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Understanding CSF Rhinorrhea: Causes, Symptoms, and Treatment
Cerebrospinal fluid (CSF) plays a crucial role in protecting the brain and spinal cord, acting as a cushion against injury and providing essential nutrients. However, when CSF leaks out of the nasal passages, a condition known as CSF rhinorrhea occurs, posing potential risks to health and requiring prompt medical attention. In this article, we delve into the causes, symptoms, and treatment options for CSF rhinorrhea.
What is CSF Rhinorrhea?
CSF rhinorrhea refers to the leakage of cerebrospinal fluid from the skull base into the nasal passages. This leakage can result from a tear or hole in the membranes surrounding the brain and spinal cord, typically caused by trauma, such as a head injury or surgery. In some cases, CSF rhinorrhea can also occur spontaneously without any apparent cause.
Causes of CSF Rhinorrhea:
Trauma: Head injuries, particularly those involving fractures to the skull base, can disrupt the integrity of the membranes that contain CSF, leading to leakage.
Surgery: Certain surgical procedures, such as those involving the sinuses or skull base, can inadvertently cause damage to the membranes, resulting in CSF rhinorrhea.
Congenital Abnormalities: Rarely, individuals may be born with defects in the skull base or the membranes surrounding the brain, predisposing them to CSF leakage.
Idiopathic: In some cases, the exact cause of CSF rhinorrhea remains unknown, and it may occur spontaneously without any preceding trauma or surgery.
Symptoms of CSF Rhinorrhea:
The hallmark symptom of CSF rhinorrhea is the persistent discharge of clear fluid from one or both nostrils. This fluid may increase with changes in position, such as bending forward, coughing, or straining. Other symptoms may include:
Headaches, particularly when lying down
Stiff neck
Sensation of fluid trickling down the throat
Recurrent or severe sinus infections
Taste of saltiness in the back of the throat
It is essential to differentiate CSF rhinorrhea from other causes of nasal discharge, such as allergies or viral infections. Unlike CSF, nasal secretions from these conditions are typically cloudy or colored.
Diagnosis and Treatment:
Diagnosing CSF rhinorrhea often involves a combination of medical history, physical examination, and diagnostic tests. Imaging studies, such as MRI or CT scans, can help identify the site and extent of CSF leakage. In some cases, a specialized test called beta-2 transferrin analysis may be performed on the nasal fluid to confirm the presence of CSF.
Once diagnosed, treatment aims to repair the site of CSF leakage and prevent future episodes. Depending on the cause and severity of the condition, treatment options may include:
Conservative Management: In cases of mild CSF rhinorrhea, conservative measures such as bed rest, elevation of the head, and avoidance of activities that increase intracranial pressure may be sufficient.
Surgical Repair: For persistent or recurrent CSF rhinorrhea treatment, surgical intervention may be necessary to repair the site of leakage. This may involve endoscopic techniques or open surgical procedures, depending on the location and extent of the defect.
CSF Shunting: In rare cases where surgical repair is not feasible or unsuccessful, a CSF shunt may be implanted to divert the flow of CSF away from the nasal passages.
Conclusion:
CSF rhinorrhea is a potentially serious condition that requires prompt medical evaluation and treatment. While it can occur due to various causes, timely diagnosis and appropriate management can help prevent complications and improve outcomes for affected individuals. If you experience persistent nasal discharge or other symptoms suggestive of CSF rhinorrhea, it is crucial to consult a healthcare professional for further evaluation and management.
#csf rhinorrhea#cerebrospinal fluid#csf rhinorrhea diagnosis#csf rhinorrhea symptoms#CSF rhinorrhea treatment in Delhi
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What Is Hay Fever: Its Causes, Symptoms And Treatment Measures
Hay fever is a prevalent allergic condition that affects millions of people around the world. When our immune system excessively reacts to certain airborne allergens, it causes this issue. This condition disrupts our daily lives. Hence, it is important to be aware of its causes and symptoms to seek timely intervention. Keep reading this blog to know more!
Synopsis
Understanding Hay Fever
What Are the Symptoms of Hay Fever?
Diagnosis of Hay Fever
Treatment & Preventive Measures for Hay Fever
Understanding Hay Fever
The clinical term for hay fever is allergic rhinitis. It primarily affects the nasal passages when your immunity system overreacts to inhaled allergens. The most common allergic rhinitis causes are:
Allergic rhinitis can be seasonal or perennial.
Seasonal hay fever occurs due to the pollen released by particular trees. For summer, it is grass pollen; for spring, it is tree pollen; for fall, it is weed pollen. On the other hand, perennial hay fever persists throughout the year. The common triggers of this type are indoor allergens, like dust mites, mould, and pet dander.
Consult our infectious disease hospital in Bangalore if you need to know more about what is allergic rhinitis.
What Are the Symptoms of Hay Fever?
The allergic rhinitis symptoms are quite similar to those of a common cold. Even though you may confuse them, an experienced medical professional can help you with an accurate diagnosis.
Below are the general hay fever symptoms:
Uncontrollable sneezing
Persistent runny nose (Rhinorrhea)
Excessive nasal discharge, usually clear and watery
Nasal congestion
Difficulty breathing through the nose
Wheezing or breathing through the mouth
Cough & Itchy throat
Fatigue
Headache
Loss of smell or taste
Itchy ears
Itchy, watery & redness of eyes
A combination of these symptoms affects our daily lives. Persistent symptoms disrupt sleep, causing fatigue. It also reduces our daytime alertness, hindering concentration and affecting work and academic performance. Hence, hay fever, altogether, can decrease our overall quality of life. So, it is vital to identify the triggers as soon as possible and treat them.
Diagnosis of Hay Fever
Although hay fever seems self-diagnosable, distinguishing it from the common cold can be challenging. Thus, seek support from an expert for proper diagnosis and management. Ignoring the situation may lead to severe complications.
The doctor will first assess your entire medical history, and analyse your symptoms and their longevity. If there is a seasonal pattern, it usually means you have allergic rhinitis. Next, to confirm the diagnosis, your doctor may prescribe certain tests like skin prick tests or blood tests. These can identify the specific allergens, assisting in precise treatment procedures.
Various factors need to be considered to differentiate between hay fever and the common cold. Viral infection usually causes body pain, whereas hay fever, a respiratory allergy, doesn’t cause body pain. To learn more click here.
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Acute Flaccid Myelitis Market by Treatment Type (Pharmacological Treatment, Physical & Occupational Therapy, Plasmapheresis, and Others) - Global Outlook & Forecast 2023-2031
According to the deep-dive market assessment study by Growth Plus Reports, global acute flaccid myelitis market is expected to register a revenue CAGR of 3.2% during the forecast period.
Acute Flaccid Myelitis Market Fundamentals
Acute flaccid myelitis (AFM) is a life-threatening illness that appears like polio and was first identified in unusual clusters in California in 2012 and Colorado in 2014. With hundreds of cases recorded in Europe, Asia, Australia, Africa, North America, and South America, AFM is now recognized as a widespread condition. Recent AFM is thought to have been mostly caused by epidemic enteroviral infection, notably enterovirus D68 infection. Cases typically occur in geographic clusters in temperate climates and follow a clear seasonal-biennial pattern. Young children are most often affected by AFM, characterized by an abrupt onset of flaccid weakness in one or more limbs and abnormalities in the grey matter of the spinal cord. Additional muscles may be affected include the extraocular, respiratory, bulbar, and trunk muscles. Clinical signs of other acute weakness-causing conditions, such as Guillain-Barre syndrome, demyelinating myelitis, and other infectious myelitis, may resemble those of AFM.
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Less than 15% of incidents of AFM in adults (more frequently in the immunocompromised) occur, with AFM in adults perhaps needing to be more reported or recognized. AFM is mostly a pediatric condition. There may be a small preference for men. Most AFM patients experience a prodromal sickness that includes a fever and respiratory symptoms (such as a cough, rhinorrhea, pharyngitis, or a disease that resembles asthma). Vomiting and diarrhea are less common gastrointestinal complaints.
Headache, stiffness in the neck, or a return of fever can occur together with the development of neurological symptoms. Pain in the afflicted limb(s), neck, or lower back often precedes limb weakening in patients. Flaccid weakness usually affects one or more limbs and is asymmetrical, with a preference for the upper limbs and proximal muscle groups. In addition to limb weakness, over 30% of patients exhibit motor deficits localized to the brainstem's cranial nerve motor nuclei. These deficits are largely bulbar and facial weakness, with extraocular muscle weakness occurring less frequently.
The most effective diagnostic procedure for AFM is an MRI of the spinal cord. The distinctive feature of AFM is spinal cord grey matter T2 hyperintensity. When examined axially, early acute phase lesions impact the whole grey matter of the spinal cord. They are often confluent and poorly delineated, with varied degrees of surrounding white matter involvement and edema. Grey matter lesions in the spinal cord are often longitudinally widespread.
Acute Flaccid Myelitis Market Dynamics
The acute flaccid myelitis market is growing due to rising awareness, increasing surveillance initiatives, identification and reporting of AFM cases. The number of reported cases of AFM has increased as medical professionals and public health organizations have become more cautious in finding and diagnosing the condition. For instance, Acute Flaccid Myelitis Association aims to increase public understanding and support for this disease. They also offer assistance to parents, caregivers, and those who are experiencing AFM symptoms. Their funding is used to meet the requirements of the patients. They utilize donations to pay for therapies, treatments, and equipment not covered by insurance for families. More than 90% of donations are used immediately to meet the critical medical requirements of AFMA grant candidates. Additionally, the federal government has noticed the illness due to the advocacy efforts of AFM-affected families, the Acute Flaccid Myelitis Association (AFMA), and medical professionals who treat patients with the condition. Senator Kirsten Gillibrand, for example, proposed $1 billion in funding for AFM research in 2018.
Accurate and rapid diagnosis of AFM patients has been made possible by improved methods for diagnosis, including laboratory testing and enhanced imaging equipment. This is likely because more information is available on illness and its prevalence. For instance, according to the National Library of Medicine 2021, 96% of documented AFM cases in the USA 2018 were hospital admissions, with 58% going to an intensive care unit. Early management's cornerstone is supportive care and vigilant monitoring targeted toward possibly developing critical problems. Moreover, according to the Centers for Disease Control & Prevention, as of June 2, 2023, twenty reports of patients under investigation (PUIs) had been made, and three of those reports had been confirmed. Since August 2014, when CDC started monitoring AFM, there have been 727 confirmed cases. Since then, the CDC has conducted extensive investigations into cases. In 2014, 2016, and 2018, there was a rise in AFM incidence, particularly involving young children.
However, AFM does not currently have a particular therapy other than symptomatic assistance. Research is still being done to understand the illness better and provide therapies. There are scientific possibilities and needs for further study in AFM, according to a 2020 article in Clinical Infectious Diseases. The long-term outcomes of AFM and juvenile transverse myelitis were compared in a 2020 study published in BMC Neurology.
Acute Flaccid Myelitis Market Ecosystem
The global acute flaccid myelitis market is analyzed from the following perspectives by treatment type and region.
Acute Flaccid Myelitis by Treatment Type
Based on the treatment type, the global acute flaccid myelitis market is segmented into pharmacological treatment, physical & occupational therapy, plasmapheresis, and others.
There haven't been any regulated investigations of medical AFM therapies. To increase the body's resistance to viruses, intravenous immunoglobulin (IVIG) can be administered. Steroids and plasma exchange are two common medications used to treat transverse myelitis (TM), and they have been tested in AFM with varying degrees of success.
Early commencement of physical and occupational therapy (PT and OT) is essential for successfully treating AFM. Both occupational and physical therapy are crucial. Children frequently attend treatment sessions for weeks or months. For the greatest results, children with AFM need to be treated by a multidisciplinary team. Even if full muscle function cannot be recovered, early intervention may improve everyday functioning and restore function to the damaged limbs.
Acute Flaccid Myelitis by Region
Based on the treatment type, the global acute flaccid myelitis market is segmented into North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa.
The number of instances of poliomyelitis dropped to 209 worldwide in 2014 due to poliovirus vaccinations, with nonpolio enteroviruses being the main cause of new cases of acute flaccid myelitis. Acute flaccid myelitis cases have been observed most recently during enterovirus D68 outbreaks in North America and Europe, indicating the possibility of another non-polio enterovirus linked to acute flaccid myelitis. North America had an outbreak of enterovirus D68 infections in the autumn of 2014, the majority of which were accompanied by symptoms of the upper respiratory tract. The authors describe a cluster of three individuals who had acute flaccid myelitis in Alberta, Canada, during an enterovirus D68 epidemic, with enterovirus D68 found in two of these patients.
The number of reports of acute flaccid paralysis cases has increased in the United Kingdom (UK), with many cases being identified as AFM. Unexpected clusters of AFM were first recorded in the US in 2014. Clinically, various individuals often have poliomyelitis-like paralysis, affecting one or more limbs, with no discernible sensory loss and distinctive grey matter abnormalities on MRI. A prevalent EV virus known as EV-D68, which appeared to circulate biennially in late summer and fall and was connected to severe acute respiratory and neurological disease between 2014 and 2016 in Europe, Asia, and North America, was temporally associated with an increase in AFM cases.
Acute Flaccid Myelitis Market Competitive Landscape
Some of the prominent market players in the global acute flaccid myelitis market include,
Baxter International Inc.
Octapharma AG
Behring GmbH
BioScrip Inc.
Pfizer Inc.
Novartis AG
AstraZeneca
GSK Plc.
Cipla Inc.
Acute Flaccid Myelitis Strategic Development
In August 2019, to comprehend the uncommon polio-like virus that affects children, the National Institute of Allergy and Infectious Diseases (NIAID) granted $10 million over five years for natural history research on acute flaccid myelitis (AFM).
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#data analytics#healthcare#pharmasales#occupational therapy#physical therapy#rare disease#pediatric neurology
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The Best Yet Affordable Homeopathy Treatments for Chronic Allergic Rhinitis and Erectile Dysfunction
Allergic rhinitis is an atopic disease known for its symptoms like clear rhinorrhea, nasal pruritis, nasal congestion, and sneezing. Pharmacologic options for the treatment of allergic rhinitis include oral and topical antihistamines, intranasal corticosteroids, decongestants, intranasal anticholinergics, intranasal cromolyn, and leukotriene receptor antagonists. Safe and effective homeopathy treatments for chronic allergic rhinitis attract many people and increase their eagerness to compare and narrow down such treatments.
You may like to get homeopathy treatment for chronic allergic rhinitis. You can contact the successful homeopathy clinic Dr. L Square Multispecialty Homeopathy Clinic and discuss anything associated with Chronic Allergic Rhinitis Treatment in Homeopathy in detail right now. You will get the cheap and best chronic allergic rhinitis. You will be encouraged to recommend this treatment to others in your network.
Heal Erectile Dysfunction and Get Remarkable Sex Health Benefits
As a sufferer of sexual health problems especially erectile dysfunction, you can research important things about the homeopathic treatments in this category. This is mainly because of the safe method to heal sex health problems. Every man is eager to improve sexual health without difficulty. They can concentrate on safe and effective methods to heal health problems associated with sex.
The latest updates in the Homeopathic Treatment for Erectile Dysfunction attract all visitors to this homeopathic clinic and discuss with experienced homeopathic doctors. You can discuss with experienced homeopathy doctors in this clinic and make certain the stress-free method to heal sex health problems. Many men throughout the nation are eager to be aware of easy ways to get rid of sexual health problems, especially erectile dysfunction.
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It was a kid who got hit in the head with a metal baseball bat. As soon as it said he had clear rhinorrhea and bruises around his eyes, I knew it was a basilar skull fracture.
In basilar skull fracture, there is a fracture through the base of the skull involving the sphenoid bone, ethmoid bone, temporal bone, and/or the occipital bone. These types of fractures require a high mechanism of injury and can cause tearing of the meninges which can cause leaking of cerebrospinal fluid. The cerebrospinal fluid can build up behind the tympanic membrane and leak out the eustachian tube resulting in CSF rhinorrhea. If there is a rupture of the tympanic membrane, the patient will display CSF otorrhea. The patient can also have CSF rhinorrhea if there is a fracture of the anterior skull. One can tell if the ear or the nose are leaking CSF fluid by placing a drop of the fluid on a paper towel. The blood should coalesce in the center and form a ring of clear fluid on the periphery indicating CSF fluid. Other signs of basilar skull fracture include: Seventh cranial nerve palsy, hemotympanum (visual blood behind the tympanic membrane), periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), vertigo. Management includes performing a CT scan of the head, cervical spine, and facial bones to look for other pathology, consultation with a neurosurgeon, and airway management if necessary. Consider a discussion of prophylactic antibiotics with the neurosurgeon.
Bottom Line: Basilar skull fractures should be suspected in patients with periorbital ecchymosis, otorrhea, rhinorrhea, battle's signs. Although the above injuries can occur when a patient has a basilar skull fracture, none of the other injuries will cause findings of battle's signs, periorbital ecchymosis, etc.
#basilar skull fracture#raccoon eyes#battle sign#rhinorrhea#otorrhea#clear rhinorrhea#clear otorrhea
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Not A Stranger - Part 1
Pairing: Jay Halstead x Reader (Chicago Med intern)
Waking up in bed next to a random naked guy after a drunken night out usually sucks, but eh, whatever. You’ll never see him again, right? Well except this time, random naked guy turns out to be your ED Attending’s little brother, so maybe you’re a little bit screwed…
Warnings: Swearing, some suggestive details. (Part 2 is going to be full-on smut, though!)
Read Part 2 here Read Part 3 here Read Part 4 here
You open your eyes slowly, blinking away your sleepiness. Almost immediately, a dull throb starts aching away in your head, and as you bring your hand up to massage your temples you wonder why the hell you thought it’d be a good idea to get hammered on a work night.
The next time Hermann tells me to try his new tequila concoction that he’s sure won’t cause a hangover the next day, I’m going to stick a scalpel in his neck, you think to yourself.
“Fuck,” you press your palms against your eyes, trying your best to get your brain functioning. As you turn your head, you notice another figure in the bed, on his stomach facing away from you. A guy, and he’s shirtless, possibly even naked except the sheets are up to his hip. For some reason, the only things you can focus on for a whole minute are the tiny freckles dotted all across his broad shoulders. And also just his muscular broad shoulders in general, you guess.
You have a moment of peace and quiet, just laying there next to this man as the sunlight streams in through the blinds, before everything comes crashing down.
You’re supposed to be on shift today.
Why, oh why do you make such bad decisions? It’s not like you’re just a lowly intern – a first-year resident – who is just a month past med school graduation, and is barely keeping up with the rigours of being an ED doctor.
Oh wait.
You are exactly all of that!
“Fuck,” you repeat to yourself, whispering this time as the guy continues to softly snore next to you.
You decide to do the absolute mature, adult thing to do, which is to sneak out of this guy’s house unnoticed and never think about him ever again.
Okay, maybe it’s not the most mature thing, but honestly you do not have the time right now to wake him up, strike a conversation, do breakfast, and the whole nine yards. You do feel a little bad though, because when you look over, the guy seems really cute.
Dammit Y/N, focus!
First step right now is getting out of bed, sneaking out of random-cute-guy’s house, and – you look around for a clock, find one displaying 05:30 on the bedside table, shit – get to work immediately. No one tells you about how early hospital rounds begin until you’re already in med school and it’s too late to turn back, you think, as you quietly extricate yourself from the sheets and the bed.
Embarrassingly, you can’t find your underwear anywhere and after 5 minutes of searching while tip-toeing around you’re at your wit’s ends, so you just pull on your pants, put on the rest of your clothes, and leave his apartment. You thank God softly under your breath, as random-cute-guy continues to sleep through all of it, even as you slowly latch his front door closed.
A couple of minutes later, you’re in the back of an Uber, asking the driver to make a quick stop at your apartment before taking you to Med. As he drives off, you lean as far back as possible against the leather seat and sigh deeply.
“Fuck.”
***
You slip past the front desk in the ED with your head as far down as it’ll go, trying to make your way into the doctors lounge without catching anyone’s eyes considering you’re a good 15 minutes late.
“Dr Y/L/N! Thank you for deciding to grace us with your presence today!” Your ED Attending, Dr Will Halstead calls out loudly and you groan, leaning against the glass door to the lounge to open it.
“Go easy on her, last I heard from the 51 boys was that she tried Hermann’s special tequila concoction last night, and then decided to hit up a nightclub,” Maggie offers, her perfect eyebrows waggling as you hang your coat and grab your stethoscope.
“Firefighters are gossipy and if they really cared about saving lives they should’ve stopped me last night.” You grumble, swinging on your white coat. Will just shakes his head, walking in.
“Oh man, I feel like someone should’ve warned you against trying Hermann’s test drinks.” He says, and you glare at him, arms on your hips.
“Ya think?”
Maggie raises her eyebrows, laughing in surprise at your sharp response. “Is this you or the hangover speaking?” Will asks, grinning, unfazed by your grumpiness.
“Unfortunately the hangover and I are one and the same.” They laugh, and then Maggie ruffles your hair before someone comes to ask her something, and she takes her leave. Will makes a motion showing you the door and the two of you move to the ED desks.
“Alright, as your attending I need to tell you that it’s a bad idea to drink on a work night.” Will says to you as he hands you an iPad, with a patient’s charts. You start scrutinising it as he continues. “However, as a person who also used to be 20 something and an intern, I get it. Make sure you get loads of fluids in you and don’t let Lanik find out you went drinking last night.”
“Thanks,” you say, tossing a quick smile at Will before turning back to the iPad. “Okay…nasal congestion, rhinorrhea, pharyngitis and no fatigue or anorexia. Plus there’s no fever so it’s probably just an upper respiratory infection, but I can run tests to rule out the flu just in case?” You ask, and Will shrugs. “Doesn’t hurt to be careful, but given that the patient’s symptoms are all weak, the fact that she’s been here for 3 hours, and that she wants to get the hell out at this point, let’s just write her a prescription for URI meds. If she doesn’t get better in a week she can come back.” You respond in the affirmative and get to it.
You’d been clearing the general flus and colds in the waiting room for about an hour when you started hearing some shouting.
You turn to the ambulance bay entrance and see paramedics rolling in a dishevelled guy, gripping on to his bloody right arm, yelling like he was actively being run over by a bulldozer. You spot K9 unit officers behind him and roll your eyes.
“It’s not a day in a Chicago ED if we don’t get some moron who decides to outrun a police dog.” You say, and Doris laughs. The paramedics roll the patient into treatment 2, but Will’s not there.
Your eyes scan the ED and spot him still at the ambulance bay door, talking to someone you can’t see, but you notice the flash of a badge and figure he’s the arresting detective. You make your way over to Will.
“Hey, Dr Halstead? If you want I can get started on the guy first - ” You begin, but you quickly freeze when Will turns around and you make eye contact with the other guy and recognise him immediately.
Oh my god, it’s random-cute-guy! From last night! And this morning…
“Y/N, this is my brother, Detective Jay Halstead.” You smile, nodding. It’s a whole Mississippi-second before what Will’s said hits you, fully.
“Wait what?!” You exclaim, eyebrows shooting up and Will frowns.
“…I have a little brother. This is him,” He says, extremely slowly, pointing at random-cute-guy, who you just cannot make eye contact with right now. You don't say anything, and just keep blinking, stunned.
This cannot be happening right now!
Will continues. “Jay, this is Dr. Y/L/N, the ED intern. She’s new; only been here about a month.”
Jay Halstead smirks, and it’s the literal most sinful thing on this planet. “Well, it’s nice to meet you for the very first time.” He drawls, and for a moment all you can think about is the way he sounded last night, his moans, his voice in your ear, his choked off cry when he came –
Will’s got a confused look on him, and you decide that this needs to stop, right now, before it gets any worse.
“I – it – uh, so the patient in 2, I can um – he got hit by a dog. Bit by a dog, sorry.” You correct yourself, shaking your head.
Fuck! Why the – just – FUCK!
You cover your face with your hands and just laugh nervously. “Okay so,” you gesture wildly towards treatment 2 and Will continues to look on with extreme concern in his eyes, “I’m just going to go. Over there. And do my thing. Stitches and…check for rabies.”
“He’s a police dog, he doesn’t have rabies.” Jay supplies, nonchalantly leaning against the nearest wall, looking very amused by everything going on around him.
“Y/N, you okay?” Will asks, placing the back of his hand against your forehead. You wave him off. “I’m good, I’m good, just – tired, you know?” You try to smile reassuringly.
“Hermann gave her a tequila concoction at Molly’s last night and it made her decide to go clubbing on a Tuesday night,” Will joyously explains to Jay, whose eyebrows shoot up.
“Is that right? Where’d you go?” He asks, a huge shit-eating grin on his face. Like as if he doesn’t know the answer to that. Like as if he wasn’t also there, like as if the two of you didn’t meet at the bar, like as if you didn’t makeout on the dancefloor while pressed against each other, like as if you didn’t get into a cab and – well. Like as if.
“The Verge.” You mutter, looking down and praying for the ground to open up and swallow you whole.
“Hey, I was there last night too!” Jay replies and you look up, see the sparkle in his green eyes and his beaming smile and you want to reach across Will and strangle him.
“Too bad I didn’t see you. At all.” You scowl, and thankfully Doris calls you and Will over to 2.
You walk in to find the patient thrashing around while the nurses are trying their best to keep him down.
“Alright let’s get restraints on him.” Will instructs, and you move to the patient’s right, trying to grab his arm. He swings at you and nearly connects with your temple; thankfully you dodge it at the last second.
“Hey, watch it!” Will shouts, and the patient starts screaming incoherently.
“Can we get some help in here?!” Doris calls out, and the patrol officers who brought the patient step in, but there’s just too much going on and stuff flying around the room that no one can get a hold of the situation.
Everyone starts talking about what they think needs to be done, whether to restrain him or sedate him or do something else entirely, but all you can focus on is the way the patient’s right arm is swinging around while his left arm is barely raising above the gurney rail. Something in your gut gives you a bad feeling as your eyes traverse up to his face and you see it – his mouth is drooping on his left side.
“He’s stroking…” Nobody pays any attention to you, partly because your voice is a low whisper. What if you’re wrong? The last thing you want to do is be the idiot intern who screamed stroke protocol just because some drunk, incoherent ran-from-a-police-dog idiot was being, well, drunk and incoherent!
The patient’s left arm sags completely, and he leans back against the pillow. Fuck it.
“He’s stroking!” You repeat, your loud voice catching even you by surprise. Everyone stops talking and whips around to face you.
“Are you su – ” Will starts, but you cut him off, quickly rattling off stroke protocol instructions.
“Get me an IV and page the stroke unit now!” Everyone snaps into work quickly, like a well-oiled machine. Someone shoves an IV pack in your hand and you immediately get a line started while Doris performs a blood draw. Will’s on the phone with Neuro, and before you know it your patient is getting wheeled away up to CT.
“Do I – uh, do I come with?” You ask, almost breathless from all the adrenaline. Will shakes his head. “I’ll go for the CT, and then pass it off to the stroke unit and neuro. You stay down here and take a breather.” He calls over his shoulder, and then disappears around a turn, but not before –
“That was a good call, Y/N.”
You nod, biting your lips. God, I hope it was. If I was too late –
“Okay, okay.” You say to no one in particular, trying to clear your head. In fact, you’re standing in a very empty treatment room right now, still breathing heavy.
“So you’re not just bossy in bed, huh?”
You groan out loud, dropping your face in your hands, before swinging around to face a very cheeky detective.
“Is this how you flirt?” Your hands are on your hips and your voice is low because the last thing you want is anyone finding out about last night. “Hmm? Is this what gets girls into your bed? Because honestly if this is all you’ve got then you gotta go work on your game, dude.”
Jay scoffs. “What, like this isn’t working?” He lifts a finger to signal you to pause as he continues. “And for the record, I don’t have to try and get you into my bed considering we’ve been there and done that.” He crosses his arms – god, his biceps are huge – and smirks at you.
You stare at him for a moment, in silence, your cheeks burning.
He raises his eyebrows.
You surge forward and grab his arm, yanking him out of the room and dragging him unceremoniously, but still without attracting attention, into the doctors’ lounge. Placing your hands on his chest, you shove him as far into the lounge as you can.
“Jesus – okay, I mean, I’d prefer a room without glass doors for sex but - ”
You’re pretty sure you’re turning bright red.
“We’re NOT having sex right now! In fact, we’re NEVER having sex again, okay?!” You exclaim while still sort of whispering, and Jay just frowns. “Here’s the deal – ” you continue, trying to ignore how close the two of you are, “Your brother? Is my boss. So yeah, last night was a mistake.”
“Sure,” Jay says, shrugging. You’re a little surprised (and honestly, slightly disappointed he’s given in so easily), except he then leans in and you suck in a sharp breath. In a low voice, he adds, “But we should probably do it again just to make sure, yeah?”
Your heart’s hammering in your chest, and your lips part. His soft lips, slightly pink, are all you can focus on, right up until you see them curl as he bites his lip, and his tongue runs over them, and you think your brain is completely short-circuiting.
You lick your lips. “We, uh, we – .” You can barely even hear your own voice, and Jay just shakes his head. “We what?” He asks, and you’re stunned that he’s somehow got his bearings about him – you’re stunned that he’s not completely ruined the way you are right now. But then you notice you can see his pupils dilating, that he’s holding his breath, that his eyes are fixed on you like you’re some kind of an addictive substance and you know he wants you so fucking bad. Last night’s got him hooked. On you.
Your head is hazy, and without thinking about it – or thinking about anything at all – you lean in, and so does Jay, and the gap between the two of you is shrinking rapidly and your heart’s going haywire and your inner thigh is throbbing and you can hear him shift and –
“Y/N!”
You snap back, stunned. Jay straightens immediately, head tilting back towards the ceiling, eyes closed as he takes a deep breath.
Natalie’s entering the doctors’ lounge, and thankfully she’s looking down at her phone as she does. A quick scan through the glass doors of the ED tells you that no one’s noticed your little…moment with Jay, far in the back of the lounge.
“Uh, y – yes, Dr Manning?” Is that your voice? God, you’re stuttering!
Natalie looks up. “Wards just paged about the peds patient we saw yesterday – her new set of labs came back and we need to go over them with the family. I’ll be up in 5 minutes, so I’ll see you then?”
“Y – yeah, I’ll be there. Thanks Dr Manning.” Natalie smiles at you, before turning to Jay.
“What’s got you hanging in the ED?”
“Uh, some unfinished business.” Jay replies smoothly and you press your lips together. Natalie and Jay make small talk before she leaves.
You lean against the far wall of the lounge, trying to hide as best as you can. It doesn’t escape your notice that Jay is watching you like a hawk, that he takes a couple of steps towards you.
Massaging your temples, you just sigh at this enormous clusterfuck of a situation. “Fuck me,” you groan.
You look up in time to see something in Jay’s eyes go dark.
Oh.
He steps close enough that your back straightens against the wall, and your heart starts pounding in your chest again. Jay stares at you, his green eyes piercing, and gently tucks a loose strand of hair back behind your ear. The feel of his rough fingertips against your cheek, your ear, is enough to make you feel like you’re vibrating, and you cross your legs subconsciously.
“What…do you think I’m trying to do, hm?” Jay asks, whispering.
You swallow hard.
Jay’s lips curve into a salacious smile and he steps back.
“You let me know if you ever change your mind, Dr Y/L/N.” There’s still a hint of amusement tugging at the corners of his lips, but you can tell he means it. That he wants it. You.
He turns around and takes a few steps, but stops and comes back to you.
“Oh, yeah, I almost forgot. You left something at my place.” Jay’s hands reach into his back pocket and pull out…a lacy, black pair of panties. Your cheeks burn, and you snatch it out of his hands quickly, shoving it deep into your back pocket. Jay just laughs, but his face is a little red too.
You watch him as he leaves, smacking the top of the sliding glass door as he exits the doctors’ lounge.
You sag against the nearest wall.
“Okay…fuck.”
***
The rest of the day drags on in a slow, painful stretch. Or maybe it just feels that way to you, because you try so hard to keep your mind off of Jay, of what you did last night, of what he did to you this morning, but you just can’t. You’re typing up your charts and you can’t stop thinking about the way his lips felt on yours. You’re having lunch and you swear if you close your eyes, you can just feel his fingers skating over your body. You’re waiting for lab reports at radiology and you keep remembering what it felt like when you were about to kiss in the lounge.
Thankfully, the rest of your day at Med is entirely unaffected. Well, almost entirely. Will keeps shooting furtive glances at you when he thinks you’re not looking, but you’re pretty sure he thinks it’s because of the stroke patient – who you now know as Toby Wilkerson – and not Jay.
“Alright, I’m done for the day, I’ll see you guys tomorrow,” Will announces to the ED, and there’s a chorus of goodbyes. He turns to you. “Oh, Dr Y/L/N – last I heard from Neuro was that Toby Wilkerson’s looking good. tPA seems to have done the trick.” Will informs you, and you smile, thanking him.
“Yeah, strokes can be extremely time-sensitive, so you did good there, okay? Don’t let the what-ifs stress you out. Go home and relax.” Will says, patting you on the shoulder before leaving.
Taking Will’s advice, you quickly finish up your reports and drive home. Chucking your keys on your coffee table, you head straight for your shower. Once you’re clean and changed, you lay down on your couch, interlocking your fingers behind your head, and take a deep breath.
Your mind is relaxed and at peace for all of 2 seconds before you start thinking about Jay again.
“Why. Why, oh why can I not get him out of my mind?” You whine out loud, and you get a mewling response from somewhere under the couch. Turning your head, you see your ginger cat exit his spot and jump onto your stomach, settling himself in.
“Tubbs, tell me I can’t go see him again.”
Tubbs emits a questioning meow.
“His brother is my attending, Tubbs! My boss and my colleague and my friend! If I start having relations with his little brother, then he can’t just see me as his student anymore. And if he ever does anything good for me, someone’s just going to assume that it’s because I’m screwing his brother. So – I just – I can’t see Jay again, I can’t have sex with him again, I just can’t. I’ve got to call it. I’m right, right?”
There’s just silence, and you look down at Tubbs. Who is busy licking his paw.
You roll your eyes, leaning back. “You know what, it doesn’t even matter. I can totally find another hot dude to bang. And Jay’s not even that hot, honestly.”
Tubbs meows and jumps down. He walks away.
“Okay fine, I guess he’s a little hot. It’s his eyes, I swear, they’re so – so fucking green. And pretty. But when he gets turned on they just lose all the light in them, and he turns into this – this man. Like he knows exactly what he wants from me and he’s going to get it. And his arms are huge, and when he’s holding you it’s like – ugh. And his lips – he – he just – he just knows – I.” You shake your head.
“I can’t – nope – I can’t sleep with him. It’s wrong. It’s bad and it’s wrong and I shouldn’t do it and I won’t.” You announce to your apartment.
There’s a moment of silence, before –
“Fuck.” You’re up, you grab your keys, your phone, and you’re out the door.
#jay halstead imagine#jay halstead x reader#jay halstead smut#chicago pd imagine#chicago pd smut#cpd smut#cpd imagine#onechicago imagine#will halstead imagine#jay halstead#will halstead#chicago med imagine
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The common cold
A cold is an acute, usually afebrile, self-limited viral infection causing upper respiratory symptoms, such as rhinorrhea, cough, and sore throat which affects the nose, ears and throat. It's usually harmless, although it might not feel that way. There are more than 200 different types of viruses that can cause the common cold.
Children younger than 6 are at greatest risk of colds, but healthy adults can also expect to have two or three colds annually. Most people recover from a common cold in a week or 10 days. But symptoms might last longer in people who smoke. If symptoms don't improve, see your doctor for they can lead to other infections, especially in children. Young children, for example those under 3, tend to catch colds more frequently than adults because their immune systems are not yet fully developed. You can get one cold after another because there are so many different viruses circulating. Handwashing prevents it being spread. Causes: The common cold can be caused by more than 200 viruses a which we are exposed daily. About 50% of all colds are caused by one of the more than 100 serotypes of rhinoviruses. Coronaviruses (even though the covid-19 is part of this family of viruses, the covid-19 is an extreme mutation that causes severe complications very quickly) cause some outbreaks, and infections caused by influenza viruses, parainfluenza viruses, enteroviruses, adenoviruses, respiratory syncytial viruses, and metapneumoviruses may also manifest as the common cold, particularly in patients who are experiencing reinfection. Rhinoviruses are most efficiently spread by direct person-to-person contact, although spread may also occur via large-particle aerosols. These viruses can survive for prolonged periods in the environment, in some cases more than 18 hours. virus can spread through droplets in the air when someone who is sick coughs, sneezes or talks. It also spreads by hand-to-hand contact with someone who has a cold or by sharing contaminated objects, such as utensils, towels, toys or telephones. If you touch your eyes, nose or mouth after such contact or exposure, you're likely to catch a cold. The most potent deterrent to infection is the presence of specific neutralizing antibodies in the serum and secretions, induced by previous exposure to the same or a closely related virus. Susceptibility to colds is not affected by exposure to cold temperature, host health and nutrition, or upper respiratory tract abnormalities (like enlarged tonsils or adenoids). The common cold is not the same as the flu, also known as influenza. The flu is caused by a different virus (influenza A or B). Influenza is much more serious than a cold and can be life-threatening.
Symptoms: - Congestion - Cough - Generally feeling unwell (malaise) - Loss of taste and smell - Low-grade fever - Pressure in your ears and face - Runny or stuffy nose - Slight body aches or a mild headache - Sneezing - Sore throat More serious symptoms (that you should see a doctor for) are: - Fever greater than 101.3 F (38.5 C) that does not respond to paracetamol - Fever lasting five days or more or returning after a fever-free period - Wheezing - Severe sore throat, headache or sinus pain - persistent colored discharge from the nose - difficulty breathing - vomiting frequently - persistent cough. Severe symptoms on children: - Fever of 100.4 F (38 C) or lethargy in newborns up to 12 weeks - Rising fever or fever lasting more than two days in a child of any age - Symptoms that worsen or fail to improve - Severe symptoms, such as headache or cough - Wheezing - Ear pain - Extreme fussiness - Unusual drowsiness - Lack of appetite
Diagnosis: For the common cold a professional diagnosis is not really required unless complications are present. Because so many viruses cause it that its easier just to treat the symptoms and take antiviral drugs that actually attack the virus in itself. Treatment: The common cold doesn’t have vaccine nor cure. And its 100% sure you will have at least one in your life if not one or two per year. But treating the cold is not as hard as one could thing. Given that it’s a “simple” sickness its relatively simple to treat the symptoms. The first thing one may think to take are antibiotics, but the common cold is a viral infection which means antibiotics are useless and just increase the risk of creating antibiotic resistant bacteria that can worsen your health in a later date. The best ways to just keep the symptoms at bay are getting plenty of rest, drinking fluids, gargling with warm salt water, using cough drops or throat sprays and/or taking over-the-counter pain or cold medicines depending on the main symptoms. If there are complications the doctors may give antiviral drugs to diminish the viruses’ numbers on your body. The best thing one can do is try to prevent the sickness. This is done by taking a couple of precautions like washing your hands thoroughly and often with soap and water, disinfecting your stuff like kitchen and bathroom, washing children's toys periodically, sneezing and coughing into tissues, teaching children to sneeze or cough into the bend of their elbow when they don't have a tissue, not sharing drinking glasses or utensils with other family members, avoiding close contact with anyone who has a cold, looking for a child care setting with good hygiene practices and clear policies about keeping sick children at home and taking care of yourself. Eating well, getting exercise and enough sleep, and managing stress might help you keep colds at bay.
Source: x x x x x x x
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Joe Biden's 'symptoms continue to improve significantly,' says White House physician following President's Covid diagnosis
Joe Biden’s ‘symptoms continue to improve significantly,’ says White House physician following President’s Covid diagnosis
Biden’s “predominant symptom now is sore throat,” Dr. Kevin O’Connor writes, which he ascribes as likely due to “lymphoid activation as his body clears the virus,” calling the development “encouraging.” Other symptoms, including rhinorrhea (runny noise) cough, and body aches “have diminished considerably,” O’Connor said, while pulse, blood pressure, respiratory rate, and temperature all remain…
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Understanding CSF Rhinorrhea: Symptoms, Diagnosis, and Treatment in India
Introduction to CSF Rhinorrhea
Our brain and spinal cord are surrounded by a protective fluid called cerebrospinal fluid, which acts as a cushion. Sometimes, due to injury or other factors, this fluid can leak out of the skull and flow through the nose, a condition known as CSF rhinorrhea.
Causes of CSF Rhinorrhea
The most common known cause of CSF rhinorrhea is head trauma. It can also occur after certain surgeries or due to conditions like a tumor.
Recognizing CSF Rhinorrhea Symptoms
How do you know if you might have CSF rhinorrhea? One significant sign is clear, watery fluid dripping from the nose. Unlike regular nasal discharge, this fluid is usually tasteless and non-sticky, which are key CSF rhinorrhea symptoms to be aware of.
The Importance of Prompt Medical Attention
If you suspect CSF rhinorrhea, it is crucial to seek medical attention promptly. The leak exposes the brain to potential infections which can be serious and even life-threatening, making CSF leak treatment a priority.
CSF Rhinorrhea Diagnosis Process
Diagnosis often involves imaging like a CT scan or MRI to locate the source of the leak, which are essential steps in CSF rhinorrhea diagnosis.
Treatment Options for CSF Rhinorrhea
Treatment varies depending on the severity and cause. Minor cases might heal on their own, whereas larger leaks may require surgical intervention either by an open approach or an endoscopic approach. The surgeon may use tissue grafts, synthetic materials, or a combination of both to seal the breach and reinforce the protective barrier. Advances in medical technology have made these procedures, crucial aspects of CSF rhinorrhea treatment in Delhi, increasingly successful and less risky.
Conclusion: The Significance of Addressing CSF Rhinorrhea
In summary, CSF rhinorrhea is like a leak in the barrier between the brain and nose, allowing brain fluid to escape through the nose. Prompt diagnosis and treatment significantly improve outcomes for individuals with CSF rhinorrhea. Ignoring the symptoms or delaying medical attention may increase the risk of complications.
#CSF rhinorrhea treatment in Delhi#leaking cerebrospinal fluid#csf rhinorrhea treatment#csf rhinorrhea surgical treatment
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What's Cenforce 150?
Cenforce150 mg is generic medicine that contains Sildenafil citrate. It's a common treatment for erectile dysfunction. It is a generic version of Viagra. It comes as diamond-shaped oral tablets with a light blue tint.
The active component is sildenafil citrate, which is commonly used to treat erectile dysfunction (ED).Sildenafil citrate has made a significant impact on the lives of many men around the globe. FDA approved Sildenafil citrate for use in erectile dysfunction in 1998. It is used to restore erectile dysfunction. For elderly patients with pulmonary hypertension, Sildenafil is prescribed in lower doses.
It helps to restore erectile dysfunction by increasing blood flow to the penile tissues.
Composition
Sildenafil Citrate
Cenforce 50 Mg Company Name
Centurion Laboratories
Cenforce 150 mg Uses
Cenforce 150 mgs is an internet medication used to treat male erectile dysfunction. Cenforce 150 milligrams increase blood flow to the penis, which helps men with fertility problems. Sometimes doctors will prescribe medication to treat hypertension or benign prostate hypertrophy. This is because both conditions are caused by erectile dysfunction (incorrect blood circulation in the blood vessels). You can't use this tablet to protect you against sexually transmitted diseases. Please use a condom.
How do I take Cenforce 150?
Cenforce 150 is high-power and should be taken with one whole pill.
This Sildenafil may be taken 30 minutes before or one hour before the scheduled sexual intercourse. To demonstrate the effectiveness of the medicine, the patient must be sexually stimulated.
These pills can be taken with a doctor's recommendation. You must avoid eating fatty foods if you take the tablet at that time.It has a detrimental effect on your health.
How does Cenforce 150 work?
The Cenforce 150 Tablets can be eaten daily or swallowed depending on the individual's condition. This treatment removes phosphodiesterase 5- inhibitors. It helps to clear out clogged groin areas. This allows for increased blood flow to manhood via intimacy.
The phallus also releases nitric oxide, nitrates, and even during sexual stimulation.
The blood supply to the phallus is so intense that the manhood becomes stiff and rigid. The vessels that take blood from the phallus also shrink in size. This is because the penile tissues can compel excess blood and erection takes place.
Cenforce 150 transmits large amounts of blood vessels to the corpus cavernosum. The medication protects the cyclic GMP against annihilation by PDE5. You can have more successful erections if there is a high percentage of cyclic GMP in the manhood.
Cenforce 150Mg
The suggested dose of Cenforce Sildenafil 100mg. Contact your physician to determine the best dose for you. It may differ depending on the individual's medical history. If you have allergies, speak to your doctor. You should not take more than one tablet at once.
Side effects of Cenforce 150
Flushing of the skin.
Dizziness.
Headache.
Rhinorrhea.
Visual disturbances.
Redness on the neck and face
Vision color change.
Excessive sweating.
Dryness in the throat
Drug Interactions with Cenforce 150 mg
Antihypertensive agents
Antifungal medications
Alpha-blocker medication
Anti-ulcer drugs
Blood pressure medication
Nitrates
Warnings and Precautions:
If you have any contagious Sildenafil Citrate to any part of the drug, Cenforce 150m should not be taken.
You should take care when taking this medicine.
It is not recommended to take it more than once a day.
This is even more true if you take nitrate drugs for acute hypotension.
Cenforce alcohol consumption can lead to Aggravation of undesirable effects. This should be avoided.
Men under the age of 18 should not use this drug.
Consume grapefruit and grape juice only if you are taking this medication. This reduces drug bioavailability.
Storage Information
Cenforce must be kept in an enclosed container in the office. Children are not supposed to use this drug. Talk to your doctor if you need additional assistance.
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Juniper Publishers- Open Access Journal of Case Studies
For more articles in Juniper Publishers | Open Access Journal of Case Studies please click on: https://juniperpublishers.com/jojcs/index.php
A Single Dose of Metoclopramide Associated with Extrapyramidal Symptoms in a Child: A Case Report
Authored by Liu Xin Wei
Abstract
A case of postoperative extrapyramidal symptoms is reported. A healthy 10-year-old boy was admitted to our hospital due to tonsillitis and adenoid hypertrophy pending tonsillectomy and adenoidectomy. A single dose of metoclopramide was given following an episode of vomit that occurred approximately 20 hours postoperatively. One hour subsequent to the administration of metoclopramide the patient developed fever, facial flushing, diaphoresis, headache, increased muscle rigidity, autonomic instability and altered level of consciousness. The clinical manifestations were present for approximately 22 hours. The patient received naloxone and symptomatic therapy and after 24 hours was fully recovered without complication. The ability of dopamine antagonist agents, including metoclopramide to precipitate extrapyramidal symptoms and drugs induced movement disorder is discussed [1]. These extrapyramidal and autonomic symptoms will be discussed as the early recognition of dystonia and/or akathisia by anesthetic personnel following the administration of metoclopramide is of great value for the punctual treatment of these conditions.
Keywords: Extrapyramidal symptoms; Metoclopramide; Neuroleptic malignant syndrome
Introduction
The European Medicines Agency’s Committee on Medicinal Products for Human Use (CHMP) and North America have recommended restricted use of metoclopramide in pediatric patients to minimize the known risk of potentially serious neurological side effects [2]. Extrapyramidal symptoms also known as extrapyramidal side effects, are forms of abnormal movement disorders caused by a blockage of normal dopamine function in the brain or depletion in the basal ganglia [3]. The four main types of extrapyramidal symptoms are parkinsonian symptoms, tardive dyskinesia, dystonia and akathisia [4]. While the former two (parkinsonian symptoms and tardive dyskinesia) is generally observed after long term use, the latter two can develop just after a single dose of dopamine antagonist agent such as metoclopramide [5]. The incidence of extrapyramidal symptoms associated with the administration of metoclopramide has been reported to be approximately 0.2% [6,7].
Metoclopramide, a procainamide derivative, a fruitful anesthetic adjuvant, is the most commonly used selective D2 receptor antagonist used for antiemetic prophylaxis, primarily for PONV and chemotherapy associated with low emetogenic risk [8]. Its antiemetic effects are as a result of antagonizing central and peripheral dopamine receptors [9]. Metoclopramide can precipitate extrapyramidal symptoms (movements disorder or parkinsonism) [9]. The underlying mechanism that causes extrapyramidal symptoms is not yet clear but a striatal dopamine D2 receptor blockade causing a dopamine-cholinergic imbalance is believe to be the fundamental cause [3,10]. Subsequently to metoclopramide administration, symptoms can appear within 24-72 hours [9]. The incidence of these adverse effects has greater risk in people at the extreme age spectrum, 6 times higher in children than adults, and it can be up to 25% even at the recommended dose and are usually in form of involuntary limb movement, facial grimacing, torticollis, trismus, and rarely in severe form such as neuroleptic malignant syndrome [7,9,11].
Neuroleptic malignant syndrome (NMS) is an idiosyncratic disorder that seems to be precipitated by administration of neuroleptics that block dopamine in the nigrostriatal pathway, mesocortical pathway, hypothalamic nucleus or withdrawal of dopaminergic agents. It is an infrequent but potentially life-threatening neurologic emergency [12,13].
Antipsychotics commonly referred to as neuroleptics or major tranquilizers such as butyrophenones, phenothiazine, and thioxanthenes, are commonly used to treat neuropsychiatric disorders and nonneuroleptic agents such as Metoclopramide. The administration of one or both of these drugs can potentially trigger neuroleptic malignant syndrome because of their dopamine receptor-blocking properties [14,15].
The classical clinical features of NMS comprise of muscular rigidity, fluctuating mental state, hyperpyrexia, autonomic instability, diaphoresis. Characteristic laboratory findings seen in NMS include an elevated level of creatinine phosphokinase (CPK) due to rhabdomyolysis and leukocytosis but are not specific for the syndrome nor present in all cases [12,15].
These two similar syndromes initial treatment should be aimed at immediate cessation of all neuroleptic agents and nonneuroleptics agents with antidopaminergic activity. The next key step is supportive therapy aimed at decreasing hyperthermia, hydration, metabolic abnormality may need to be corrected and restoration of dopamine balance. In more severe cases of NMS, various authors have recommended treatment with various medications such as benzodiazepines, dantrolene, bromocriptine, amantadine hydrochloride and other dopaminergic agents [12]. The two most frequently used medications are bromocriptine, a dopamine agonist and dantrolene sodium, a muscle relaxant. Although NMS has a low incidence rate of approximately 0.2%, mortality rate may be as high as 30% mainly as a result of complications such as rhabdomyolysis or cardiovascular collapse making early recognition and institution of circulatory and respiratory therapy if needed life saving [6,7].
Case Report
Chief complains
Snoring and Rhinorrhea
History
A healthy 10 years old Male (weight 25kg) that started with snoring and rhinorrhea onset 6 years ago, that worsen gradually in the last 2 years, the same is accompanied by mouth breathing that increases in the presence of a cold infection. No other accompanying symptom was recorded. The patient was admitted to hospital with the diagnosis of tonsillitis and adenoid hypertrophy pending surgery. He was seen by the anesthesiology team on the day prior to surgery and was deemed fit for surgery with ASA 1. A family history of problem with anesthesia was denied. Chest x-ray and all complementary blood analysis done were normal.
Upon arrival to the anesthesia room standard monitoring device were applied. After preoxygenation anesthesia was induced with midazolam 1mg IV, propofol 80mg IV, rocuronium 40mg IV and was maintained with oxygen, inhaled sevoflurane maintained at 1-1.5 MAC, propofol 60mg/hr IV, and remifentanil 250μg/h IV in infusion, sufentanil 5μg was given twice.
Following completion of the surgical procedure, the patient was transferred to post-anesthesia care unit (PACU) with patient-controlled intravenous anesthesia PCA (Tramadol 125mg, droperidol 5mg, ondansetron 2.5mg and sufentanil 50μg mixed in 100mls normal saline) pumping rate at 1ml/hr to prevent postoperative pain, nausea and vomit.
In PACU, extubation was done when the patient responded to verbal command and showed adequate spontaneous respiration and muscle strength. Posterior to the removal of the tracheal tube Oxygen via face mask was applied and the patient was transferred to the ward after 30 minutes of normal vital signs.
Approximately 20 hours postoperatively, the patient vomited shortly after eating breakfast (egg and milk). The decision was made by the attending doctor to stop PCA and metoclopramide 5mg IM was given. One (1) hour subsequent to the administration of metoclopramide, the patient had a fever of 38.5 °c, Facial flushing, diaphoresis, headache, muscle tremor, rigidity of the extremities and unresponsive to verbal commands.
The anesthetist was asked to review patient and encountered the following on physical examination: clear bilateral breath sounds, RR:18/min, HR:122/min SpO2 98%, bp:112/68mmHg, consciousness normal but unresponsive to interrogation, blank stare(eyes), pupil symmetric and bilateral light response normal, facial flushing, diaphoretic, muscle tremor and moderate rigidity of extremities. The reflex response was conserved, and No signs of central nervous system infection were observed.
Body temperature was decreased by a water-soaked blanket and Naloxone 0.5mg IM was given. One-hour posterior to the onset of sign and symptoms no significant clinical change was observed, as only the headache was alleviated, however, 24 hours later the patient had fully recovered and without complaints.
Discussion
The patient in this present case was a healthy 10-year-old boy who after receiving a single dose of metoclopramide, an antidopaminergic agent, for PONV following a tonsillectomy and adenoidectomy surgery and who developed acute symptoms that were related to neuromuscular hyperactivity and autonomic instability.
It is within the scope of knowledge that metoclopramide can cause extrapyramidal manifestations, such as dystonicdyskinetic reactions, with an approximate report rate in the developed world of 1:500 patients [4,11].
This case presented a diagnostic challenge. Various possible diagnoses were entertained. Our patient had received total opioid of tramadol 125mg in PCA was given which first entertained the diagnosis of opioid toxicity for which naloxone 0.5mg IM was given to reverse narcotization. The failure of naloxone to improve the patient condition and the posterior progression of clinical manifestations suggest that his condition was not related to narcotization [16]. We entertained the diagnosis of extrapyramidal symptoms because of the rapid onset and offset of clinical manifestations which can appear at even standard dose treatment and children are more susceptible, presenting more frequently in form as face and extremities hypertonia, torticollis and opisthotonus. We thought the autonomous hyperactivity may be a further result of the side effects of metoclopramide. In spite of the relationship that exist between the occurrence of extrapyramidal symptoms and the administration of metoclopramide that may increase to 25% in pediatrics and elderly patients, we cannot rule out NMS because of the presentation of rigidity, autonomic instability and hyperthermia observed after administering metoclopramide, a dopamine antagonist in conjunction with droperidol 5mg that was placed in the PCA which would mildly increase the antidopaminergic potency but because of the frequent use of small dose of droperidol in PCA, the slow pumping rate of the PCA and the absence of any previous recorded case in our hospital we doubted such diagnosis.
Our patient improved after 24 hours of suspension of all medication and therefore no complimentary analysis such as Creatine Kinase (CK) was done to aid in a definite diagnosis.
Although metoclopramide can induce extrapyramidal symptoms and in worse form NMS, it should be taken into account that this drug is still widely used in clinical practice. In 2004 over 7 million prescriptions for metoclopramide were issued in USA alone [11]. Punctual recognition and discontinuation of the offensive agent is indispensable in preventing complication in these distressing disorders. It is of great importance that clinicians know to differentiate between the two syndromes since each condition is treated differently.
Observing causative agent and laboratory findings may help in making an accurate diagnosis [17].
In an effort to further prevent the acute neurological effects associated with the use of metoclopramide the European Medicine Agency’s Committee on Medicinal Products for Human Use (CHMP) recommendations about the use of metoclopramide in pediatric age are [18]:
a) Metoclopramide use prohibited in children under one year of age and children over one-year metoclopramide should be use as a second-choice medication for prevention of nausea and vomit posterior to chemotherapy and PONV
b) Intravenous bolus use of metoclopramide should be given in 3 minutes or more.
c) Metoclopramide should only be prescribed for brief use (Maximum 5 days) with maximum dose per day 0.5mg per kg.
Summarys
In summary, extrapyramidal symptoms and NMS are uncommon distressing disorder precipitated by dopamine antagonist including some commonly used by anesthetists. NMS is differentiated by more severe and prolonged period of clinical manifestations accompanied by alternations in complementary analysis. The mortality rate is significant. Currently, dantrolene, bromocriptine and amantadine in NMS and benzodiazepine in Extrapyramidal syndrome have been reported to be effective. Muscle relaxants are increasingly in use in severe patients [19- 25].
For more articles in Juniper Publishers | Open Access Journal of Case Studies please click on: https://juniperpublishers.com/jojcs/index.php
#juniper publishers journals#Juniper Publishers Pubmed Articles#Dermatology#Internal Medicine#Pharmacology#Rheumatology#Transplant Surgery
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Endoscopic skull base surgery Endoscopic skull base surgery is a minimally invasive technique of brain surgery,that enables surgeon access to inaccessible areas of the brain where certain types of tumors and abnormalities may develop. The skull is made of many bones and cartilages, the base of skull is formed by bones of the eye socket, roof of the nasal cavity, some sinuses and the bones that surround the inner ear. The skull base is a complicated area with different blood vessels, openings of the spinal cord and nerves. It allows for the removal of cancerous and non cancerous tumors and abnormalities underside the brain, and the top of the spinal column as these areas are difficult to see and reach, without the need for a large incision in the skull; instead, tumors are removed through the mouth, nose, or a small opening above the eyebrow.
Traditionally the tumors in the base of the skull were removed through the bony skull, which required large skull and facial incisions, bone flaps, and brain retraction to reach these tumors and remove them through a network of blood vessels and nerves. Endoscopic skull base surgery is one of the latest, safe, and fast techniques that use highly specialized instruments and a high definition endoscopic camera system. What is Endoscopic skull base surgery? Endoscopy is a technique of using a thin rigid tube with a lens and a light source to look into a body cavity through a tiny opening. An endoscope is like a small camera that looks at the pathology or problem. The endoscope includes a light source and is connected to a monitor. The surgery is performed while watching the screen and the actual target size is magnified over 100 times.
The aim is to get to the target pathology or problem while minimizing the trauma to the surrounding tissues. This approach is often used to treat both brain and spine disease in neurosurgery. The endoscopic skull base surgery is performed using an endoscope, which is a small, rigid tube with a camera and a small set of surgical instruments attached. This procedure is often used to remove a tissue sample for further testing (a biopsy) or to remove part or all of a brain tumor. This approach allows the surgeon to reach these areas without the necessity for large incisions or removal of parts of the skull making recovery quicker and less painful. Indications for Endoscopic skull base surgery
• Tumours of the base of the Skull
• Pituitary tumors
• Meningiomas
• Craniopharyngiomas (a kind of tumor-derived from pituitary gland tissue)
• Chordomas (rare, slow-growing malignant tumors at the bottom of the skull)
• Spinal fluid leaks/rhinorrhea etc.
Procedure of Endoscopic skull base surgery: The brain tumor or any other pathologies in the base of the skull is surgically removed through natural openings like a nostril or small incisions with minimal or no brain retraction. The procedure starts with the insertion of an endoscope through the nose and used to visualize and perform the neurosurgical operation.
This prevents the need for incision in the skull part to access the brain and also gives a far better highly illuminated magnified view of the base of the skull. The surgery is performed while viewing a monitor that displays magnified real-time video from the endoscope.
The surgery is completed with similar techniques as open surgery, but requires the utilization of special instruments and allows for less retraction and chance of injury to the brain and therefore called a minimally invasive endoscopic skull base surgery. The tumor is removed with clear margins. After the removal, the reconstruction is done using vascular pedicle grafts with or without bone graft. The tissue grafts accumulated from other parts of the body may be used for reconstruction.
To hold the tissues in place tissue glue is used. What are the risks of endoscopic skull base surgery? Any major surgery carries some risk, most people get through this surgery and heal well without problems, but complications can develop. The risks are mostly the same as for open surgery and are specific to the area of the brain or spine being operated on and the nature of the disease or pathology. However, as less retraction is required most of the risks are decreased compared to open surgery. Possible risks include:
• Reactions to the anesthesia
• Excessive bleeding
• Hematoma (a pooling of blood in the wound site)
• There can be damage to veins, arteries, nerves, and other structures in the area
• Cerebrospinal fluid leaking from the nose
• Infection
• Slow healing
• Blood clots
• Pneumonia The procedure may carry other risks, depending on one’s specific medical condition.
Advantages of Endoscopic skull base surgery
• No incision is made on the skull or any other part of the body
• Leaves no scar
• Surgery is initiated through a natural opening like the mouth or nostril
• Avoids pressure on the brain
• Both benign and malignant tumors can be treated
• Facilitates the very best rate of resection with minimal morbidity
• Minimal stay in the hospital (2-4 days after surgery) Because of the surgical precision provided by the endoscope the success rate is incredibly high.
Endoscopic skull base surgery offers a variety of benefits over open brain surgery; as with other minimally invasive procedures, it is often associated with shorter recovery times and lower complication rates. Dr Venugopal S is a leading Neurosurgeon in Bangalore with experience of more than a decade post qualification. Dr.Venugopal is having hands-on experience in various subspecialties of Neurosurgery which includes complex Brain and Spine diseases in both adult and paediatrics. For more information about endoscopic skull base surgery or any of the other advanced brain tumor treatments, or problems related to the spine contact Dr Venugopal S.
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Endoscopic skull base surgery
Endoscopic skull base surgery Endoscopic skull base surgery is a minimally invasive technique of brain surgery, that enables surgeon access to inaccessible areas of the brain where certain types of tumors and abnormalities may develop. The skull is made of many bones and cartilages, the base of skull is formed by bones of the eye socket, roof of the nasal cavity, some sinuses and the bones that surround the inner ear. The skull base is a complicated area with different blood vessels, openings of the spinal cord and nerves. It allows for the removal of cancerous and non cancerous tumors and abnormalities underside the brain, and the top of the spinal column as these areas are difficult to see and reach, without the need for a large incision in the skull; instead, tumors are removed through the mouth, nose, or a small opening above the eyebrow. Traditionally the tumors in the base of the skull were removed through the bony skull, which required large skull and facial incisions, bone flaps, and brain retraction to reach these tumors and remove them through a network of blood vessels and nerves. Endoscopic skull base surgery is one of the latest, safe, and fast techniques that use highly specialized instruments and a high definition endoscopic camera system.
What is Endoscopic skull base surgery?
Endoscopy is a technique of using a thin rigid tube with a lens and a light source to look into a body cavity through a tiny opening. An endoscope is like a small camera that looks at the pathology or problem. The endoscope includes a light source and is connected to a monitor. The surgery is performed while watching the screen and the actual target size is magnified over 100 times. The aim is to get to the target pathology or problem while minimizing the trauma to the surrounding tissues. This approach is often used to treat both brain and spine disease in neurosurgery. The endoscopic skull base surgery is performed using an endoscope, which is a small, rigid tube with a camera and a small set of surgical instruments attached. This procedure is often used to remove a tissue sample for further testing (a biopsy) or to remove part or all of a brain tumor. This approach allows the surgeon to reach these areas without the necessity for large incisions or removal of parts of the skull making recovery quicker and less painful. Indications for Endoscopic skull base surgery
• Tumors of the base of the Skull
• Pituitary tumors
• Meningiomas
• Craniopharyngiomas (a kind of tumor-derived from pituitary gland tissue)
• Chordomas (rare, slow-growing malignant tumors at the bottom of the skull)
• Spinal fluid leaks/rhinorrhea etc.
Procedure of Endoscopic skull base surgery: The brain tumor or any other pathologies in the base of the skull is surgically removed through natural openings like a nostril or small incisions with minimal or no brain retraction. The procedure starts with the insertion of an endoscope through the nose and used to visualize and perform the neurosurgical operation. This prevents the need for incision in the skull part to access the brain and also gives a far better highly illuminated magnified view of the base of the skull. The surgery is performed while viewing a monitor that displays magnified real-time video from the endoscope. The surgery is completed with similar techniques as open surgery, but requires the utilization of special instruments and allows for less retraction and chance of injury to the brain and therefore called a minimally invasive endoscopic skull base surgery.
The tumor is removed with clear margins. After the removal, the reconstruction is done using vascular pedicle grafts with or without bone graft. The tissue grafts accumulated from other parts of the body may be used for reconstruction. To hold the tissues in place tissue glue is used.
What are the risks of endoscopic skull base surgery? Any major surgery carries some risk, most people get through this surgery and heal well without problems, but complications can develop. The risks are mostly the same as for open surgery and are specific to the area of the brain or spine being operated on and the nature of the disease or pathology. However, as less retraction is required most of the risks are decreased compared to open surgery.
Possible risks include:
• Reactions to the anesthesia
• Excessive bleeding
• Hematoma (a pooling of blood in the wound site)
• There can be damage to veins, arteries, nerves, and other structures in the area
• Cerebrospinal fluid leaking from the nose
• Infection
• Slow healing
• Blood clots
• Pneumonia The procedure may carry other risks, depending on one’s specific medical condition.
Advantages of Endoscopic skull base surgery
• No incision is made on the skull or any other part of the body
• Leaves no scar
• Surgery is initiated through a natural opening like the mouth or nostril
• Avoids pressure on the brain
• Both benign and malignant tumors can be treated
• Facilitates the very best rate of resection with minimal morbidity
• Minimal stay in the hospital (2-4 days after surgery) Because of the surgical precision provided by the endoscope the success rate is incredibly high. Endoscopic skull base surgery offers a variety of benefits over open brain surgery; as with other minimally invasive procedures, it is often associated with shorter recovery times and lower complication rates. Dr Venugopal S is a leading Neurosurgeon in Bangalore with experience of more than a decade post qualification.
Dr.Venugopal is having hands-on experience in various subspecialties of Neurosurgery which includes complex Brain and Spine diseases in both adult and pediatrics.
For more information about endoscopic skull base surgery or any of the other advanced brain tumor treatments, or problems related to the spine contact Dr Venugopal S. Or Visit us: www.neurosurgerybangalore.com
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Skin Tag Removal in the Vaginal canal
Skin tags in the vagina are unpleasant to the one that has them. Acrochordons that expand in the vagina are not cancerous. In fact, acrochrodons are benign. When using a sanitary napkin or tampon, they can end up being inflamed to the factor they will become raw and hemorrhage. Since ladies are the just one who have a vagina they can just show up in a lady's vaginal canal. A woman of any kind of age can obtain a skin flap; however, it is the adult female who can get a fibroepthelial polyp. These developments are much more common in ladies who are expectant or that are experiencing a menstrual period. This happens as a result of modifications in a female's body. These fibroepthelial polyps end up being bigger throughout the month-to-month duration, but frequently return to the initial dimension later on. These tiny acrochordons take place in the labia. Treatment is commonly necessary if these skin tags are painful and swollen. Some ladies that get acrochordons may get them because of age or weight gain.
How do skin tags in the vagina show up? They normally circle the vulva as well as jut out of the vulva as items of flesh.
If a skin tag is small it is not likely to be discovered during the sex act, however for larger developments it could be a different story. If you have these skin tags let your companion understand that you have these polyps so when you have sex with them they will take it simple on you.
Skin tags enhance after a woman offers birth. It is unneeded to get rid of vaginal skin tags due to the fact that physicians are not excessively concerned. These development are just like acrochordons that expand everywhere else-- just an awkward item of skin.
Inverting papilloma is also known as the shneiderian papilloma, in memory of Victor Conrod Shneider who described its histology.
The schneiderian mucosa lines the nasal dental caries and also the paranasal sinuses and it is embryologically special in the feeling that it is originated from the ectoderm. The growths from this epithelium are really peculiar in their evolution, background and localization. They are associated to the human papiloma Infection (HPV).
The inverting papillomas are found to be growing inwardly and also for this reason the term "Upside down" papilloma. Men are affected 3 times regularly than ladies as well as the tumor appears in between the second and also the seventh decades of life.
Anatomically, papillomas can be categorized depending on the site of its event. They can either grow from the side nasal wall surface, or paranasal sinuses, or the nasal septum. Typically it provides as a single unilateral mass that can be misinterpreted with a nasal polyp.
Due to the fact that malignant growth happens in as several as 15% of cases of papilloma arising from the side nasal wall, this distinction has prognostic relevance.
Most usual symptoms
Generally, the person shows up independent nasal obstruction with or without sinus rhinorrhea, infection as well as epistaxis (nose bleeds). Occasionally they experience headaches, facial discomfort, anosmia (loss of the feeling of odor), and often even nasal defect or proptosis (eye bulging) if the lamina papyracea is breached.
Here is an interesting fact; 1 out of every 50 individuals with nasal polyps offers an inverting papilloma.
Usually, signs give you the most essential hint concerning the disease and most (however not all) inverting papillomas can be found throughout a physical exam of the nasal cavity generally with a tool called an nasofibroscope. Later on a CT scan of the nose and also the paransal sinuses will supply vital elements such as the extent of how the growth has spread out, localization as well as the degree of bone destruction. In some cases Magnetic Vibration Imaging (MRI) might be needed. Nevertheless a biopsy is essential to make a clear-cut medical diagnosis.
Which is the very best therapy?
Surgical procedure is the main treatment for upside down papillomas, particularly the endoscopic endonasal method (EEA) given that this technique allows the surgeon to access the growth, Reviews BG and see, without making cuts on the face, offering the benefit to the people of no lacerations to heal (definition, no marks) as well as a shorter recovery time.
Despite a successful surgical treatment there is a reappearance rate of 40% to 80%, and also several treatments might be required to regulate the disease.
Skin tags in the vaginal area are embarrassing to the one that has them. Exactly how do skin tags in the vagina appear? If a skin tag is tiny it is unlikely to be seen during the sex act, yet for bigger growths it could be a different story. If you have these skin tags let your companion know that you have these polyps so when you have sex with them they will take it very easy on you. Skin tags enhance after a female gives birth.
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Is it allergy, flu or coronavirus? Symptoms of Caronavirus
Because the symptoms of coronaviruses are similar to those of the flu, it is logical to ask what are the differences with other viral diseases and seasonal allergies. We explain in this article what characterizes each painting and when to alert.
The spread of the coronavirus in the world, under the virotic form of COVID-19, has the planet on edge. Both the States of the countries and the general population consider how to differentiate the symptoms, regarding the flu, to know when to mobilize efforts and when not.
The increase in the number of cases, which already exceeds 120,000 infected, jeopardizes the response capabilities of health systems. Since the coronavirus spreads rapidly, even if it does not have a high lethality, it leads to frequent consultations and the occupation of hospital beds in a short time.
The idea of the action protocols is to differentiate between suspected cases, cases that must be isolated, patients who require hospitalization and those who could continue home isolation. We must remember that, although it does not seem by the news, other diseases continue to exist, such as the flu or allergies.
We are going to see in more detail what the signs are in each table in order to have an overview to guide us, and thus be able to differentiate between allergies, influenza or coronavirus.
Coronavirus symptoms
COVID-19 infection, in the current global outbreak declared a pandemic by the World Health Organization (WHO), is characterized by 3 main symptoms:
Fever
Dry cough
Exhaustion
In some cases, diarrhea, abdominal pain, odynophagia – sore throat – and rhinorrhea – runny nose have been added. As we can see, the symptoms are quite nonspecific and can be confused with other pathologies. It is also true that not all COVID-19 positive patients have all the signs.
Flu symptoms
Flu is a disease caused by the influenza virus and its strains. The cases of influenza syndromes that recur every year respond to seasonal flu associated with winter weather. On the other hand, from time to time specific epidemics appear due to the mutation of the influenza virus, such as influenza A.
The symptoms of seasonal flu are:
Fever
Cough
Sore throat
Shortness of breath
Tiredness or exhaustion is very characteristic of the influenza virus. Our flu-like body has serious difficulties to move, to carry out daily activities and to get out of bed. The flu forces rest, even when we want to continue with our normal daily lives.
Allergy symptoms
The respiratory allergy that many suffer in autumn and spring times is much milder in its symptoms than the flu and the coronavirus, in addition to tending to be located in the upper respiratory system. The allergy, in addition to the nose, attacks the eyes.
The signs of being affected by an allergy are usually:
Rhinorrhea: runny nose
Sneezing
Eye tearing
Erythema on the tip of the nose: it is the reddish coloration that takes the skin in that area due to irritation
It should be noted that in allergy the symptoms are mild and persistent. Although a dry cough may appear in the form of paroxysmal accesses, it does not have the intensity of the flu, for example. And tiredness or exhaustion in no way resemble that of viral infections.
How to differentiate allergy from influenza and coronavirus?
First, the flu and the coronavirus have similar symptoms, and the intensity of the signs is similar as well. This makes it difficult to differentiate between one virus and the other. The point of dissent is what is known as an epidemiological link.
The epidemiological link is the contact that a person may have had with someone infected. Thus, to suspect coronavirus, the meeting point of the person with fever must be traced, for example, with COVID-19. It may be because he traveled to a geographical area with circulation of the virus or because he shared time with a positive case.
As for allergy, it is easier to tell the difference. Symptoms tend to be mild and localized to the face, with no systemic involvement. In addition, they respond to specific stimuli, such as the season –spring and autumn- and the presence in the environment of substances.
When in doubt, the doctor always has the last word. It is important to consult to clear concerns, especially if there is a fever involved. Some tests available at health centers can identify the coronavirus relatively quickly.
And the fact that it’s not coronavirus, and it is seasonal flu, doesn’t take away its severity, either. In immunocompromised or chronically ill patients, influenza influenza is as or more dangerous than coronavirus and should be treated with rigor.
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Best Infrared Light Therapy Lamp Reviews While conventional medicines work just fine, many of them come with long-term side effects. With changing technology and innovation, people are finding other non-invasive ways to relieve their pains and find relaxation for their tired muscles and joints. The application of INFRARED LIGHT THERAPY has become one of the many driving forces in different sectors of medicine, beauty and health in recent years. In the past infrared therapy was mostly a reserve of beauty parlors and skin clinics. Today, infrared therapy for pain has many other benefits that include pain relief and a whole range of other ailments. Read More: [su_note note_color="#f4efe5"] Best Red Light Therapy Device Reviews Best Vein Finder Device Review Best Blue Light Therapy Device Review [/su_note] Some Best Selling Infrared Light Therapy On Amazon: [amazon bestseller="Infrared Light Therapy"] What is infrared light therapy? 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TENS was popular back then for treating chronic pain. Infrared light therapy was an upgrade to TENS and it came with many more benefits. The upgrade saw the world enjoying the versatility of infrared light therapy such as infrared light for arthritis, infrared light for weight loss and literally infrared light therapy for all kinds of pain. How infrared light therapy works Many people that learn about infrared light therapy are not sure about its effects and always ask the question, “does infrared therapy work?” To answer this question, it is only ideal to understand how infrared light works first. Infrared light works by penetrating deep into the skin to reach the nerves and muscles. The penetration of the light is anything between 2 and 7 centimeters into the depths of the skin with wavelengths of between 700 and 1000 nanometers. Unlike the sunrays, infrared light does not contain ultraviolet rays, which allows users to enjoy all the benefits that come with the suns power without damaging their skin. This makes it the safest method to harness the same kind of light as that of the sun to everyone including infants especially the preterm in neonatal intensive care units. Once the photoreceptors in the body cells absorb infrared light, the light then starts its objective by triggering certain body’s natural processes. With the help of nitric oxide, a potent cell molecule naturally found in the body, infrared light helps to stimulate the repair and regeneration of injured body tissue and to reduce inflammations and pain. Infrared light therapy benefits Pain relief Infrared light therapy is scientifically proven to aid in pain relief. The drug free and safe method helps to relieve joint pains, muscle pains, injuries caused during sports, spine injuries, and nerve pain among many others. The good thing is that you can easily use infrared light therapy at home without the need of a professional any time you want to relieve pain. Detoxification Toxins in the body are a cause of many illnesses and fatigue. You can use infrared light therapy to detoxify your whole body. Some of the best detoxifiers are infrared sauna light therapy that is capable of detoxifying anything from environmental toxins and heavy metals in the body system. The lights directly heat the body at the same time inducing a temperature rise. The results of using infrared sauna light therapy is cellular level heavy sweating. The sweating helps to rid the body of toxins such as mercury, lead and cadmium among others. Infrared light therapy also helps to increase the body’s blood circulation, metabolism and oxygenation, which all helps in detoxification. Detoxing the body is especially good for people suffering from fatigue, ADHD, autoimmune diseases, fibromyalgia, Lyme disease and colitis among many others. Using infrared sauna light therapy has an advantage over the traditional sauna heat because infrared light produces Lowe temperatures, which are tolerable. Weight loss Infrared light therapy for weight loss is also another popular benefit for users looking for ways to cut down on extra calories. Some people may wonder how this works to help burn fat and this is how it works. While relaxing when using infrared sauna light therapy, the body produces sweat which results in burning off extra calories. Using infrared light for weight loss equals to doing simple exercises such as jogging. A single session can make you burn anything between 200 to 600 calories. Recovering from injuries Many athletes today use infrared light therapy to recover from injuries they get while doing their favorite sporting activities. 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One of the hardest things to do for those looking for the best devices to use at home is choosing the right one. This is because there are different models in the market that range from small, large, carbon fiber, LED and hand-held devices. To save you hours of looking for the right model, we reviewed some of the devices in the market and came up with this list. Beurer Infrared Heat Lamp [amazon box="B00IVPMZKE" grid="1"] One of the best infrared light therapy devices in the market today is Beurer IL50 infrared heat lamp, made by one of the most reputable company’s in the world. The heat lamp is also the most suitable for people with larger body sizes as it covers an area of 11.8 by 15.7 inches. To deliver heat to the places you want to target, the infrared heat lamp uses carbon fiber. This makes the lamp hot and it is therefore necessary to keep it a distance away from the target places on the body you are targeting. The most reasonable distance to keep between the body and lamp is 12 to 24 inches. The wavelength range of the lamp ranges from 500nm to 2500nm. The middle wavelength ranges from 1400nm to 3000nm while the shortwave range is 800nm to 1400nm. The lamp comes with easy to control buttons and an auto shut-off timer. You can also adjust the lamp from between 0 to 50 degrees depending on your preference. Pros Reputable company Sturdy Beautiful design Affordable Comes with an auto shut-off timer Easy to control even for first time users Easily adjustable angle Cons It can get extremely hot Positioning of the lamp may be hard towards some areas of the body [su_button url="https://amzn.to/2LIufL6" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] DPL Flex Pad Light Therapy Pain Relief Pad [amazon box="B012JHQH8K" grid="1"] Another great infrared light therapy device for pain relief is the DPL red and infrared LED light therapy pad. The pad contains 40 infrared lamps of 880nm and 20 red LEDs of 660nm. They are ideal for covering larger areas of treatment with their treatment times ranging at 14 minutes for each area the pad covers. The pad is suitable for back pains, elbow and knee pains among others. The pads are flexible enough to wrap around different parts of the body where there is pain. They are hands free and easy to use and they come with two Velcro straps for comfortable wear. The pad also comes with an auto 40-minute shut off which means that once you switch it on, it automatically shuts itself off after 40 minutes. Pros Helps to relieve pain Can be used for different parts of the body Portable, lightweight, and you can carry it with you anywhere Easy to use hands free operation Strong Velcro straps Comes with an automatic shut off after 40 minutes Cons Comes with a cord that limits the pads movement [su_button url="https://amzn.to/2QxH0wy" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] DPLII Professional Light Therapy Panel [amazon box="B010QH3W9M" grid="1"] If you are trying to reverse your aging symptoms, the above light therapy panel is the best to use as the infrared light therapy for face and other parts of the body that are prone to wrinkle formation. The DPLII is a wrinkle reduction FDA certified anti-aging device that delivers quality and consistent results. The infrared light therapy device is easy to use from the comfort of your home and it is ideal for the treatment of large areas. In fact, the panel is large enough to get rid of wrinkles on your face, neck, hands and chest all in one session. The technology that DPL uses is safe as it is scientifically researched. The panel uses 198 LED lights and a far- infrared light array that helps to reduce the wrinkles, fine lines, Crow’s feet, puffy eyes, dark circles and promote skin healing. The panel comes with an instructions manual and a one-year warranty. Pros Easy to use Comes with an instructions manual Covers a large treatment area One-year manufacturer’s warranty Great for anti-aging Promotes skin healing Clinically tested FDA certified Auto shut off operation Timer Hands free operation Cons May get hot therefore not ideal to place on the skin Bulky and therefore not ideal for travel [su_button url="https://amzn.to/2NrcguE" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] Quantum Rejuvenation Red Light Therapy Device [amazon box="B0795XT47V" grid="1"] The secret to feeling great and reclaiming your life back is by ensuring that you are free from pain. Using all-natural red and infrared light therapy treatment is one way to ensure that you find the right relief from any kind of pain. Quantum rejuvenation is one of the best red light therapy devices in the market. The device uses advanced optics that aids it to deliver the vital energy needed for healing. The device, which comes with 60-day money back guarantee, is FDA registered, sturdy, deep penetrating and easy to use from the comfort of your home. It is drug free, non-addictive and has no side effects. The construction of the device is ergonomic making it comfortable to use. It is also durable as it comes in a stainless steel construction. Quantum rejuvenation RLT device is especially popular with athletes for fast relief of their sporting injuries. Pros Easy to use Ergonomic design Stainless steel construction making it durable Sturdy Helps to relieve pain fast Auto one minute shut off FDA registered Affordable Cons Some people feel that the one-minute timer is too short [su_button url="https://amzn.to/30e033c" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] Bright Therapy RelieveIR [amazon box="B01I4IH43U" grid="1"] Bright therapy RelieveIR is a light therapy wand designed to deliver three therapies in a single tool. The treatment wand uses 890nm infrared LED light for treating skin problems. The light penetrates deep into the skin to the pores to improve blood circulation, improve the anti-aging features by getting rid of wrinkles, by reducing pain and improving elasticin and skin collagen. The wand also takes care of acne, pimples, black spots and other skin imperfections. It helps to rejuvenate and repair the skin leaving it healthy and young looking. The FDA licensed infrared light therapy for skin wand comes with an inbuilt 10-minute timer. The easy to use LED light therapy wand is also affordable and an easy to use home device. It is lightweight making it portable and an ideal travelling partner. Pros Easy to use FDA licensed Versatile as it has three uses Relieves pain Improves blood circulation Stops the aging symptoms Affordable Cons Not durable [su_button url="https://amzn.to/30Gnk9x" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] CHISOFT Infrared Heating Lamp [amazon box="B074WF1D46" grid="1"] CHISOFT is a Vita Active far-infrared heat device that provides red light to penetrate deep into the skin providing muscle pain relief. Besides alleviating muscle pains, the infrared light therapy for arthritis device also helps to heal rheumatoid arthritis and osterthritis. It is also great for stress and depression. The heat from the device is at minimal levels, which means you can use it safely without any possible side effects. The rays from the device help to increase the body’s temperature by using adjustable and easy to use temperature controls. Pros Penetrates deep into the skin to release infrared waves that help to relieve pain and tension Helps to replenish damaged cells and muscle fibers Easy to use Raises the body temperature Improves blood circulation High quality Safe to use 60-minute timer Heats up fast Cons Does not come with a heat regulator [su_button url="https://amzn.to/30juftV" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] DGXINJUN Near Infrared Red Light LED Therapy Wrap [amazon box="B07F8JXLTC" grid="1"] With a combination of 117 infrared and LED lights, the above wrap covers a wide area of the body to provide physical treatment. The wrap, which is medially graded, ensures better blood circulation, improved muscle relaxation, effective pain relief and acceleration of healing. The wrap also uses the LED lights to relieve muscle spasms and reduce body stiffness associated with health problems such as arthritis. It comes with an on off switch that activates the device and an auto-off 20 minute timer. You can use the device several times in a day depending on how much treatment your body requires. People with heart ailments or pacemakers cannot use the wrap. The wrap is easy to use and comes with a one-year warranty. With every purchase, you also get a guarantee of a lifetime free replacement of the connectors, controller and charger. It is lightweight which makes it portable. For more comfort and better fit, the wrap has two adjustable Velcro straps. It is safe, natural, drug free and doctor recommended. Pros Covers a large area of the body Great for pain relief, muscle relaxation and injury recovery Helps with blood circulation Safe and effective for sport injuries and stiffness caused by arthritis Drug free One-year warranty Lifetime free replacement of some parts Helps with relaxation Comes with straps that help to keep it in place Easy to use Auto-off timer Portable Cons Limits movement because of the cord [su_button url="https://amzn.to/30hFItG" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] RubyLux NIR-A Near Infrared Bulb [amazon box="B00N4JE9U6" grid="1"] If you are looking for the best infrared light therapy for relaxation, RubyLux NIR-A infrared bulb will give you all that you need. The incandescent infrared bulb has wavelengths of 850nm and it can easily fit in any standard us lamp. This makes it the ideal infrared light lamp to use at home. The warmth from the bulb is soft and comforting. The cruelty free bulb has a lifespan of 5,000 hours and it comes with a 60-day money guarantee. The infrared light bulb contains no UV, no Teflon and no toxic materials. Some of its benefits are increasing the skins elasticity and collagen, relieving pain, speeding up the healing process and as an anti-aging device. Pros Long lifespan Relieves pain Helps to relax muscles and whole body Comes with a 60-day guarantee Easy to use Can for in a standard bulb Does not have UV, Teflon or toxic substances Cons Can get extremely hot [su_button url="https://amzn.to/30e0bjc" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] RadLites Infrared LED Therapy Pad [amazon box="B000GUAGTO" grid="1"] RadLites infrared LED therapy pad provides holistic healing and pain relief using the power of light. The pad, which is one of the best infrared light therapy for neuropathy, has a high power of 880nm and it comes with a 15-minute timer. the infrared light from the pad penetrates deep into the skin to increase blood circulation, provide relief for neuropathy pain, arthritis, bursitis, back pain golfers and tennis elbow, joint pains, knee problems, carpal tunnel syndrome, muscle pains, ligament pains, scaring, osteoarthritis and many others. The pad also comes with a detachable plug and an on off switch. For first time users, it comes with instructions too. Built in the USA, the device also comes with a one-year warranty, Pros Easy to use Has multiple benefits for pain relief and muscle relaxation Helps to improve blood circulation Auto off timer Stretchable straps for comfortable fit Cons More expensive than other infrared light pads in the market [su_button url="https://amzn.to/2LFh0e2" target="blank" rel="nofollow" background="#fd710d" size="6" icon="icon: hand-o-right" icon_color="#ffffff"]Buy from Amazon.com[/su_button] Wrapping it up Infrared light therapy is one proof that using light for health purposes works every time. Infrared light therapy is scientifically proven to have many benefits that range from relaxation, pain relief, healing, massage, skin care, anti-aging, great hair and much more. All the above listed devices are safe to use at home and they all provide you with all the healing benefits you are searching for. For more high quality infrared light therapy devices, browse through our site and check out what we have. 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