to as thiamine metabolism dysfunction syndrome 1 (THMD1)

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