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Doctor insights on: Diagnosing Ed

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Could treatment of obsessive-compulsive disorder improve clarity of thought?

Could treatment of obsessive-compulsive disorder improve clarity of thought?

Yes, that is: Possible. When a person is obsessed with particular thoughts - they aren't attending well to other things that are happening. With obsessive compulsive personality traits - people can lose the bigger picture when focused on small details. Therapy can help with both obsessive compulsive disorder and obsessive compulsive personality disordE.R. ...Read more

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What is the significance of mma lab with diagnosis of Parkinson's diagnosis of late onset (age 72) Parkinson's for about 4 yrs but has not progressed as it might-

What is the significance of mma lab with diagnosis of Parkinson's diagnosis of late onset (age 72) Parkinson's for about 4 yrs but has not progressed as it might-

The : The mma test is done to look for B12 deficiency. It may be that your doctor suspects B12 deficiency which is not uncommon in older people. B12 deficiency can produce neurological symptoms like balance problems and neuropathy. The progression of parkinsonism is variable but i suspect that your doctor is checking you out for correctable causes of your symptoms. ...Read more

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What type of doctor specializes in diagnosis and treatment of children's behavioral disorders?

What type of doctor specializes in diagnosis and treatment of children's behavioral disorders?

Behavoir problems: An experienced pediatrician can begin a work-up of a child with behavior problems. Depending on the severity of the issues with the child, a psychiatrist or psychologist may also need to be involved. If autism is suspected, then a developmental expert at a pediatric hospital can provide helpful information to discover why a child and family are struggling with certain behaviors. ...Read more

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What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

Test exam: A full exam by a qualified expert in the field; MRI or ct of the brain often done; lab work to r/o reversible causes; consideration of depression as a cause or contributing; a full review of medications; avoidance of alcohol; consider full neuropsychol testing as well. ...Read more

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Ms symptoms compare along with other diagnosis. what is 3 key signs that help get better diagnostic direction to decision and Dr!

Ms symptoms compare along with other diagnosis. what is 3 key signs that help get better diagnostic direction to decision and Dr!

MS WORK UP: In the MS work up, of a younger female patient presenting with vertigo /gait instability/numbness. And on exam ther is hyperrefleia. You would want to do a full blood work up evaluate for Lyme disease/CNS SARCOIDOSIS /SJOGRENS SYNDROME. MRI of brain and cervical spine to look for plaques. If necessary a lumbar puncture to check MBP and oligoclonal bands ...Read more

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What percentage of seropositive RA patients with anti-cpp of >250 accompanied by pain/swelling in hands, wrists, tmj, elbows, achilles' tendon with ESR and CRP wnl? Do you alter the treatment ?

What percentage of seropositive RA patients with anti-cpp of >250 accompanied by pain/swelling in hands, wrists, tmj, elbows, achilles' tendon  with ESR and CRP wnl? Do you alter the treatment ?

TMJ: Your TMJ may be related, or unrelated to your RA. Make sure you have been evaluated by a TMJ expert to help manage your TMJ problem. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals. ...Read more

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What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

Medical examination: It is important to exclude the possibility that the signs of dementia are caused by some reversible condition, e.g. Vitamin B12 deficiency, . ...Read more

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What progress is there in diagnosis and treatment of brain disorders like alzheimer's and parkinson's?

What progress is there in diagnosis and treatment of brain disorders like alzheimer's and parkinson's?

Lots of research: There are vigorous efforts to understand these illnesses and we are making gains. It is not clear if there will be major breakthroughs soon though. ...Read more

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Symptoms of peripheral neropathy and joint pain with B6 level of 14 and b2 level of 5...Have doctors missed something to make diagnosis?

Symptoms of peripheral neropathy and joint pain with B6 level of 14 and b2 level of 5...Have doctors missed something to make diagnosis?

Can't answer: That question unless i know what your doctors have already looked for? Bear in mind that there are hundred of causes for neuropathy, in just over 30% of patients, we never do find an exact cause. If you feel your doctors missed something, then seek a second opinion. ...Read more

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I'm having many neurological symptoms with a history of autoimmune disease, sarcoidosis and marrow reconversion in spine and base of skull. Thoughts?

I'm having many neurological symptoms with a history of autoimmune disease, sarcoidosis and marrow reconversion in spine and base of skull.  Thoughts?

Neurosarcoid: Your sarcoidosis is more advanced then average with lesions involving the nervous system and bone marrow. Involvement of red blood cell-producing areas in your bones is resulting in reactivation of dormant bone marrow regions to maintain an adequate supply of blood elements. You need a sarcoid specialist experienced with the use of immunosuppressive drugs. ...Read more

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Please provide guidance on evaluation of bilateral patellar-femoral joint pain improved with nsaids?

Please provide guidance on evaluation of bilateral patellar-femoral joint pain improved with nsaids?

Physical therapy: Pt directed at quadriceps strengthening and hamstring stretching should help. May also consider using an orthotic in the shoes if you are flat footed. ...Read more

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Regards my inquiry about Parkinson's symptoms: is losing muscle and strength characteristic with parkinson's?

Regards my inquiry about Parkinson's symptoms: is losing muscle and strength  characteristic with parkinson's?

Mild weakness: Recent research has shown that patients with parkinson disease can have mild weakness. However, it is common for patients to feel weaker than they are due to coordination and motor control problems. In addition to medications, physical therapy and exercise are crucial to the treatment of parkinson disease. ...Read more

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What are the symptoms of fibromyalgia? I suffer from chronic joint pain (over last 40+ years). Incorrect diagnosis of Rheumatoid Arthritis at age 20.

What are the symptoms of fibromyalgia? I suffer from chronic joint pain (over last 40+ years). Incorrect diagnosis of Rheumatoid Arthritis at age 20.

Various: There are many symptoms associated with this condition. The most common are pain, fatigue, and brain fog. Whether you have this disorder can be determined by a rheumatologist. ...Read more

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Suspected with harayama on Left upper limb with muscle wasting and pain in wrist, not classical diagnoses. Suggest treatment / precautions.

Suspected with harayama on Left upper limb with muscle wasting and pain in wrist, not classical diagnoses. Suggest treatment / precautions.

What is harayama?: My apologies, but what is harayama? Pain and muscle wasting often correlates with nerve compression. Depending on what muscles are affected and where the pain is, you may have nerve compression. For an arm, nerve compression often occurs at the wrist (median nerve), elbow (ulnar nerve) or upper arm (radial nerve). ...Read more

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What is the difference between benign hyper mobile joint syndrome (dx'd by rheumy)and ehlers danlos . Have chronic joint/ muscle pain and fatigue. ?

What is the difference between benign hyper mobile joint syndrome (dx'd by rheumy)and ehlers danlos . Have chronic joint/ muscle pain and fatigue. ?

Opposite spectrum: A connective tissue disease or CTD is any disease that has the connective tissues of the body as a target of pathology. Ehlers-Danlos Syndrome (EDS) is a severe type that has an actual series of gene mutations associated. It can be fatal. Hypermobile joint, fibromyalgia, chronic fatigue, these are debilitating and chronic but not likely fatal or nearly as life concerning as EDS. ...Read more

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In which subtype of congenital myasthenia do symptoms improve over time?

In which subtype of congenital myasthenia do symptoms improve over time?

Myasthenia gravis: Transient myasthenia of the newborn improves rapidly after birth .It is present in 10-15 percent of babies born with myasthenia and usually clears up. ...Read more

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I fit all of the criteria for hypermobile EDS but to date only dx widespread OA and FMS. Would it be worthwhile trying to get an official dx of EDS?

I fit all of the criteria for hypermobile EDS but to date only dx widespread OA and FMS. Would it be worthwhile trying to get an official dx of EDS?

Hard to know: Here's a good place to start: http://www.ehlersdanlosnetwork.org/index.html There may be advice about possible research trials or treatment possibilities - but it's a mystery in many ways. There's a video you can link to from the site. Best wishes! ...Read more