Substrate is very often a big debate in keeping tortoises. I have Russian tortoises, I try to mimic their natural habitat as closely as possible.Since they are an arid species, I use a 50/50 mixture of playsand and topsoil deep enough for the tortoise to burrow.ubstrate is very often a big debate in keeping tortoises. I have Russian tortoises, I try to mimic their natural habitat as closely as possible.
Headaches That May Present With Ophthalmic Manifestations Primary Headache Syndromes Migraine Migraine is the second most common headache syndrome seen in clinical practice. Migraine headache is often characterized as a disabling pain, moderate to severe in intensity, unilateral in location, and pulsatile in quality.
Patients with hand and finger pain regularly present to primary care practices. Although a well-known clinical entity to specialists, hypothenar hammer syndrome is an uncommon vascular overuse syndrome that may not be familiar to primary care practices.