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Mr. Brown was admitted from the emergency department, and you are completing his physical examination. His pupils are 2 mm bilaterally, and you notice that they fail to dilate when the penlight is moved away. This is characteristic in patients who are or have been:
Pietism
A movement within Lutheranism that emerged in the 17th century, focusing on personal faith, the need for a born-again experience, and the importance of living a Christian life rather than merely adhering to doctrine.
Slaves
People who are legally owned by others and forced to work without pay, historically a widespread practice across many societies and cultures.
Rice Plantations
Large agricultural estates specifically devoted to the cultivation of rice, historically significant in the southern United States during the colonial and antebellum periods.
Irish Immigrants
Individuals from Ireland who moved to another country, especially to the United States during the 19th and early 20th centuries, often escaping famine and seeking better economic opportunities.
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