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Oct 23, 2014 - Men suffering erectile dysfunction in New Zealand are now able to buy sildenafil from specially trained pharmacists without a GP's prescription. In the nervous system, these problems usually take the form of small, localized injuries to nerve tissue. The brain can also be injured in a local way during edema, a swelling of inflamed tissue which damages nerve cells by compressing them.
The reason that these neurological problems are so amenable to diagnosis by physical examination has to do with the anatomy of the nervous system. The basic neurological examination systematically examines functions that are associated with identified anatomy in the brain and spinal cord.
A neurological exam tests the twelve cranial nerves by subtly dissociating their functions. Many other tests included in the neurological examination also probe reflexes mediated by cranial nerves. It is not difficult to imagine a clinical situation in which a thorough knowledge of neuroanatomy coupled with a good neurological examination can yield an insightful diagnosis.
Together with a patient’s general health and mental status, simple neurological examinations can reveal volumes of information about damage to the brain resulting from stroke, edema, disease, and injury. Brain FactsChild Brain DevelopmentMeasures of brain activity show that during the second half of a child’s first year, the prefrontal cortex, the seat of forethought and logic, forms synapses at such a rate that it consumes twice as much energy as an adult brain. Brain Fitness News is a monthly electronic newsletter that provides information about brain fitness and cognitive issues. Severe acute respiratory – SARS, a viral respiratory disease of zoonotic origin is caused by the SARS coronavirus.
This type of virus may also include strains which may cause severe illnesses like SARS.It is a highly contagious and a serious life threatening form of pneumonia. After these symptoms occur, between three to seven days, the infection tends to affect the respiratory systems like the lungs and the airways leading to additional symptoms like dry cough, an increasing lack of oxygen in the blood which could be fatal in most severe cases and breathing difficulties. Its initial symptoms are flu like which may include fever, lethargy, myalgia symptoms, sore throat, cough with other nonspecific symptoms and the most common symptoms in all patients is the fever above 38 degree Centigrade with shortness of breath which follows later. The person may have symptoms similar to cold in the initial stage which may later resemble influenza, occasionally leading to pneumonia which could be either direct viral pneumonia or secondary bacterial pneumonia. It can also spread indirectly if the infected person touches any surface with unwashed hand and the same is again touches by another person who may get infected with the ailment.
Those living and caring for people affected with SARS are also prone to get affected with this infection.
Presently there is no cure for SARS though there is a possibility of a vaccine and the infected person should be admitted in the hospital without any delay and kept in isolation under careful observation.
Supportive treatment include antibiotics to treat bacterial which may cause pneumonia, antiviral medication, assistance with breathing with the use of the ventilator for oxygen, high doses of steroid to reduce the swelling in the lungs. It is said that precaution is better than cure and one could take precaution in avoiding travelling to areas affected with SARS and reduce the risk of getting affected or avoid direct contact with SARS victim, for at least ten days after the symptoms disappear. Lateral epicondylitis is clinically known for Tennis elbow which is an ailment where the outer part of the elbow tends to get sore and tender and is commonly caused by non-inflammatory chronic degenerative changes in the tendon which attaches the forearm muscle extensor carpi radialis brevis to the elbow.
One may experience pain on the outer area of the upper forearm below the bend of the elbow, or when lifting or bending the arm, when gripping small objects like a pen, or while twisting the forearm while turning the door knob or opening a jar, making it difficult to perform these small tasks.
Tennis elbow is often caused by straining the muscles connected to the elbow and used to straighten the wrist and if the muscles and the tendons are overused, inflammation with tiny tears may erupt near the bony lump or the lateral epicondyle on the outer area of the elbow. The tendons in the elbow join the bones and muscles and control the muscles of the forearm. Tennis elbow being a self-limiting ailment can eventually get better without the need of any treatment though there are treatments which can be used to improve the symptoms for a speedy recovery. It is essential to have enough rest for the injured arm and refrain from indulging in activities which may aggravate the ailment.
Besides this, pain killers could also help in reducing the mild pain caused by tennis elbow along with other drugs which can also be taken to reduce inflammation.
Moreover, physiotherapy may also be suggested in case of severe and persistent situations with massaging and manipulating the affected area could also bring about much relieve to the pain and stiffness thereby improving the condition of the arm. In more severe cases wherein the tendon could have been damaged, surgery would be the last resort in giving relief to the affected person. In most of the cases, tennis elbow may last between six months to two years though in majority of the cases, the recovery occurs within a period of one year.
Putting too much stress on the muscles and tendons which surround the elbow should be avoided which will help in prevention of the condition getting severe. Granulomatosis with polyangiitis is a rare disorder in which the walls of the blood vessels tend to get inflamed or swollen and leaky leading to poor blood flow to the issues in the body. It can cause a wide range of symptoms like frequent sinusitis, persistent fever, fatigue and weakness, loss of appetite and weight loss, joint pain and soreness, persistent ear infections and problem in hearing, coughing out blood or blood in the phlegm and in urine, chest pain, cough or shortness of breath, recurrent nosebleeds or sores around the nose, general feeling of sickness and night sweats. Some may be at a risk of having blood clots in the leg or deep vein thrombosis or in the lung, pulmonary embolism. Vasculitis or the inflammation of the blood vessels caused by granulomatosis with polyangiitis affects mainly the nose, sinuses, lungs, ears and kidney though other organs could also be affected in due course including the brain, nerves, heart, bowels and the skin and could also lead to tissue damage and organ failure eventually. Symptoms may start any age even in childhood though the condition is usually seen in middle age between the age of forty and fifty. The cause of GPA is not known but it is presumed to be an autoimmune disease meaning that the body’s immune system can mistakenly attack its own tissues. GPA is usually traced when a person has some unexplained symptoms for a long period of time and determination of Anti neutrophil-cytoplasmic antibodies (ANCAs)which are antibodies that the immune system of people with GPA use to attack the body’s own blood vessels, can assist in the diagnosis. Blood test can be done to check the levels of ANCA though these testsat times may show signs of negative in people with GPA and hence it cannot be relied upon in diagnosing the condition. Glaucoma is a term which describes a type of eye disorder with no initial symptoms at first but eventually can causeharm to the optic nerve which carries information from the eye to the brain resulting in affecting the vision. It is an eye disease that produces pressure in the fluid of the eye and if this remains elevated for a long time it may tend to cause the eye to water. If not treated or uncontrolled, glaucoma can first cause peripheral vision loss leading to blindness.It may be difficult to recognize glaucoma and hence regular eye check-up is essential for individuals having a family history of glaucoma, those who have crossed the age of 40 or those who have diabetes, a history of steroid or cortisone use or people with extremely high or low blood pressure. Glaucoma is called the `silent thief of sight’ and rightly so, since it is difficult to recognise the symptoms of this ailment and moreover there is no pain or any noticeable symptoms until one notices some vision loss. The next is the primary angle closure glaucoma which is very rare, occurring slowly (chronic) or may develop quickly (acute) with a sudden painful build-up of pressure in the eye.
Glaucoma may occur when the drainage tubes or the trabecular meshwork within the eye tends to get somewhat blocked preventing eye fluid – aqueous humour from draining properly.
And when the fluid is not capable of draining properly, the pressure builds up which is called intraocular pressure.
This can cause damage to the optic nerve which connects the eye to the brain and the nerve fibres from the retina which is the light sensitive nerve tissue that lines up the back of the eye.
If a person has been diagnosed with glaucoma, it may be treated with eye drops, laser treatments or pills.
Carcinoid syndrome is a combination of symptom which can occur with a kind of cancer known as carcinoid. Though the prognosis for carcinoid is good, like most cancers it also depends on the size of the tumour, depending on the area of the body it occurs, the possibility of it spreading to other areas and the general health and age of the person. It can at time be cured with a surgery and even if the tumour is not completely eliminated, it may not cause a problem since its growth is very slow.
A person suffering from lung carcinoid tumour may experience wheezing, cough wherein they may cough up blood, breathlessness, tiredness, or chest pain.
Appendix carcinoid tumour does not cause any symptoms and is only discovered at the time of removal of the appendix or for any other reason. It is yet unknown why carcinoid tumours occurs, but it is presumed that in most cases they develop by chance though in some cases it may run in the families. If the tumour is detected in its early stage in the digestive system or lung, there is a possibility of completely removing it and curing the carcinoid syndrome altogether or else the surgeons can remove as much of the tumour as possible which is known as debulking. If the tumour does causes some symptoms, treatments like injections of drugs are given to the person to slow down the growth of tumour cells, chemotherapy drugs to kill cancer cells and shrink the tumour, radiotherapy to kill some of the cancer cells, a procedure to stall the blood supply to the carcinoid tumour (this is only for tumours in the liver) which is known as hepatic artery embolization and another procedure which is used as a heated probe to kill cancer cells in the case of tumours in the liver, called radiofrequency ablation.
Peritonitis is an inflammation of the peritoneum which is the thin layer of tissue that lines the inner area of the abdomen, covering and supporting most of the organs in the abdominal area. It is usually caused from fungi or bacteria and if not treated could rapidly spread into the (sepsis) blood and to the other organs causing multiple organ failure and also resulting in death.
Besides this, the person may also suffer from nausea, lack of appetite, high temperature of 38 degree C. Peritonitis is the cause of bacterial or fungal infection which may either develop directly in the peritoneum or spread from another area of the body and most of the peritonitis cases are the outcome of infection or injury to another part of the body like a split stomach ulcer, digestive disorder like Crohn’s disease or diverticulitis, or a burst appendix. The less common infections developed directly within the peritoneum could be due to cirrhosis, scarring of the liver which may be caused due to long term liver damage or peritoneal dialysis, a treatment used widely for people suffering from kidney failure.
The early symptoms of peritonitis are poor appetite and nausea accompanied with a dull abdominal ache which may soon turn into persistent and severe abdominal pain that may get worse with any movement.
There are two main types of peritonitis one being primary spontaneous peritonitis, an infection which develops in the peritoneum which includes liver disease with cirrhosis which are often caused due to accumulation of abdominal fluid or as cites that can be infectious and kidney failure getting peritoneal dialysis which involves the catheter implanted into the peritoneum to remove waste products in the blood of people with kidney failure. Secondary peritonitis usually develops when an injury of an infection occurs in the abdominal cavity enabling infection in the peritoneum and both of them are life threatening. Peritonitis could be a serious condition if not treated in time and in order to prevent the possibility of fatal complications to occur immediate medical attention and treatments should be undertaken.
This ailment could also be fatal inspite of the best efforts in treating it which could be due to the infection spreading through the blood stream to the major organs and though death are less common in the case of peritonitis connected to cirrhosis or kidney dialysis, it still remains a serious condition.
Ehlers Danlos syndrome – EDS is related to a group of inherited conditions which affect the collagen proteins in the body.
The connective tissues are a complex combination of proteins and other substances which provides strength and elasticity to the underlying structure of the body. People suffering from Ehlers Danlos syndrome tend to have flexible joints and stretchy fragile skin which can become a problem if they have a wound that may need stitches since the skin is not strong enough to hold them. In most of the EDS cases, the skin is stretchy than normal and easily pulls away from the body springing back once released which could be tested best at the neck, elbow or knee. In the case of classical EDS, the skin can be extremely fragile and split easily especially in the areas over the forehead, knees, shins and the elbow while the scars can be papery and wide. Acromegaly is a condition in which the body produces too much growth hormone that may lead to excess growth of body tissue over a long period of time.
The noticeable symptoms are that the hands and feet become larger while the features of the face may also tend to become more prominent, the cause of which is a small non cancerous tumor in the pituitary gland.
Typical features of this ailment may include an enlarged tongue, abnormally tall height (if it happens before puberty), besides abnormally large hands, feet and large prominent facial features. The growth hormone is produced and released by the pituitary gland which is a pea sized gland below the brain and when hormone is released in the blood, it tends to stimulate the liver to produce another hormone, a insulin like growth factor 1 – IGF-1, which causes growth of muscle, cartilage and bones throughout the body and this process is essential for the growth and repair of body tissues. This disease is caused by the excessive production of growth hormone when the skeleton and the organs stop growing and if it takes place before puberty, it may lead to an excessive tall height which is termed as gigantism.
This genetic change may tend to switch on a signal which conveys to cells in the pituitary gland to divide and secrete growth hormone. The person suffering from Acromegaly may experience joint aches, carpal tunnel syndrome (compression of the nerve in the wrist, which may cause numbness as well as weakness of the hands), skin tags, thick coarse oily skin, enlarged lips and nose, protruding tongue and brows, widely spaced teeth, impaired vision, headaches, fatigue and weakness, excessive sweating with body odor, deepening of the voice due to enlarged sinuses and vocal cords and sleep apnoea or breaks in breathing during sleep due to obstruction of the airways. The obstruction of vision and headache could be due to the tumor compressing near the tissues and if this occurs, the tumor may be squashing the nearby nerves which may take place at any age developing slowly which may often go unnoticed till the person reaches middle age. A blood test can measure the level of growth hormone though a single test may not be reliable and a glucose tolerance test may be conducted where the person is made to drink a sugar drink containing 75 grams of glucose with a series of blood test over two hours. A benign non cancerous tumor or growth in the brain is known as Acoustic Neuroma and is also called vestibular Schwannoma. Large acoustic can cause multiple symptoms like headaches with blurred vision, is a relatively rare symptom and happens if the tumor blocks the flow of cerebrospinal fluid which surrounds the brain. Ataxia another symptom with physical coordination affects the ability to move such as writing or walking which may affect one side of the body. The symptoms of acoustic neuroma may differ in severity and may develop gradually which may make the condition difficult to diagnose. This ailment tends to be more common in women than men, the reason for which is yet unknown and people within the age group of 40 and 60 years are more likely to get affected while in the case of children, this ailment is rare. Pfizer, the makers of Viagra , will now also sell this medicine in New Zealand men to access treatment for a healthier sex life. We can snake cameras through the chambers of the heart and the vessels of the lungs, see embryos in the womb, and even observe electric flashes of thought dance across the brain. Trauma to nerve tissue is often apparent as impairment of the functions that the tissue performed. The examination focuses on twelve large nerves, called the cranial nerves, which arise from groups of cells called nuclei in the brainstem.
Shining a small flashlight into one eye, for example, can distinguish between damage to CN II (the optic nerve) and damage to CN III (the oculomotor nerve). For example, by lightly brushing a wisp of cotton across the front of the eyeball, the examiner can induce the corneal blink reflex, a blinking of both eyelids controlled by CN V. An example is a cancer called an acoustic neuroma, which is a tumorous growth of the Schwann cells that sheath CN VIII (the acoustic nerve). Observations of this sort can give us a profound appreciation for the delicate and complex systems regulating the function of our bodies; at the same time they suggest that insight into the workings of the mind might require no more than looking very carefully.
Many discoveries are being made in areas that relate to the human brain, including language, memory, behavior, and aging, as well as illness and injury.
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There are various numbers of coronaviruses connected to infections in humans and animals and the two recognized human coronaviruses may cause mild respiratory infection like common cold. The SARS virus spreads in small droplets of saliva coughed or sneezed in the air by the infected individual and infection can take place if someone breathes in the droplets. Besides this, the SARS virus can also spread through the faeces of the infected person and if the person does not maintain hygiene by washing the hands properly after using the toilet they tend to pass on the infection to others.
Tennis elbow is a misnomer since several people who suffer from this disease do not play tennis and lateral epicondylitis a misnomer, since in this condition; there is no involvement of inflammation. It may also be the result, as its name suggest by playing tennis though it may also be due to other activities with repeated stress on the elbow joint. Cold compress on the affected elbowfor few minutes, done several times a day can give immense relief to the person. It is a serious ailment which needs to be treated and could be fatal if not treated in time. Besides this, a tissue sample of the affected area may also be conducted and viewed under the microscope for signs of inflammation wherein in GPA; the white blood cells tend to clump together forming tiny lumps known as granulomas. Other test may also include an x-ray of the chest to check if the lungs have been affected, a Computed tomography CT scan of the sinuses, nose and ears and an MRI – magnetic resonance imaging scan of the affected organ.
There are four types of glaucoma, chronic open angle glaucoma which is the most common type and it develops gradually.
Carcinoid syndrome occurs when a carcinoid tumour especially the one that has spread to the liver releases hormones in the bloodstream.


In the initial stage of a carcinoid tumour, one may not have any symptoms if the tumour is in the digestive system since any hormones produced would be destroyed by the liver and if symptoms do occur, it could be general and could be mistaken for signs of other ailments.
The symptoms of carcinoid syndrome are diarrhoea, belly pain with loss of appetite, flushing of the skin, fast heart rate, shortness of breath and wheezing. Injections are also given for symptoms of carcinoid syndrome which can slow down the growth of hormones released by the tumour with drugs to widen the airways, to relieve breathlessness and wheezing as well as medication for anti-diarrhoea. Should the tumour spread to the liver, lymph nodes, lung or the lining of the abdomen, a cure would be unlikely and it would be difficult to remove all the cancer cells and the person needs to be carefully monitored. The infection can be treated with injections of antibiotics or antifungal medication based on the seriousness of the infection. Collagen is a building block which strengthens and supports the various body tissues and is found in tendons, ligaments, skin, cartilage, bone, blood vessels, in the gut and the spine. There are various forms of EDS such as Classical wherein the skin is stretchy, soft, elastic and fragile. Joint unstability may at times lead to osteoarthritis though this is uncommon and may happen mostly with adults.
Dermatospraxis is another type wherein the skin is loose and wrinkled with a tendency to sag and fold though this is a rare case probably affecting few people. It is the outcome of a benign brain tumor known as adenoma which is rarely inherited and is usually developed spontaneously due to genetic change within a cell of the pituitary gland.
The tumor may grow to a size of 1 cm and compress the surrounding normal pituitary tissue which may also affect the production of other hormones like the thyroid hormones that are released from the thyroid gland. A MRI scan may also be conducted to know the size of the tumor besides eye and visual test to assess if the tumor is pressing on the optic nerve. It grows on the acoustic nerve which helps in controlling balance and hearing, which runs alongside the facial nerve that conveys the information from the brain to face muscles.
A temporary sight problem is another rare symptom which is also caused by cerebrospinal fluid blockage. Facial numbness, tingling or pain is rare symptoms which occur if the tumor tends to press on the nerve that controls the feeling and sensation in the trigeminal nerve in the face. A person suspecting of acoustic neuroma may have to undergo hearing test, a magnetic resonance image (MRI) scan or a computerized tomography-CT scan. In the midst of this profusion of ultra-high technology, it is occasionally important to take pause and evaluate the practices that we have adopted. A stroke can be the result of a cerebral embolism, a blood clot in the brain that cuts off the nutrient supply to nerve tissue. Careful observation of which functions are impaired coupled with thorough knowledge of neuroanatomy can indicate with great precision where in the body nerve tissues were damaged.
The optic nerve controls the direct pupillary light reflex, which means that shining light into one eye causes the pupil in that eye to constrict. A neurological disorder in humans called crocodile tears results from damage to the fifth cranial nerve, which controls the mucous membranes of the face.
Our brain experts, makers of BrainHQ, believe that access to this information can provide practical tools for teaching and learning as well as valuable insights into almost every aspect of our daily lives. Symptoms could be the outcome of the tumour or from hormones it may release in the bloodstream. In other cases, possibility of surgery may also be needed in order to repair damage to the peritoneum or treatment for the cause of the infection.
Vascular is one of the most severe kinds of this disorder that may cause the walls of the blood vessels, intestines or uterus to rupture.
Small acoustic neuroma causes problems like hearing loss which is the most common symptom and usually develops gradually in one ear and in some cases it may develop all of a sudden.
A stroke can also result from a cerebral aneurysm, a type of damage that occurs when a blood vessel in the brain bursts. The oculomotor nerve, on the other hand, controls the consensual pupillary light reflex, which means that shining light into one eye causes pupil in the other eye to constrict. That compression can initially present itself as tinnitus, a ringing in the ear, followed by loss of hearing. When the affected person is eating, signals that should stimulate salivation instead stimulate lacrimation–better known as crying. People with this disorder tend to tire easily and should conserve their energy and pace their activities. Ieteicama deva ir 50 mg, registracijas apliecibas pieskirsanu un ieteikumus par Viagra lietosanu. In a healthy patient, shining light into either eye should cause both pupils to constrict; abnormalities in these reflexes are indicators of possible damage to the cranial nerves or to the brainstem itself. As the tumor grows, it will begin to press into the space between the brainstem and the cerebellum, eventually compressing a branch of CN V (the trigeminal nerve) which controls the corneal blink reflex. When CN V is compressed, a wisp of cotton brushed across the eyeball will no longer illicit blinking.
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