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generic cialis pills three times daily ter in die TKR total knee replacement an arthroplasty procedure TLC total lung capacity TLE temporal lobe epilepsy TM tympanic membrane TMJ temporomandibular joint TNF tumor necrosis factor TNM tumornodemetastasis cancer staging system tPA tissue plasminogen activator TPN total parenteral nutrition TPR temperature pulse respirations TRUS transrectal ultrasound examination test to access the prostate and guide precise placement of a biopsy needle TSH thyroidstimulating hormone APPENDIX II ABBREVIATIONS ACRONYMS EPONYMS AND SYMBOLS TSS toxic shock syndrome TUR TURP transurethral resection of the prostate TVH total vaginal hysterectomy Tx treatment UA unstable angina chest pain at rest or of increasing frequency UAO upper airway obstruction UC uterine contractions UE upper extremity UGI upper gastrointestinal umb.