Peripheral Neuritis

Article by Shawn

Article by Shawn

Chronic alcoholism has become a huge problem to human society all over the world. This problem has overburdened the government of every level with its devastating effects. Every year, the government comes out with a new plan and a huge some of money to solve this crisis. However, the unawareness of society and other reasons always succeed in ruining every plan. So, the cure for chronic alcoholism seems far from over.

Chronic Alcoholism is termed as a disease or addiction in which a person craves for alcohol and keeps drinking even though he suffers from the alcohol related problems. This person is termed as “Alcoholic”. An alcoholic always shows four symptoms related to chronic alcoholism; craving, impaired control, physical ailments, and tolerance.

An alcoholic person suffers in three ways due to chronic alcoholism; physically, mentally, and socially. physically, that person suffers from pancreatitis, cancer, heart disease, cirrhosis of the liver, epilepsy, sexual dysfunction, alcoholic dementia, alcoholic dementia, polyneuropathy, and nutritional deficiencies. It is very common to see severe cognitive problems in most of the alcoholics.

A survey has found that most of the alcoholics are likely to develop suicidal tendency and later try to commit suicide. Long term alcohol misuse damages the brain permanently and it results into adversely affected psychological well being in an alcoholic. Mental illness such as psychosis, schizophrenia, confusion, and organic brain syndrome are likely to be developed in that person. That person can also have panic, depression, and anxiety disorders.

The surrounding society will be affected when an alcoholic suffers physically and mentally due to chronic alcoholism. That person’s family, friends, colleagues, and others will have to endure the consequences. That person loses his job, may find himself in prison cell for breaking laws such as drunk driving, loses respect from others, indulges in domestic violence, and more worse, his marriage life may end in divorce.

Many attempts have been made to curb chronic alcoholism problem in every possible way. The government spends lots of money a year for research organizations to find cure for chronic alcoholism. These organizations have developed some plan that can cure an alcoholic. However, that person must be willing to give up alcohol.

Once an alcoholic person decides to give up alcohol and prepares himself to accept every help that others offer, there are chances for his well recovery.

It is better to begin by having consultation with his family doctor. The doctor will be able to treat him well if he answers honestly to the questions asked by the doctor. This will help the doctor to assess the severity of his problem. The treatment itself is divided into several phases such as detoxification, doctor prescribed medication, and individual or group counseling.

During the counseling he will come to know about the situations and feelings that prompt him to drink. This will help him in finding the effective methods that can counter the chronic alcoholism. However, whatever the treatment may be, support of his family and friends is very essential during this period. This will result in his quick recovery from the illness.

If you would like to know more about the cure for chronic alcoholism, read this.

Article by Hannah Serrano

Dancing Doberman disease (DDD or Distal Polyneuropathy) – also known as Dancing Doberman Syndrome – is a disease only seen in Doberman dogs, primarily affects their gastrocnemius muscle. A simple description of DDD is one of a progressive disease, usually first involving the holding up of one rear leg while the dog is standing. Over several months the condition advances with a wasting of the rear leg muscles and a more constant shifting of weight on the rear legs that resembles a dog “dancing”. Frequently these dogs will knuckle over with their rear paws and ultimately prefer to sit or lie down rather than stand. No known cause of this disease and the presumption that genetics must play a role in this syndrome. The disease is similar to hereditary sensory and autonomic neuropathies in humans. In some cases, there is a sensation of burning soles or discomfort with pressure on the feet. A similar sensation might cause constant lifting of the feet in dogs with Dancing Doberman Disease.

Dancing Doberman Disease symptoms normally appear when the dog is 6-7 months old, but the age of onset can vary from just 4 months to up to 10 years. Both males and females are affected. Most affected dogs have normal findings on other tests, including blood counts, biochemistry, x-ray, and thyroid function. When the dog is standing, one of its rear legs will suddenly flex. Over the course of the following months, the problem will usually start affecting the other hind leg as well. A dog with Dancing Doberman Disease can end up alternatively flexing and extending each rear leg and this behaviour is the reason behind the name of this health problem. Many dogs will start knuckling over their rear paws and some dogs will eventually avoid standing all together; they will prefer to lie or sit. They can however still be perfectly capable of running around. There is no signs of pain associated with Dancing Doberman Disease.

Dancing Doberman Disease can mimic many other conditions such as lumbosacral disc disease, cervical vertebral instability (CVI), inflammation of the spinal cord, spinal arthritis, cauda equina syndrome, some nervous system maladies, and spinal tumors. Hyperactive tendon and muscle reflexes with gastrocnemius muscle atrophy are early clinical signs, followed by more extensive pelvic limb muscle atrophy as the disease progresses. Proprioceptive deficits are seen occasionally. It is likely the condition is more prevalent than previously recognized because there is a general lack of awareness on the part of veterinarians and breeders, and therefore, the condition is often overlooked as a diagnosis. On different diagnosis, lumbosacral stenosis, intervertebral disc disease, and discospondylitis of the lower lumbar spine are usually painful. Also neoplasia of the lumbar spinal cord or nerve roots progresses more rapidly and can be painful.

At the moment, there is no know cure or treatment for Dancing Doberman Disease. On the positive side, most dogs with DDD live to be as old as any other Doberman and the condition appears to be completely painless for the dog. A majority of the affected dogs can still walk. Dancing Doberman Disease is however a progressing disease that will cause increasingly weak legs and muscle atrophy.

by caddymob

Article by Shawn

Chronic alcoholism is a disease related to alcohol. A person plagued with this disease craves for alcohol all the time, and keeps drinking though he is suffering from both physical and mental ailments. So, it is very important to get that person to have a cure for chronic alcoholism as soon as possible.

Chronic alcoholism kills an alcoholic through deadly diseases such as pancreatitis, polyneuropathy, cancer, and cirrhosis of the liver etc. Here, you will find 5 valuable tips which may help in curing chronic alcoholism.

1. Recognize and admit that you have a serious drinking problem. This is very essential in beginning the curing process. You will your job, health, friends, family if you fail to take this step.

2. Consult with your family doctor and try to find an exact strategy. Your family doctor can offer some proven intervention strategies once he assesses your health situation. Anyway, you must be ready to accept whatever the help your doctor offers.

3. Admit yourself into an alcohol recovery clinic since it is very difficult to quit alcohol on your own. There, a group of qualified medical professionals will conduct detoxification process and help you to control the withdrawal symptoms of alcohol cessation.

4. Find out triggering factors that make you to consume alcohol. Once you find them, then you can quit alcohol by avoiding them. You can do this even better, if you get the help of a behavioral therapist through consultations. Thus, you will be able to make a full recovery without relapse.

5. Enroll to a 12-step program such as Alcoholics Anonymous or other similar support programs. These programs help you to get over your alcoholic addictions. You will also get the aid of other members during the course.

There are many other valuable tips which you can use as a cure for chronic alcoholism. You can get those valuable tips if you click here.

Article by Jan Mater Cavagnero

Question: You have an 82-year old patient who lives alone and has a history of falls. He was admitted to home care for severe pain owing to osteoarthritis in bilateral knees. You’ll be providing physical therapy and skilled nursing. He also has a history of diabetes with numbness and tingling to bilateral lower extremities, which the physician confirmed as diabetic neuropathy. The patient also has hypertension (HTN). Answer: Cherlynn Taylor, senior coding coordinator with The national Coding Center in Troy, Mich: COPD coding : On reviewing the patient’s medication, the nurse finds two inhalers with recent start dates. While checking with the physician, she figures out that they are for asthma with chronic obstructive pulmonary disease (COPD). How would you go about coding for this patient? M0230/M1020a: 715.36 – Osteoarthrosis, not specified whether primary or secondary, lower legM0240/M1022b: 250.60 – Diabetes mellitus with neurological manifestations; type II or unspecified type, not stated as uncontrolledM0240/M1022c: 357.2 – Polyneuropathy in diabetes M0240/M1022d: 493.20 – Chronic obstructive asthma; unspecifiedM0240/M1022e: 401.9 – Essential hypertension; unspecifiedM0240/M1022f: V15.88 – History of fall. Your primary focus of care is the patient’s osteoarthrosis: as such you should list this code first. Taylor advises to follow this with 250.60 for diabetes with neurological manifestations and then list the manifestation code for diabetic neuropathy as indicated by manifestation coding guidelines. After this, list the asthma with COPD and HTN as these chronic conditions will always affect the care you provide and you should report them. Case mix points are there for asthma with COPD. Get it in black and white: If these case mix diagnoses weren’t assessed, clarified and documented, you will not have steady and complete documentation, says Taylor. What’s more, you’ll also get the right reimbursement for the care you provide.

Article by Julia Rose

Establishing medical necessity for your anesthesiologist’s services can be one of the toughest coding challenges what with payers tightening the reins on reimbursement. Here are some practical tips for choosing the best diagnosis to establish the need for anesthesia so that your reimbursement remains intact. * Study the patient’s circumstances. Medicare defines “medical necessity” as services reasonable or necessary to diagnose or treat an illness or injury, or to improve the functioning of a malformed body member. Payers consider each case individually to determine if the treatment method is reasonable and necessary. * Match the diagnosis and procedure. Some payers have lists of approved diagnoses for procedures and those lists can be extensive. If you submit a procedure that isn’t on the payer’s list can send your claim straight to denial. * Check ICD-9′s symbols. The colorful dots, triangles and other symbols in ICD-9 instruct you how to report certain diagnoses correctly. One needs to pay attention to the symbol or mark that defines ‘not first-listed diagnosis’. You’ll find this designation on codes like 357.2 (polyneuropathy in diabetes). You need to watch out for some coding mistakes which can be a slip of the finger. If you encounter a diagnosis-based denial, double-check your claim against the physician’s record. Even if you intended to submit the correct code, you might have filed a claim with a typo. If the diagnosis you submitted was correct, but did not figure on the payer’s approved list, talk with your physician. A secondary diagnosis documented by him might work just as well and turn the denial into acceptance. For more tips for choosing the right diagnoses to establish the need for anesthesia, medical coding seminars or anesthesia conferences are very helpful. But in case there’s no conference happening in the recent future, audio recordings in CDs and MP3s of recent conferences will certainly be of great help to you.

Article by frbiz

In geographyGabon (FIPS 10-4 and NATO (obsolete) country code: GB), a country in West Africa.Great Britain, an island in Europe.Guinea Bissau (casual abbreviation G.B.), a country in West Africa.Green Bay, a city in Wisconsin, USA In international relations and politicsGreat Britain – the traditional ‘short form’ name of the United Kingdom of Great Britain and Northern Ireland, as used in numerous international agreements including those on Road Traffic, Postal Services etc. The ISO 3166 country code GB similarly stands for the United Kingdom of Great Britain and Northern IrelandGordon Brown, the Prime Minister of the United Kingdom of Great Britain and Northern IrelandGeorge H.W. BushGeorge W. Bush In languageGb (digraph), a digraph in the Latin alphabetGovernment and binding, theory by Noam Chomsky In scienceSarin, nerve gas (NATO designation: GB).Guillain-Barr syndrome, acute inflammatory polyneuropathy.Gigabase (Gb), a unit of length for DNA In electronics and computingGigabit (Gb), a unit of information used, for example, to quantify computer memory or storage capacity.Gigabyte (GB), a unit of information used, for example, to quantify computer memory or storage capacity.Gain-bandwidth product (GB or GBW), product of amplifier midband gain and bandwidth (e.g., unity-gain frequency of frequency compensated operational amplifiers).Game Boy line, a line of handheld video game consoles.GB 2312 or GB 18030, two encoding schemes for rendering Simplified Chinese charactersGarageBand, a music editing software designed for Mac OS X by Apple Computer. In transportationGB is the international vehicle registration code for the United Kingdom (of Great Britain and Northern Ireland)GB Airways.ABX Air (IATA airline designator: GB). In foodGB Glace, a Swedish ice cream company.Griesedieck Brothers beer.GB Supermarkets, a Belgian chain. In musicGarth Brooks, a country music singer.Gnarls Barkley, an alternative hip-hop group.Glen Benton, the bassist/vocalist of the death metal band DeicideGorilla Biscuits, a hardcore punk group.Grizzly Bear (band), a Brooklyn-based indie rock band. OtherGames Behind, a number used in sport statistics to reflect the gap between two teams.Gang Bang, a term for group sex.Gary BuseyGay Bombay the premier Social Gay Organization in Mumbai, India.Ghostbusters, a 1984 comedy film.Girls’ Brigade, a Christian organization for girls.Grande Bibliothque, a large public library in Montreal.University of Wisconsinreen Bay.Guobiao, Chinese National Standards.GunBound, a computer game.Gardner Bender, a manufacturer of professional electrician’s tools and supplies.Garbage Bowl, often used by Rachael Ray in Food Network’s 30 Minute Meals.Gladiator Beasts, a powerful deck type in the Yu-gi-oh TCGGravity BongGames Behind or Games Back, in baseball and basketballGood BurgerGift Back In Gaiaonline forum casinos, an amount of gold or an item given back after winning a bet, to be polite. Usually 10%.This disambiguation page lists articles associated with the same title.If an internal link led you here, you may wish to change the link to point directly to the intended article. Categories: Disambiguation pagesHidden categories: All article disambiguation pages | All disambiguation pages

Article by Mike Bordon

There are a number of diseases caused due to the improper functioning of the immune system. Sometimes the immune system turns against its own cells and hence autoimmune diseases are caused. One such autoimmune disease is Guillain Barre Syndrome. This disease affects the peripheral nervous system which is caused by acute infection. This disease was first described by the two French Physicians Guillian and Barre in 1916.

Commonly referred to as GBS, this syndrome is an acute inflammatory de-myelinating polyneuropathy. In simpler words the nerves are affected in this disease. This syndrome is one of the leading causes of non trauma induced paralysis all over the world. It is severe in nature and is exhibited by ascending paralysis.

Clinically this syndrome is of 6 subtypes. The main symptoms of this disorder are weakness of the lower limbs and then rapid progress in ascending paralysis. Patients witness difficulty in swallowing and respiration. About 30% cases need to be hospitalised and some may also require ventilatory assistance. Bladder dysfunction is also seen in some patients.

The cause of this disorder is an immune response to foreign antigens such as agents causing infection that are mistakenly targeted at the nerve tissues of the host. Bacterial antecedent is responsible for this disorder; however in almost 60% cases the cause is unknown.

This disorder needs proper and accurate diagnosis. It is not diagnosed in the early stages and hence the mortality rate is very high. The treatment includes plasmapheresis and high dose intravenous immunoglobulins. Glucocorticoids do not show effect in this disorder. In acute patients monitoring the vital body functions and appropriate supportive care are necessary. In these cases the patient’s rehabilitation may be necessary. With the proper training and guidance from the doctors, nurses and the physiotherapist the patient can get back to doing his daily activities well.

by caddymob

Article by pankaj nagpal

Neurosurgery

Restless Leg Syndrome

Restless legs syndrome (RLS), also known as Wittmaack-Ekbom’s syndrome or Jimmy Legs is a condition that is characterized by an irresistible urge to move one’s body to stop uncomfortable or odd sensations. It most commonly affects the legs, but can also affect the arms or torso, and even phantom limbs. Moving the affected body part modulates the sensations, providing temporary relief.

What causes restless leg syndrome ?The cause of restless leg syndrome is unknown in most patients. However, restless leg syndrome has been associated with pregnancy, obesity, smoking, iron deficiency and anemia, nerve disease, polyneuropathy (which can be associated with hypothyroidism, heavy metal toxicity, toxins, and many other conditions)What is the treatment for restless leg syndrome?

Treatment of restless leg syndrome is first directed toward any underlying illness, if known. For example, a search for iron deficiency by blood testing to reveal underlying iron deficiency anemia.

What are common signs and symptoms of restless legs ?

As described above, people with RLS feel uncomfortable sensations in their legs, especially when sitting or lying down, accompanied by an irresistible urge to move about. These sensations usually occur deep inside the leg, between the knee and ankle; more rarely, they occur in the feet, thighs, arms, and hands. Although the sensations can occur on just one side of the body, they most often affect both sides.

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by caddymob

Article by Patricia Strasser

Lyme disease presents a number of symptoms, some of which may be not specific. The symptoms are divided according to 3 stages: the early localized infection, the early disseminated infection, and the late persistent infection.

Lyme disease, a condition caused by a bacteria of the genus Borrelia that is transmitted by tick bites, presents multiple symptoms because it affects different areas of the body while it progresses. Early identification is vital if you want to be cured of this disease. If left untreated, the condition may evolve into much more serious neurological problems, so immediate medical care must be given. Be familiar with the following different symptoms of the disease:

Stage 1: early localized infection

During stage 1, the usual noticeable sign of an early local infection is the presence of erythema chronicum migrans, which is a circular rash found on the site about 3-30 days after the bite. Erythema means redness and appears as a rash that is reddish and is usually warm. The rash may be painless. In most cases, the outer portions remain reddish while the central part becomes dark red and indurated. This classic sign is said to occur in about 80% of cases. Also noted during this stage are flu-like symptoms like headache, body malaise, fever, and muscle cramps. In some cases, the disease may progress into the next stage without the appearance of the rash.

Stage 2: early disseminated infection

In stage 2, the bacteria may begin to migrate and spread through the bloodstream within days to weeks after the appearance of the rash. The classic rash may appear on areas of the body far away from the tick bite site. Patients may complain of symptoms like migrating joint and muscle pains, palpitations, and vertigo due to fluctuations in heartbeat rate. It is also in this stage where neurological problems may start to arise. These include facial paralysis, meningitis, and radiculoneuritis. Memory loss and disturbance in sleeping patterns may result in mild encephalitis. Mood swings may be also noted.

Stage 3: late persistent infection

If continuously left untreated for several months, the disease may progress into stage 3. In worst cases, Paraplegia or impairment of motor or sensory functions of the lower extremities may be reported. Chronic neurological complaints may also be noted. Polyneuropathy with shooting pains, numbness, and tingling of the extremities may be present as well. Chronic encephalomyelitis may develop too and causes cognitive impairment, weakness in the legs which may result in an awkward gait and motion, bladder disorders, and back pains. In extremely rare case, the disease may also result in frank psychosis. Other symptoms noted are anxiety, panic attacks, somatoform and other delusional behaviors. The patient then eventually gets out of touch with reality.

It should also be noted that in places where the disease is endemic, the risk of acquiring the disease may only be as low as 1% to 3%. Most cases of the disease are reported during the summer time. Places in the US where this disease is reported are in the Northeastern US and include the New England area, the great lakes region. The northern Pacific coast region is another place where the disease is often reported.