Kenneth Kee

Medical doctor since 1972.

Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.

Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.

Dr Kenneth Kee is still working as a family doctor at the age of 74

However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.

He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.

His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com

This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.

From which many free articles from the blog was taken and put together into 1000 eBooks.

He apologized for typos and spelling mistakes in his earlier books.

He will endeavor to improve the writing in futures.

Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.

He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.

The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.

He does not do any night duty since 2000 ever since Dr Tan had his second stroke.

His clinic is now relocated to the Buona Vista Community Centre.

The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.

He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.

The entire PC is upgraded by himself from XT to the present Pentium duo core.

The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.

He is also into DIY changing his own toilet cistern and other electric appliance.

His hunger for knowledge has not abated and he is a lifelong learner.

The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.

This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.

Dr Kee is the author of:

"A Family Doctor's Tale"

"Life Lessons Learned From The Study And Practice Of Medicine"

"Case Notes From A Family Doctor"

Read more of this interview.

Website: http://kenkee481.wordpress.com
Twitter: @kenkee48
Facebook: Facebook profile
LinkedIn: http://sg.linkedin.com/pub/kenneth-kee/16/893/b3a
Blog: http://kenkee481.wordpress.com

http://www.amazon.com/dp/B007Z93FB0

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2 main types of temporal lobe epilepsy with one beginning in the medial inner region of the temporal lobe and the other begins in the neocortical side region of the temporal lobe    33 per cent of people with migraine have an aura a form of visual hallucination    a chest xray or ct scan of the lungs can diagnose lung infections    a complete sci causes total loss of all motor and sensory function beneath the level of injury with both sides of the body equally involved    a cryptic pregnancy is a pregnancy that conventional medical testing methods may not be able to detect    a direct blow to the shoulder may cause ac joint injury often sustained while falling onto the shoulder    a double disruption of the sssc ring causes an unstable construction and is the most accurate way to describe the floating shoulder    a fever and sore throat are normally the first symptoms of handmouthfoot disease    a floating shoulder is a fracture in the clavicle bone collarbone and the upper part of the scapula bone shoulder blade    a low fat high carbohydrate diet is recommended    a lung infection can be produced by a virus bacteria and occasionally even a fungus    a mutation in the gene acvr1 also called activinlike kinase 2 alk2 is responsible for fibrodysplasia ossificans progressiva    a number of enzymes are required to break down fats in the body a process called fatty acid oxidation    a polysomnography can be advised if the child persists to have a lot of night terror episodes    a sample of mucus or nasal discharge can reveal the cause of the lung infection    a slow heartbeat and weak pulse are more severe symptoms of hyperkalemia    a spinal cord injury is often the effect of an unexpected accident or vicious event such as a stabbing or a gunshot    a spinal cord injury is trauma to the spinal cord causing tetraplegia and paraplegia    a spontaneous persistent and uncontrollable genital arousal in women and men with or without orgasm or genital engorgement and not linked to any feelings of sexual interest    a thunderclap headache is a very painful headache that happens suddenly like a clap of thunder    a type of a nonbizarre delusion is the belief that a person is under police supervision despite a lack of evidence    about 95 of thoracic outlet syndrome cases affect the brachial nerves    ac injuries are often seen after sporting events car accidents falls from a bicycle and other sportsrelated activities eg skiing    acidosis moves sodium out of cells while alkalosis shifts sodium into cells    activation of the trigeminovascular system causes perivascular afferent nerves to cause vasodilation    acute injuries were treated surgically with orif open reduction internal fixation and chronic injuries were treated with cc ligament reconstruction    alzheimers disease and other forms of dementia particularly lewy body dementia produce changes in the brain that can activate hallucinations    an ac lidocaine and steroid injection test can confirm the diagnosis of ac joint pain    an accident or overuse can cause a tear in the labrum of the shoulder joint causing pain    an mri can help determine whether the symptoms are produced by injury to soft tissues such as a bulging or herniated disk    another frequent cause of shoulder pain is the impingement syndrome where the rotator cuff gets wedged between the acromium and humeral head    another name for it is myalgic encephalomyelitischronic fatigue syndrome or systemic exertion intolerance disease    anterior dislocations are much more frequent by a 91 ratio normally happening from an indirect action such as a direct blow to the anterior shoulder    any disorder that reduces kidney function can cause hyperkalemia since the kidneys get rid the excess potassium from the body by excreting it in the urine    any form of neck trauma can be lifethreatening to the person injured    any injury high in the spinal cord or that involves multiple areas in the brain can cause paralysis in all four limbs    any part of the body that contains air can be responsive to these differences in pressures such as ear sinuses lungs    arterial tos most prominently shows the change in color and cold sensitivity in the hands and fingers swelling heaviness paresthesias and poor blood circulation in the arms hands and fingers    arthritis of the spine in the neck cervical spondylosis can impinge a trapped nerve produced by a bulge in one of the discs between the vertebrae    autonomic phenomena such as changes in heart rate and sweating    barotrauma can cause pain or discomfort that is felt when a difference in air or water pressure between the outside environment and the inside of the body happens    barotrauma in the lungs also can happen mostly in divers who hold their breath    barotrauma indicates injuries produced by raised air or water pressure such as during airplane flights or scuba diving    besides being very rare rgs is also often not reported by patients who may consider it shameful or embarrassing    besides sexual excitation other symptoms of rgs are genital discomfort and pain    bicarbonate or lactate infusion may help correct the acid base disorders produced by the underlying cause    blood vessels are the main culprits of headaches    both the sensory and motor nerves are involved which indicates that one loses both sensation and motor control of that body part    breathing 100percent pure oxygen when the headache begins can help relieve symptoms    bronchoalveolar lavage and ct scan can help to diagnose this disease    cancer in the lung or in the lymph nodes can metastasize and compress the phrenic nerve    carbohydrates provide the body many types of sugar that can be utilized as energy    cat scan or mri of the brain and lumbar puncture are the best tests for investigating headaches    cationexchange resins are drugs that attach to electrolyte and cause its elimination via the gastrointestinal tract while diuretics raise electrolyte excretion in the urine    causes of neck pain and problems may be injury to the soft tissues especially the tendons muscles and ligaments    causes of temporal lobe seizures are trauma tumor vascular infection genetics abnormal electrical brain activity    certain disorders such as rheumatoid arthritis meningitis or cancer can produce neck pain    certain kinds of trauma such as burns or crush injuries can cause leaks of potassium from the body cells into the bloodstream    cervical accelerationdeceleration cad depicts the mechanism of the neck injury while the term whiplash associated disorders wad depicts the injury sequel and symptoms    cervical ribs and the fibromuscular bands attached to them are the cause of most neural compression    cervical spondylosis indicates the natural degenerative process of the cervical motion segment    cervical spondylosis is a degenerative disease of the joints of the cervical spine neck producing pain in the neck and nerve root irritation    cervical spondylosis is also termed cervical osteoarthritis or neck arthritis    cervical spondylosis is caused by aging    cfs is a new situation of fatigue that has persisted for at least 6 months and that can be so serious that it disrupts the normal daily activities at home and at work    charles bonnet syndrome causes people with vision problems like macular degeneration glaucoma or cataracts to see things or visual hallucinations    children under age 10 are most often affected    chronic cluster headaches occur regularly for longer than one year followed by a headachefree period that lasts for less than one month    chronic fatigue syndrome cfs is a severe longterm sickness that involves many body systems    chronic tension headaches happen more than 15 days a month    cigarette smoking is thought to have a causative part in this disease    cluster headaches are severely painful headaches that happen in clusters    cluster headaches are the most frequent of the primary headache type called trigeminal autonomic cephalgia    cluster headaches which affect more men than women are repeat occurring severe headaches that happen in groups or cycles    compressiontype injuries were due to a fall onto an outstretched arm with the arm in differing degrees of shoulder abduction    computed tomography ct scan or magnetic resonance imaging mri scan with contrast dye help determine tears    congenital kyphosis is present at birth and happens when the spinal column fails to develop normally    conservative treatment are rest warmth analgesic tablets particularly muscle relaxant pain relieving sprays soft neck support rarely neurectomy    cryptic pregnancy differs from to denial of pregnancy a psychological disorder where the woman is subconsciously aware of her pregnancy but denies its presence    cryptic pregnancy is a pregnancy where a pregnant woman is unaware of her pregnancy until labor    ct scans mris and xrays are normally done to diagnose this disorder    ct scans will often be sufficient for the doctor to find the cause of thunderclap headache    decreased ability to do normal activities for six months or more due to fatigue    deltoid fibrosis is a disorder featured by the formation of intramuscular fibrous bands within the deltoid muscle    deltoid fibrosis is most often linked with postinjection changes and trauma    delusion disorder indicates a disorder in which a person exhibits one or more delusions for one month or longer    delusion disorder is a psychotic disorder where a person has trouble identifying reality    delusions are indicated bizarre if they are clearly not plausible and people within the same culture cannot comprehend them    dental conditions such as gum disease cavities tooth gaps injured or fractured teeth or dental abscessescan also cause jaw pain    diagnosis is based on blood potassium tests and electrocardiogram for features of hypokalemia    diagnosis tests are electrocardiogram electromyography and muscle biopsy which may reveal abnormalities    diaphragm paralysis does not produce the breathing to stop completely as there are other muscles near the diaphragm which help in breathing    diaphragm paralysis may be unilateral or bilateral meaning that either one side of the diaphragm becomes paralyzed or both sides of the diaphragm become paralyzed    diaphragmatic rebreathing training educates patients to relax their diaphragm during and after meals    diethylcarbamazine is the medicine of choice for tropical pulmonary eosinophilia    diffusion tensor imaging dti magnetization transfer imaging mt myelinwater fraction mwf mr spectroscopy mrs and functional mri fmri are new methods of imaging in spinal cord injury    disorders like amyotrophic lateral sclerosis als multiple sclerosis ms muscular dystrophy are some of the neuromuscular disorders which can produce diaphragm paralysis    disorders with thinking and memory can be treated mind body healing such as meditation    distal clavicle osteolysis is produced by repetitive stress and microfracture in distal clavicle which also induces osteopenia    distal clavicle osteolysis is the shoulder joint pain at the end of the clavicle due to bone disintegration and injury    doctors also believe that restless leg syndrome and restless genital syndrome might be linked    doctors believe that risk factors may be viruses a weakened immune system stress hormonal imbalances and genes    doctors believe that there is some abnormality in the nerves that carries the sensations towards the penis in men and the clitoris in women    doctors confirm a diagnosis of roseola by its telltale rash or in some cases by a blood test to examine for antibodies to roseola even though this is rarely necessary    doctors indicate the syndrome of priapism in men to be the same disorder as restless genital syndrome    doctors use the results from 2 tests to diagnose narcolepsy the polysomnogram and the multiple sleep latency test    drinking a liquid that has a higher temperature than the substance that produced the ice cream headache can cause relief    due to its location and rangeofmotion the neck is often left unprotected and at risk for injury    due to the inherited mutation of fod affected persons cannot burn fats successfully for energy production    during laboratory tests subjects are found to have very high voltages of electroencephalography eeg delta activity a rise in muscle tone and a doubled or faster heart rate    during night terror episodes people are normally observed as sitting upright with their eyes wide open and a look of fear and panic on their faces    during the examination the doctor will ask the child to bend forward with both feet together knees straight and arms hanging free    during the examination the doctor will check the finger for stiffness and signs of locking    during this pregnancy there is little or no detectable human chorionic gonadotropin hcg in the mothers    ear barotrauma can happen when these eustachian tubes are totally or partly blocked    electrolyte imbalance diseases are medical disorders which are involved by the alterations in the balance of sodium and potassium in the blood    electrolytes are chemicals that are necessary for the cells in the body to function    electrolytes are important for basic life function such as maintaining electrical neutrality in the cells generation and conduction of action potentials in the nerves and muscles    electrolytes generate energy maintain the stability of their walls contract muscles    enterovirus 71 eva71 has been associated with cases and outbreaks in east and southeast    episodes of hypoglycemia can happen with or without other symptoms    episodes of sleep paralysis are likely to become less frequent as the patient get older and they normally go away    episodes of sleep paralysis can occasionally involve hallucinations which may be frightening    episodic cluster headaches occur regularly between one week and one year followed by a headachefree period of one month or more    episodic tension headaches happen less than 15 days per month    even children get headaches some of them even before the age of 10    excess potassium in the blood stream can happen due to diseases of the kidneys or adrenal glands and from certain medicines    extracellular potassium level represents only 2 per cent of the total body potassium    extraskeletal bone production results in progressive loss of movement as the joints become involved    fatty acid oxidation disorders fods are a cluster of genetic metabolic disorders that are featured by the abnormal breakdown of fatty acids    fibrodysplasia ossificans progressiva becomes obvious in early childhood starting with soft tissue swellings of the neck and shoulders the back and proceeding down the body and into the limbs    fibrodysplasia ossificans progressiva is inherited in an autosomal dominant pattern    fibrodysplasia ossificans progressiva stone man syndrome is a genetic disorder in which muscle and connective tissue such as tendons and ligaments are slowly replaced by bone    fibrous band may cause dimpling of the skin    first a blood test may be done to detect gad antibodies in stiff person syndrome    firstline treatments are analgesics nonsteroidal antiinflammatories ice and heat    flaccid arms and spastic legs are the most normal signs of tetraplegia    for all labral tears the diagnosis will be made with arthroscopic surgery    for more severe lung infections the patient may have to stay at a hospital to recover with oxygen antibiotics intravenous fluids and respiratory therapy    frequent complications are heart palpitations weak or cramping muscles most often in the arms legs shoulders and hips and paralysis    frequent stomach ailments like indigestion diarrhea and severe heartburn may be linked to the spine deformity    frequent symptoms of whiplash are neck pain and stiffness which becomes often worse on the day after the injury and may get worse for several days afterwards    frozen shoulder and rotator cuff muscle injury can cause pain on movement    hallucinations are intangible things that are only sensed by the person seeing or hearing or feeling them    hallucinations are sensory occurrences that seem real but are produced by the mind    hallucinations can sense things such as visions sounds or smells that seem real but are not    hallucinations may involve the vision sense of smell taste hearing or bodily sensations    hand mouth foot disease roseola infantum fifth disease and scarlet fever comeback as an epidemic in hong kong are still attacking children    handmouthfoot disease hmfd is most often caused by a virus called coxsackievirus a16    having a disturbed sleep schedule such as working night shifts or being jet lagged has also been linked to sleep paralysis    headache is the most frequent cause of pain which prompts patients to consult their doctor    heavy alcohol or drug use can cause the muscles to break down releasing a high amount of potassium from the muscle cells into the bloodstream    herniated disk in the neck may press against the spinal cord or nerve    high potassium can also be linked to certain health disorders such as dehydration type 1 diabetes or internal bleeding    higher quantities of eosinophils in the lungs have been linked with drugs different infections parasites autoimmune processes malignancies    hyperkalemia is termed high extracellular potassium in the blood    hyperkyphosis is a spinal disorder in which an excessive outward curve of the spine leads to an abnormal rounding of the upper and middle of the back    hypokalemia can cause arrhythmia or abnormal heart rhythms and severe muscle weakness    hypokalemia happens with gastrointestinal or urinary loss particularly after the use of potassium wasting diuretics or in diabetes mellitus    hypokalemia indicates low potassium in the blood that can give rise to symptoms of muscle weakness fatigue muscle cramps    hypokalemia is due to medications especially diuretics prolonged illness that causes vomiting or diarrhea or medical disorder such as diabetes    hypokalemia or low potassium happens when the body loses too much potassium from vomiting diarrhea sweating and medicines like diuretics or laxatives    hypokalemic periodic paralysis hypopp is a medical disorder that produces occasional episodes of muscle weakness due to low blood potassium    hypokalemic periodic paralysis is a rare genetic disorder in which a person has episodes of painless muscle weakness and often paralysis    hyponatremia is the term for low sodium in the blood below 135 meql    hyponatremia often happens with loss of salt through severe vomiting and diarrhea urinary loss from diuretics sweating    hyponatremia or low sodium is caused by water intoxication    ice cream headache or sphenopalatine ganglioneuralgia nerve pain of the sphenopalatine ganglion is a type of migraine headache that is activated by eating cold foods    ice cream headaches are no myth a person really can get them from eating this frozen dessert    if a person has delusional disorder his functioning is normally not impaired and his behavior is not evidently odd with the exception of the delusion    if diaphragm paralysis is unilateral then the disorder is not quite severe and the patient may still able to function    if the patient has cfs the physical activity can leave the patient feeling worse normally the next day a state termed postexertional malaise pem    if the patient has high potassium due to kidney failure hemodialysis is the best treatment method    if the patient remains conscious they are termed simple partial seizures    if the person is unconscious he or she must be sent to the hospital    if there is a loss of consciousness they are termed complex partial seizures    in 2018 researchers discovered autoreactive cd4 t cells in narcolepsy patients evidence that narcolepsy is an autoimmune disease    in adults and older healthy children rsv symptoms are mild and normally imitate the common cold    in cases where there is bilateral diaphragm paralysis then the symptom start is quite rapid and it is indicated as an emergency situation needing immediate treatment    in many cases pregnancy goes undetected also by relatives and doctors    in most children night terrors ultimately subside and do not need to be treated    in most patients the infection will disappear without treatment in 7 to 10 days    in the classic manifestation of rumination syndrome the patients are not having actual vomiting    in the paralytic hypopp intermittent temporary episodes of muscle weakness or paralysis are involved    inadequate sleep may also raise the danger of sleep paralysis    infants and children with a severe rsv infection should be admitted to the hospital for hydration oxygen moist air mechanical ventilation    infants are most seriously infected by rsv with short shallow and rapid breathing cough and lethargy    infectious diseases in children are frequent infectious diseases caught and spread by children but can also happen in adults    injection of lignocaine intramuscularly was also discovered to relieve pain symptoms    injuries to the sc joint can differ from a mild sprain in which the surrounding ligaments are stretched the most often observed injury to a fracture of the clavicle collarbone itself    injury to the spinal cord may be caused by falling from a significant height or head or spinal injuries during sporting events    intervertebral disc and facets c56 c67 often causes the medical disorders of cervical radiculopathy cervical myelopathy and discogenic neck pain    intravenous immunoglobin and rituximab are used to treat stiff person syndrome    intravenous sodium chloride dextrose solution is given in emergency cases    it is a chronic disorder that normally happens after every meal every day    it is also termed brain freeze coldrush coldstimulus headache especially after quick consumption of cold beverages or foods such as ice cream and ice pops    it is an overuse collarbone damage often observed in weightlifters    it is infrequent but more serious when it involves a vein or an artery    jaw pain can be a debilitating disorder that involves the ability to eat and speak    jaw pain may be a symptom of referred pain from the heart especially in women    kyphosis can also be observed with scoliosis a lateral curve of the spine    less often distal clavicle osteolysis happens from direct trauma to the collarbone like from a fall or direct blow    loss of consciousness happens during a focal dyscognitive seizure when the seizure extends to involve both temporal lobes    low potassium is required for their muscles to contract and induces the muscle weakness and paralysis    low sodium in the blood can give rise to symptoms of lethargy fatigue muscle weakness even confusion and coma    low sodium levels in both the blood and the urine mean the body is not taking in enough sodium    lung infections like pneumonia are normally mild but they can be severe particularly for people with weakened immune systems or chronic disorders    many biological disorders like substance use medical disorders and neurological disorders can produce delusions    many diseases can produce jaw pain from the sinuses and ears to the teeth or jaw itself    many infections infect intermittently with no harm to the child but some leave a child with residual organ damage    medical causes are hormonal imbalance as seen in poly cystic ovarian syndrome pcos perimenopause postpartum or lactating mothers a birth control method such as the norplant deprovera    medications which help to strengthen the porous bones such as biphosphonates have been known to cause gastritis indigestion and gastroesophageal reflux disease    medicines given for use at bedtime will often decrease night terrors but are seldom used to treat this disorder    medicines that may relieve a tension headache are pain medicines muscle relaxants tricyclic antidepressants    medicines to relieve ear and sinus pressure are decongestant oral and intranasal    migraine headache is a heavy throbbing pain usually over one side of the scalp forehead and about the eye caused by abnormally dilated blood vessels    mild hypokalemia is given oral potassium tablets while severe hypokalemia may need to get potassium through a vein    mild infections can go away without treatment    mild lung infections can be treated with rest hydration antifever medicines    most children will have at least 6 to 8 respiratory breathing tract infections yearly such as colds ear infections sinus infections bronchitis and pneumonia    most patients with stiff person syndrome have antibodies that are produced to attack glutamic acid decarboxylase gad    most people often treat themselves using overthecounter painkiller drugs and many migraine sufferers normally go undiagnosed    most people who have narcolepsy have low levels of hypocretin    most people with temporal lobe epilepsy respond well to antiepileptic drugs or surgery may done if required    most treatment of shoulder pain are painkillers rest sling or surgery    movement of the shoulder joint can be extremely painful and may be extremely difficult in any shoulder disorders    movements of the head and neck are very painful and the head cannot be turned away from the involved side    movements of the head and neck are very painful and tight    mri is the imaging method of choice for suspected spinal cord ischemia and trauma    mri of the neck can show any prolapsed intervertebral disc or fracture and severe whiplash    muscle spasms and stiffness may be treated with baclofen diazepam and clonazepam    myopathy hypopp is featured by permanent muscle weakness fatigue and pain    narcolepsy involves both males and female equally and is life long    narcolepsy is a disorder in which rem sleep happens at an abnormal time    narcolepsy is a disorder that induces periods of excessive uncontrollable daytime sleepiness    narcolepsy type 1 happens when nearly all of the neurons that contain orexin also called hypocretin are lost    narcoleptics may have episodes where they fall asleep suddenly or sleep attacks    nasal congestion runny nose mild cough and lowgrade fever are the normal first symptoms of both the mild and of the more severe forms of the disease    neck injury can be caused by direct injury or a fall    neck injury is a direct trauma to the neck part of the spinal cord    neck injury is not only trauma produced by blunt force trauma or penetrating injuries    neurogenic tos has a typical sign termed the gilliattsumner hand in which there is severe wasting in the fleshy base of the thumb    neuropathic pain when nerves become injured and transmit pain signals to the brain such as trigeminal neuralgia can cause jaw pain    night terrors are a sleep disorder in which a person quickly wakes from sleep in a terrified state    night terrors are events of intense screaming crying thrashing or fear during sleep that happen again and again normally in children ages 3 to 12    night terrors are likely to happen during periods of arousal from delta sleep    night terrors happen during nonrem sleep normally about 90 minutes after a child falls asleep    no effective medical treatment is known for fibrodysplasia ossificans progressiva bisphosphonates and corticosteroids are only helpful during the flares    nonoperative treatment comprises brief sling immobilization rest ice physical therapy    nontraumatic injuries are spinal cord infections and lesions brain and spinal tumors congenital disorders like multiple sclerosis or muscular dystrophy    normal blood potassium ranges from 35 to 57 mmol per liter    normally patients complain of inability of adduction of the arm    not all infections are contagious capable of spread from person to person    occasionally digestive disorders can cause osteoporosis instead of the other way around    on physical examination the doctor may notice swelling bruising or a deformity of the ac joint depending on the degree of injury    one of the most frequent types of lung infections is named pneumonia which involves the smaller air sacs of the lungs    operative treatment involves open or arthroscopic distal clavicle excision if there are persistent symptoms that have failed nonoperative treatment    oral sodium chloride or salt is given in most cases with improvement of blood sodium level    oral sores normally start as small red spots often in the back of that mouth that blister and can become painful    other causes of jaw pain are dislocation fractures and postural factors such as holding a telephone between the ear and shoulder    other causes of shoulder pain are fractures and dislocations of the clavicle and humerus    other treatments are relaxation or stressmanagement training massage cognitive behavioral therapy biofeedback    overuse such as too many hours hunched over the computer or smartphone often triggers muscle strains of the neck    oxygen and corticosteroids are the main treatment    pain can also be produced by lifestylerelated factors such as emotional stress and mental disorders and tension headaches    patients with an ac joint injury normally manifest with shoulder pain normally superioranterior in location    patients with severe kyphosis may need surgery to help reduce the excessive spinal curve and improve their symptoms    people with delusional disorder normally do not have hallucinations or a major disorder with mood    people with fibrodysplasia ossificans progressiva are normally born with malformed big toes differentiating this disorder from other bone and muscle disorders    people with hyperkalemia show nonspecific symptoms such as muscle weakness tiredness tingling sensations or nausea    periodic paralysis is featured by occasional episodes of flaccid muscle weakness happening at irregular intervals    peripheral eosinophilia occurs when eosinophil blood count is higher than 05 10l    plasma and extracellular potassium levels are involved by many factors particularly acid based balance    posterior dislocations are normally a result of a force pushing the shoulder forwards or from a direct injury to the superior sternal or medial clavicular surfaces    postural kyphosis the most frequent type of kyphosis normally becomes noticeable during adolescence but is not linked with severe structural abnormalities of the spine    posture can affect the health in so many ways including the digestion    potassium is an important electrolyte for nerve and muscle cell functioning particularly for muscle cells in the heart    pressing the tongue against the roof of the mouth to warm the area can relieve the head pain    primary thunderclap headache is infrequent and should not have the symptoms of misrepresented cognition and focal neurological deficits    problems with any of these enzymes can produce a fatty acid oxidation disorder    proper observation of the cervical spine and scapular girdle should be conducted by assessing the active mobility of the spine and assessing for pain in muscle movement    psychic phenomena such as deja vu depersonalization fear or anxiety    psychotherapy with cognitive explanation of the arousal as a healthy response may also help    pulmonary eosinophilia is depicted as infiltration of eosinophils into the lung comprising airways interstitium and alveoli    pulmonary eosinophilia pe is the inflammation of the lungs from a rise in eosinophils    red rash very small blisters on the hands feet and diaper area that may be tender or painful when pressed may occur    respiratory syncytial virus infection can transmit to the lower respiratory tract producing pneumonia or bronchiolitis inflammation of the small airway passages entering the lungs    respiratory syncytial virus is so frequent that most children have the rsv infection by age 2    respiratory syncytial virus rsv produces infections of the lungs and respiratory tract    rest and splinting and injection of steroids is often effective and firstline treatment for patients with trigger finger    restless genital syndrome also known as persistent genital arousal disorder    roseola is a disease produced by the human herpes virus type 6b hhv6b and possibly type 7 hhv7    roseola is contagious even if no rash is evident spreading while an infected child has only a fever    roseola normally begins on the abdomen and then spreads to the face arms and legs unlike measles where the rash begins on the face    roseola rarely known as sixth disease exanthem subitum or false measles is a contagious illness that is caused by a virus    roseola will normally go away on its own with rest maintaining fluid intake and paracetamol for fever    routine ct scans and threedimensional reconstructions can help to depict the exact nature of the bony injury    rumination can become worse or more frequent over time and can happen in anyone at any age    rumination is a reflex reaction not a conscious decision    rumination syndrome can induce malnutrition and anemia    rumination syndrome is the functional gastrointestinal disorder where people regurgitate and either spit out or reswallows their food    rumination tall r waves can be observed in gastric manometry tracings in about 40 of patients    scheuermanns kyphosis is the most characteristic form of hyperkyphosis and is the result of wedged vertebrae that form during adolescence    schizophrenia patients have visual hallucinations and 6090 hear voices    secondary thunderclap headache happens due to underlying causes or diseases that stimulate the pain sensors within the brain    shoulder bursitis and arthritis are common causes    shoulder labral tear is damage to the labrum of the shoulder which is the ring of cartilage that encircles the socket of the shoulder joint    shoulder labral tear tends to happen in young laborers overhead athletes and middleaged manual laborers    shoulder labral tears are often treated with rest overthecounter medicines and physical therapy    shoulder labrum tear is also termed superior labral anterior to posterior slap lesions that comprise a recognized medical subset of complicated shoulder pain disorders    shoulder pain is the main symptom of many shoulder disorders    signs and symptoms of respiratory syncytial virus infection most often happen about 4 to 6 days after exposure to the virus    similar spots happen on soft palate and uvula and are called nagayama spots    sinus barotrauma may be caused by nasal congestion from a sinus infection cold or allergies    sleep disorders may be treated with a prescription sleeping pill and pain with pain killers    sleep paralysis happens when the patient temporarily cannot move or speak upon waking up or falling asleep    sleep paralysis is not known to cause any medical risk    sleep paralysis may also be related to medical disorders such as migraine mental health anxiety disorders obstructive sleep apnea and a longterm brain disorder called narcolepsy    slouched posture after a meal can activate heartburn produced by acid reflux constipation and place the pressure on the abdomen which can force stomach acid in the wrong direction    social causes are ignorance and belief in birth control methods or infertility problems    sodium potassium and chloride are the important electrolytes together with magnesium calcium phosphate and bicarbonates    somatosensory and special sensory phenomena such as olfactory auditory and gustatory illusions and hallucinations    some causes of secondary thunderclap headaches are brain aneurysms broken or damaged blood vessels in the brain blood clots concussion and other physical injuries    some childhood diseases like measles rubella and poliomyelitis are also making a comeback due to imported cases from countries whose children are not vaccinated    some of the more frequent causes of twisted neck are congenital disorders trauma and infections    some studies indicate that people form delusions as a way to deal with extreme stress or deal with a history of trauma    sometimes the doctor may have to do an open reduction of the sc joint    spasms can also be activated by sudden movements loud noise or being touched or when the patient is anxious or upset    spasms can occasionally be strong enough to break bones    spasms due to sps can be very physically powerful and may induce the patient to fall if standing    spinal cord disorders and quadriplegia are another cause for diaphragm paralysis    spinal cord injury and infarction happen less frequently than cerebral infarction stroke but cause significant mortality disability and decreased quality of life in survivors    standard xrays are sufficient to make a diagnosis of acromioclavicular joint injury and should be used to assess for other causes of traumatic shoulder pain    stem cell transplantation treatments possibly combined with growfactors or molecule to improve nerve regrowth may help to treat spinal cord injury    stenosing indicates the narrowing of an opening or passageway in the body    stenosing tenosynovitis trigger finger is the compression of the tendon sheath of one of the tendon to the fingers or thumb    stiff man syndrome is more an autoimmune disease of the neurological disorder that affects the brain and spinal cord causing the person to be stiff due to muscle spasms    stretching the shoulders or moving the upper arm towards the chest horizontal adduction is often painful    surgery is done as a last resort to release the tendon by cutting the top part of the narrowed inflamed sheath    surgery may be essential to relieve the pressure in the eardrum with a small cut    surgery to remove a herniated disk laminectomy may be required if there is danger of the disk impinging on the spinal cord or spinal nerves    surgical trauma after a cervical or a cardiothoracic surgery is another cause for diaphragm paralysis    surgical treatment of superior labral lesions is indicated in patients who have continuous symptoms in spite of 3 months of nonoperative treatment    symptoms are likely to be worse when patients are sitting or lying down particularly in the evening and can be alleviated by standing and walking    symptoms are wheezing crackles tachynea dyspnea tachycardia    symptoms may involve extreme muscle stiffness rigidity and painful spasms in the trunk and limbs seriously impairing mobility    symptoms of a thunderclap headache are severe headache vomiting and nausea fainting pain felt anywhere in the head    symptoms of lung infections are fever difficulty in breathing cough muscular pain and fatigue    symptoms of sleep paralysis normally recover within a matter of minutes and do not produce any lasting physical effects or trauma    symptoms of the floating shoulder may be pain the arm of the injured shoulder hanging lower than normal muscle spasms numbness or weakness    symptoms of trigger finger may also be linked with disorders such as rheumatoid arthritis or diabetes that produce thickening of the sheath or tendon    taking medicines more than 3 days a week may cause rebound headaches    teeth grinding and clenching is felt during sleep and can result in tooth damage and jaw pain    temporal lobe epilepsy tle can be simple focal temporal seizures or focal dyscognitive seizures    temporomandibular joint and muscle disorder tmd is the most frequent cause of jaw pain    tenosynovitis indicates inflammation of the outer covering of the tendons that bend and extend the fingers and thumb    tension headaches are dull pain tightness or pressure around the forehead or the back of the head and neck    tension headaches the most frequent type sense like a constant ache or pressure around the head especially at the temples or back of the head and neck    tetraplegia can cause a loss of control over the bowel and bladder digestion sexual function breathing and other autonomic functions    tetraplegia is a form of paralysis that is produced by some injury or illness and causes complete loss of usage of body and 4 limbs    tetraplegia is inevitably the product of damage high in the spinal cord normally in the cervical spine between c1c7    the abnormal curvature of the spine will cause a reduction of the space between internal organs    the acromioclavicular ac joint injury is an injury to the acromioclavicular ac joint with disruption of the ac ligaments with or without coracoclavicular cc ligament disruption    the antiil5 antibody mepolizumab has recently been proven to be beneficial as a corticosteroidsparing agent    the arm and shoulder will likely have reduced range of movement    the breathing in diaphragm paralysis is very labored since these other muscles are not as physically powerful as the diaphragm    the characteristic blisters and rashes show up later normally one or two days after the fever begins    the cobb angle is the favored method of measuring kyphosis from an xray    the current treatment would include administering intravenous fluid bolus with 10 dextrose at 2 mlkg in neonates or larger boluses in older children    the diagnosis of distal clavicle osteolysis can normally be made by physical examination even though imaging tests may be done to confirm the diagnosis    the diagnosis of tos is essentially based on the medical history physical examination provocative tests and ultrasound radiological evaluation and electrodiagnostic evaluation    the digestive tract can be influenced by the change in spine shape caused by poor posture    the doctor can evaluate the stability of the ac joint with anteriorposterior mobility acromioclavicular ligament and vertical mobility coracoclavicular ligaments    the doctor may advise the patient participate in an overnight sleep study polysomnography to track the brain waves and breathing during sleep    the doctor may also give carbonic anhydrase inhibitors and potassium supplements    the doctor may give stimulants and selective serotonin reuptake inhibitors if narcolepsy is the underlying disorder    the doctor may obtain a throat swab or stool specimen that can be tested for the virus or bacteria    the doctor should admit all patients with an acute spinal cord injury sci to hospital    the doctor should treat fever symptoms and prevent dehydration and relieve the symptoms    the doctor should treat symptoms such as fever itch pain and prevent dehydration    the dopamine agonists eg pramipexole ropinirole rotigotine can be very effective as first line medicines    the eardrum can rupture break in severe cases of ear barotrauma producing bleeding or leaking of fluid from the ear    the emg of a person with sps normally reveals continuous motor activity in the skeletal muscles    the four main symptoms of narcolepsy are cataplexy extreme daytime sleepiness hallucinations and sleep paralysis    the fractures of the scapula and the clavicle may be repaired with surgery using a plate and screws    the good news is that treatment is normally straightforward rice rest ice compression elevation taking an antiinflammatory and physical therapy    the herpes viruses herpes simplex cytomegalovirus epstein barr virus varicella and human herpesvirus 6 and 7 remain in the child for a lifetime    the ice cream headache causes a sharp stabbing pain in the forehead that peaks about 30 to 60 seconds after it begins    the inability to fully open the mouth may produce difficulty in speaking and eating    the infection is normally not serious and normally affects children between the ages of 6 months and 2 years    the initial treatment is to try to put the joint back into place or reduction    the injuries of the floating shoulder are produced by trauma from motor vehicle or bike accidents falls crushing of the shoulder    the main laboratory studies are analysis of organic acids plasma carnitine acylcarnitines and urine acylglycine analysis mutation analysis or measurement of specific enzyme activity    the medical term for a curve that is greater than normal more than 45 degrees is actually hyperkyphosis    the more frequent name for lung infection is a lower respiratory tract infection    the most frequent cause is rotator cuff tendinitis featured by swollen tendons    the most frequent symptom is a sharp or aching pain at the junction of the acromioclavicular joint ac joint and clavicle collarbone    the most frequent symptom of an sc joint disorder is the sensation of pain in the area where the clavicle joins the sternum    the nexus cspine criteria advise imaging if there is posterior midline cervicalspine tenderness focal deficits altered mental status intoxication or distracting injuries    the patient feels cycles of headache attacks accompanied by headachefree periods    the patient is likely to awaken almost every morning feeling as if he or she did not get enough sleep and often the patient wakes up a lot at night for no apparent reason    the patient may also have pain tenderness edema and ecchymosis over the involved joint space    the patient may not feel pregnant with negative urine and blood pregnancy tests continued menses weight loss    the patient should take relaxation techniques and regular exercise to prevent stress and tension in the neck muscles and learn stretching exercises for the neck and upper body    the patient with temporal lobe epilepsy are more likely to have hallucinations    the person should also avoid sitting down after a meal to watch the tv and should take a walk instead to help the movement of the food through the stomach    the purpose is to treat the headache symptoms instantly and to prevent headaches by avoiding or changing the stimuli    the purposes of treatment are relief of symptoms and prevention of further paralysis attacks    the respiratory syncytial virus goes into the body through the nose or mouth or very often through the eyes    the scapula appear to hang or to suspend from the clavicle by the coracoclavicular ligaments and the acromioclavicular joint    the sensation of neck pain can range from mild discomfort to severe disabling chronic pain    the shoulder dislocates out of place and appears like it is floating    the skin of the neck may be torn and bleeding must be stopped    the skin rash is pink in color and can be flat or raised    the source of low sodium must be always diagnosed and treated    the start is normally sudden with painful spasm of the neck muscles often without obvious precipitating cause    the state of rumination is more frequent in people who are pessimistic and who have negative attribution styles    the stomach or abdomen may be moved forward inducing eating and breathing disorders    the superior shoulder suspensory complex sssc ring comprises the middle and distal clavicle coracoclavicular and acromioclavicular ligaments acromion coracoid process and glenoid    the symptom of ice cream headache is a sharp and sudden start of pain in the frontal part of the head    the symptoms of fods are linked to the poor energy production and the effects of the toxic buildup of waste products    the treatment is directed at treating the patients loss of functioning and sensation in the paralyzed regions of the body and also loss or impairment in any functioning of the organ    the treatment of delusional disorder often involves both psychopharmacology and psychotherapy    the treatment of hallucinations may involve psychotherapy and taking medicine to treat a health disorder    the treatment of hyperkalemia is dependent upon the underlying cause of the hyperkalemia    the treatment of jaw pain is dependent on the cause    the treatment starts with exercise programs and the physical therapy to strengthen chest muscles restore normal posture and alleviate compression    the treatments for cervical spondylosis focus on providing pain relief reducing the risk of permanent injury and helping the patient lead a normal life    the undisplaced or minimally displaced fracture can be treated nonoperatively with rest ice painkillers sling    the universal sign of night terrors is inconsolability the same as that of a panic attack    there are 3 main types of labral tears slap tear bankart tear posterior labral tear    there are 3 types of thoracic outlet syndrome neurogenic venous arterial    there are many causes of thoracic outlet syndrome such as physical trauma structural defects tumors poor posture repetitive stress    there are now 1226644 cases of covid19 and at least 66520 people have died according to the most recent data    there are several forms of delusions persecutory erotic grandiose jealous or somatic    there are two sides to the treatment of cluster headaches treatment of the acute attack and preventative treatment    there is a causal relationship between intramuscular injections of certain drugs such as tetracycline quinine paraldehyde in deltoid muscle fibrosis in childhood and adolescence    there is a possible link between consuming a cold beverage and atrial fibrillation af which is a type of arrhythmia    there is either too much water or not enough sodium in the blood    there is no successful treatment for fibrodysplasia ossificans progressiva    there may be a history of injury to the neck or prolonged neck strain    there may be partial or complete loss of control over any part of the body with loss of control of the bladder or bowels incontinence or retention    these are intramuscular fibrous bands within the deltoid muscle that produce secondary contractures that affect the shoulder joint function and stiffness of the deltoid muscle    they are monitored by hormones like renin from the kidney angiotensin from the lung brain and heart aldosterone from the adrenal gland antidiuretic hormone from the pituitary    they may also have breathing problems due to extra bone formation around the rib cage that limits the expansion of the lungs    this disorder may be the result of repeated strain of this area due to work or hobby activities    this rise in blood volume and resulting rise in size in anterior cerebral artery is thought to bring on the ice cream headache    thunderclap headache can also be a sign of very serious underlying disorders that involve bleeding in and around the brain    thunderclap headache is often described as the worse headache of ones life    torticollis is an abnormal appearance of the head and neck normally presenting with abnormal slope and rotation    torticollis is posttraumatic 10 to 20 of the time the remainder is idiopathic    torticollis may be benign congenital torticollis but may also be caused by dangerous disorders such as brain injury    tractiontype injuries happen secondary to sudden jerking movements or after lifting heavy objects    traditional treatments with stretching or physical therapy are not helpful    trauma or injury to the neck resulting in a broken neck or fracture of the cervical vertebrae such as a car crash sports injury or a fall causes tetraplegia    treatment for the prevention of cluster headaches is a suboccipital blockade with a combination of anesthetic and steroid    treatment involves surgical release of the joint    treatment is by braces and surgical fusion and osteotomy    treatment methods are observation diaphragmatic plication diaphragm pacemaker mechanical ventilation with tracheostomy    treatment of electrolyte imbalance will remove causes restore low electrolyte levels eliminate high electrolyte levels hemodialysis    treatments may be surgery to repair a tear or blockage medicines to control blood pressure and pain    treatments that can help relieve the symptoms are behavior modification and medicinal treatment such as stimulants    trigger finger is when a finger or thumb gets stuck in a bent position like the patient is squeezing a trigger    triptans are among the best ways to treat the pain    twisted neck torticollis is the spasm of the sternomastoid trapezius or other neck muscle producing pain in the neck and spasm in the neck muscle    ultrasound may show thickening of the pulley as well as inflammation and irregularity of the underlying flexor tendon    venous tos has pallor a weak or absent pulse in the affected arm which also may be cool to the touch and appear paler than the unaffected arm    very often bodily symptoms of pregnancy nausea amenorrhea and abdomen swelling are absent or greatly reduced    viruses can be easily spread from persontoperson    when symptoms of cervical spondylosis do happen they normally involve pain and stiffness in the neck    when the anterior cerebral artery constricts stopping the reaction to this raised blood volume the ice cream headache disappears    whether it is the result of sitting at a desk all day looking down at a smartphone or lounging on a couch poor posture is troubling people of all ages    while most headaches are not comfortable and disabling they are mostly not life threatening    while the head hurts tension headaches normally do not keep the patient from the daily activities and they do not affect the vision balance or strength    whiplash associated disorders can normally be diagnosed from a history of the symptoms    whiplash associated disorders wad is a variety of injuries to the soft tissues of the neck from a sudden jerking or whipping of the head linked with extension of the neck    whiplash is one of the hallmarks of shaken baby syndrome    whiplashassociated disorders depict a cluster of neckrelated medical symptoms presenting after a car crashrelated mechanism    with a childhood vaccination program many of these infectious diseases that are frequent in the past are now rare    with a tension headache there are normally no disorders with the nervous system unlike migraine    with increased contracture inferior border of the scapula rotates medially causing the winging of the scapula    worry and stress cause tension in the muscles of the neck and pain    worsening of symptoms difficulty thinking sleeping disorders sore throat headaches feeling dizzy or severe tiredness after normal physical or mental activity