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Doctor insights on: Muckle Wells Syndrome

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Is it possible to have compartment syndrome in medial compartment of foot w/o trauma? Tested w/ stryker needle. +cs pressure of 41 (starting at 125)

Is it possible to have compartment syndrome in medial compartment of foot w/o trauma? Tested w/ stryker needle. +cs pressure of 41 (starting at 125)

Yes: Trauma is not the only reason a foot could swell, though likely the most common to cause the compartment syndrome. With the reading obtained if accurate this would signify elevated reassure consistent with compartment syndrome. Clinical exam should help guide therapy. The two docs should come to a consensus or ask for a weird opinion. ...Read more

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How effective is MRI at diagnosing compartment syndrome or chronic exertional compartment syndrome?

How effective is MRI at diagnosing compartment syndrome or chronic exertional compartment syndrome?

Compartment syndrome: is primarily a clinical, rather than an imaging, diagnosis. That said, MRI is very sensitive at detecting signs of compartment syndrome. ...Read more

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Is miller syndrome the same as miller fisher syndrome ?

Is miller syndrome the same as miller fisher syndrome ?

No: Miller Syndrome is a rare condition affecting the face and arms- here is a link with more information http://ghr.nlm.nih.gov/condition/miller-syndrome Miller-Fisher syndrome is causes poor muscle coordination and paralysis of the eye muscles - here is a link for MFS http://www.ninds.nih.gov/disorders/miller_fisher/miller_fisher.htm ...Read more

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Does stiff-person syndrome (moersch woltman) "burn out" with age, as the immune system weakens?

Does stiff-person syndrome (moersch woltman) "burn out" with age, as the immune system weakens?

No: The disease kniown as stiffman syndrome is not known to burn out if the synptoms reolve one would question the diagnosis. It is a progressive disease not well treated controlled with diazapam high doses and has been treated with plasmaphioresis with mixed results. ...Read more

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Can sinding Larsen Johansson syndrome look like a patella sleeve fracture on a xray?

Can sinding Larsen Johansson syndrome look like a patella sleeve fracture on a xray?

Yes,: and if clinical findings do not clarify what is going on, MRI should be able to make the distinction. ...Read more

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How is compartment syndrome diagnosed in kids?

How is compartment syndrome diagnosed in kids?

Same as adults: History of injury, symptoms, clinical exam and intracompartment pressure measurements. This is the same for children and adults. ...Read more

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3 yrSon isdefiant and hitssometimes punching andthreatening tome andadultsin family fathernot present whatsefective w out creating neg selfimageinhim?

3 yrSon isdefiant and hitssometimes punching andthreatening tome andadultsin family fathernot present whatsefective w out creating neg selfimageinhim?

Consistent hold: It is good that you care about his self-image. All household members need to agree on the approach or he'll play on it or be confused. Brief clear stmt of plan to him "We will stop you from doing this" and a restraining hug-hold (practice first) till calm in small empty corner. Serious but calm - no giggles or anger. A Child Psychologist can teach your family better than a few words can. Seek one! ...Read more

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Would lack of pressure (for example standing partly submerged in water) relieve a patient with tarsal tunnel syndrome (or other nerve con.) in feet?

Would lack of pressure (for example standing partly submerged in water) relieve a patient with tarsal tunnel syndrome (or other nerve con.) in feet?

Probably yes: Tarsal tunnel syndrome is a nerve compression disorder of the posterior tibial nerve as it enters the foot on the inside of the ankle. It is much like carpal tunnel syndrome of the hand. Displacement of body weight by water would lessen the load across the ankle joint, resulting in less pressure, and likely relieving symptoms. Anti-inflammatories with activity modifications advised. Surgery prn. ...Read more

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Can someone with mal de disembarkment syndrome have fluid in the middle ear?

Can someone with mal de disembarkment syndrome have fluid in the middle ear?

Mal de Mer??: It is possible to have fluid in the middle ear to cause this or just feel sea sick and not being on the boat after disembarking. Dizziness, lightheadedness, nausea can be caused by many things. Fluid in middle ear might have been caused by having a cold or sinus problem and not being on a ship. If symptoms do not improve being on land for 24 hours see your family physician or sooner if worse. ...Read more

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20 yr old son, college baseball player, ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. treatment? Worsen if plays?

20 yr old son, college baseball player,  ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. treatment? Worsen if plays?

Surgery: Would want to discuss directly with hand specialist, but would likely need surgery, although could potentially be done in off season. The combination of the ganglion inside the lunate weakening the bone and your sons sporting activity are causing edema in the bone, which is somewhat like having a stress fracture in the bone. If he has future hopes in baseball, will Likely need to be fixed. ...Read more

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Is carpal tunnel syndrome (cts) considered a "work-related" injury

Is carpal tunnel syndrome (cts) considered a "work-related" injury

Possibly: Cts can also result from trauma to the wrist (fall, crush injury). Not all state work comp rules recognize cts as a work related issue, particularly, if it is attributed to "overuse, " such as typing, keyboard, etc. Generally, if there is a chance that it might be accepted, you can expect a thorough investigation in to your life, to make sure that there is no other possible cause. ...Read more

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Could osteogenesis imperfecta look similar to shaken baby syndrome in a deceased infant?

Could osteogenesis imperfecta look similar to shaken baby syndrome in a deceased infant?

Location/type of fx: Oi has several sub forms and the type & location of their fx are often used to help classify their subgroup. That said, the type and pattern of intentional trauma is recognizable. Breaks that show symetrical shoulder fx from shaking of a child lifted by his upper arms/ circumferential skull fx, etc. I believe a sub-board of pediatrics recognises those with the added training to sort these out. ...Read more

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Could a MRI scan show up munchausen syndrome by proxy?

Could a MRI scan show up munchausen syndrome by proxy?

No: But an MRI might be one of the methods used to help rule out other types of illnesses in a case where munchhausen's by proxy is suspected. ...Read more

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Are jumping frenchman of maine disorder and alien hand syndrome infectious diseasess?

Are jumping frenchman of maine disorder and alien hand syndrome infectious diseasess?

No: I had to look these up, so thanks for the opportunity for self-education! neither condition is infectious, which makes sense, because if they were, i'm sure there would have been a question about them on the infectious disease board exam. ...Read more

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High arch from untreated compartment syndrome. PT says my Spring ligament is gone. Could fast onset of cavus foot cause spring ligament rupture?

High arch from untreated compartment syndrome. PT says my Spring ligament is gone. Could fast onset of cavus foot cause spring ligament rupture?

Doubt it: Spring ligament helps maintain an arch, when or if it ruptures you would destabilize the arch and the foot would flatten. Your describing the Opposite type of scenerio..... ...Read more

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Treatment for carpal tunnel syndrom, i'm unable to grip and move hands well?

Treatment for carpal tunnel syndrom, i'm unable to grip and move hands well?

Usually a splint: Initial conservative care for cts is a wrist splint. I would advise an evaluation by a hand surgeon . If you are having continuous symptoms of numbness and tingling you need to seed a hand surgeon asap. ...Read more

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I have been diagnosed with wells syndrome what are the potential risks of this disorder? Since it is so rare, my doctors too won't have enough info?

Continued: This condition has been associated with spider bites, parasitic infections, dental abscess, myeloproliferative disease, leukemia, eczema, churg-strauss syndrome, viral skin infections, herpes simplex infection, fungal infections, tetanus immunization, and drug reactions, which suggests that this condition is caused by a reactive or hypersensitivity phenomenon. ...Read more

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Recently diagnosed with wells syndrome , i'm trying to figure out what types and how often, cancers are afiliated with this rare disease .Thank you?

Recently diagnosed with wells syndrome , i'm trying to figure out what types  and how often, cancers  are afiliated with this rare disease  .Thank you?

Get clarification: If this is eosinophilic cellulitis, it's a skin disease that's not especially going to increase your cancer risk. The fact that you ask this question suggests there may be a misunderstanding with your physician. He/she is responsible for explaining exactly what's going on, especially when you've been given a rare diagnosis. Stay proactive and best wishes. ...Read more

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What's pisa syndrome?

Pisa syndrome: A persistent administration of antipsychotic can produce persistent dystonia , which is called pisa syndrome. ...Read more

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What is mrkh syndrome?

What is mrkh syndrome?

MRKH Syndrome: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome - the vagina & uterus are underdeveloped or absent. ...Read more

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What's downs syndrome?

What's downs syndrome?

Downs syndrome: Down syndrome is a genetic disorder that causes lifelong mental retardation, developmental delays and other problems. Down syndrome varies in severity, so developmental problems range from moderate to serious. ...Read more

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What's ribtip syndrome?

What's ribtip syndrome?

Rib-tip Syndrome: Rib-tip syndrome is also called “costo-iliac impingement syndrome”. It occurs when the top of the hip bone touches or rubs on the lowest rib & leads to pain. ...Read more

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What is berhs syndrome?

What is berhs syndrome?

Genetic blindness: This is an autosomal recessive disease (i.e., the patient inherits one defective gene from each parent), with progressive loss of vision and sometimes other neurologic problems. Carriers (one copy of the gene) may have some visual problems. There is no specific treatment, and my hope is that if you or someone you know is affected, good supportive care will be available. ...Read more

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What is sharpe syndrome?

What is sharpe syndrome?

Sharpe Syndrome : Its another name for mixed connective tissue disease, an autoimmune disease with features of systemic lupus erythematosus, scleroderma, and polymyositis, sometime referred to as undifferentiated connective tissue disease. Individuals who have this condition are best served by a rheumatologist (an internist with subspecialty training in rheuamtology). ...Read more

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What is cowden syndrome?

What is cowden syndrome?

Tumor family: This is a fairly common trait passed parent-to-child, 50% chance, in which certain tumors are substantially more common and there may be curious bumps especially on the skin. It is not curable but if good surveillance for tumors is maintained, it's manageable. Several genetic loci are known especially pten, and genetic counseling is available. ...Read more

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What is reye's syndrome?

What is  reye's syndrome?

Deadly process: First noted in the 60'sand peaking in the 70's, this is a pattern of acute liver failure,coma and often death. It often struck kids recovering from flu or chickenpox. Its cause is unclear, but an association with intake of any salicylate product was recognized.After salicylates were stopped for kids under 16, the condition has all but disappeared. ...Read more

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What is Alstrom syndrome?

What is Alstrom syndrome?

Very rare genetic dz: This is a very, very rare genetic disorder, which can cause obesity, blindness, and hearing loss. See this article: https://en.wikipedia.org/wiki/Alstr%C3%B6m_syndrome ...Read more

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What is ashburg syndrome?

What is ashburg syndrome?

Asperger syndrome: I'm assuming is asperger syndrome. Is a mild form of autism. Consult with a pediatric psychologis & psychiatrist. ...Read more

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What is horner's syndrome?

What is horner's syndrome?

Read: Horner's syndrome is the combination of drooping of the eyelid (ptosis) and constriction of the pupil (miosis), sometimes accompanied by decreased sweating of the face on the same side; redness of the conjunctiva of the eye is often also present. It indicates a problem with the sympathetic nervous system. ...Read more

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What is hoigne's syndrome?

What is hoigne's syndrome?

Penicillin injection: Hoigne syndrome is due to an embolism caused by injection of procaine penicillin into muscle with subsequent neurologic problems. It is hypothesized that some of the drug may have entered the blood stream. ...Read more

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What is sjögren’s syndrome?

What is sjögren’s syndrome?

Dryness arthritis: Typically it is dryness of eyes, mouth, arthritis, swelling of salivary glands. ...Read more

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What is kallman's syndrome?

What is kallman's syndrome?

Genetic Condition: Kallmann's syndrome is a genetic condition characterized by the failure to commence or complete puberty. It causes hypogonadism (low level of circulating sex related hormones; testosterone in men and estrogen and Progesterone in women) and is accompanied by a total lack of the sense of smell (anosmia) or a heavily reduced sense of smell (hyposmia). The diagnosis is made by a full endocrine eval. ...Read more

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What is sundowner syndrome?

What is sundowner syndrome?

"sundowning": It is the tendency of elder and sometimes not so old patients to get a bit more disoriented and anxious in the evening. ...Read more

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What causes reye's syndrome?

What causes reye's syndrome?

Reye's syndrome: in children, which comes from giving aspirin to a child during a viral infection. Unfortunately, most over-the-counter (OTC) analgesic medications have not been specifically approved for children and frequently carry warnings against using these drugs in children under 16 years of age. ...Read more

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What is v.a.t.e.r. syndrome?

What is v.a.t.e.r. syndrome?

Birth defect: It is not a syndrome but an association of defects. It's not genetic. Also called VACTERL or VATER association. A person who has these has a birth defects (anomalies) in at least 3 of these areas: Vertebral, Anorectal, Cardiovascular, Tracheoesophageal fistula, Esophageal atresia, Renal and/or Radial anomalies, Limb defects. See this article: https://en.wikipedia.org/wiki/VACTERL_association ...Read more

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Is frey's syndrome familial?

Is frey's syndrome familial?

No: Frey's syndrome is also called auriculotemporal nerve syndrome. This occurs after damage to this nerve in the face from trauma (birth trauma, gun shot, surgery, etc) and as the nerve "regrows" it goes to the surface rather than to the salivary gland. When a person eats something and salivates, the develop a red, non-itchy rash along the face where the nerve is. It's not familial. ...Read more