Newborns should go to the ER if they have a fever, but so should adults with additional serious symptoms, says Justin Wang, MD, from Regional Medical Center of San Jose. Learn what those signs are in this video.
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Dr. Matt Bush, Director of Emergency Services at Medical City Dallas Hospital and Medical City Children’s Hospital, explains when an adult should go to the Emergency Room with a fever.
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Manchester City defender Esme Morgan suffered a leg fracture against Tottenham. She will undergo surgery but is expected to be out for a while. #MCFC
MCWFC Statement:
“Esme Morgan is set for a spell on the sidelines after suffering a lower leg fracture in Sunday’s Barclays FA WSL game against Tottenham.
“The defender will shortly undergo surgery on her right leg before beginning a period of rehabilitation with the Club.”
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Symptoms, epidemiology, pathophysiology, diagnosis and treatment. For patient education. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-animations/microbiology-videos/-/medias/f9bc98ae-8008-40c3-8952-99c6def7864b-infectious-mononucleosis-narrated-animation
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Infectious mononucleosis, or mono, is a very common syndrome characterized by the triad of fever, swollen lymph nodes (lymphadenopathy) – most frequently in the neck, and sore throat with inflamed tonsils (tonsillar pharyngitis). Patients may also present with headache, fatigue, and enlarged spleen upon physical examination. The syndrome can be caused by several different agents, but the most common is Epstein-Barr virus, EBV; and the term “mononucleosis” usually refers to the disease caused by EBV.
EBV is ubiquitous in human. About 95% of all adults have antibodies against EBV, likely from an infection during childhood. Symptomatic infections are most prevalent in older teens and young adults, especially among college students. Infected young children are often asymptomatic or have mild symptoms. Older adults are either immune to the disease thanks to an earlier infection, or have atypical presentations that are misdiagnosed.
EBV is transmitted mainly via infected saliva. The virus is not very contagious, it takes several exposures to high viral loads to acquire EBV. Hence, kissing is the major route of transmission and mono is colloquially known as “the kissing disease”.
The incubation period is typically 3 to 5 weeks. The disease is self-limited and patients usually recover after 2 to 6 weeks, but the virus may remain in the saliva for months. Recovered patients may also shed virus periodically for life without developing symptoms. This is why most people get infected by an asymptomatic person and often cannot recall being exposed to EBV.
After infecting the oral epithelial cells, EBV attacks lymphocytes, in particular B-cells, in the tonsils. Infection then spreads throughout the lymphatic system, causing a massive immune response that is responsible for most of the symptoms. The immune response produces antibodies against EBV, providing lifelong immunity to EBV. At the same time, infection by EBV causes B-cells to proliferate and become antibody-producing plasma cells. Because B-cells are the source of antibodies of all kinds, NON-specific antibodies that do not react to EBV antigens are also produced. These so-called heterophile antibodies may be responsible for the mild thrombocytopenia, generalized rash, and antibiotic-related rash that are occasionally associated with mononucleosis.
As part of the immune defense, cytotoxic T-cells are increased in numbers and activated to kill EBV-infected B-cells. These T-cells have atypical morphology; they are known as Downey cells and are part of the diagnostic workup.
There are 2 antibody tests for mono: monospot test for heterophile antibodies, and EBV-specific antibody test. The monospot test is highly specific, but may give false-negative results in the first week of illness, and has low sensitivity, especially in children. EBV antibody test is performed when monospot test is negative but mono is still suspected.
Mononucleosis is often misdiagnosed as strep throat, and antibiotics may be given inappropriately. Antibiotic treatment can cause a rash to develop and this is often mistaken for antibiotic allergy.
Mononucleosis is self-limited, most patients fully recover after a few weeks, although fatigue may persist for months. Complications are rare but can be severe, sometimes life-threatening.
Treatment is supportive and includes bed rest, hydration, and fever and inflammation reducer. Heavy lifting and active sports must be avoided for a month to prevent splenic rupture. Corticosteroids can be helpful in certain complications, such as impending airway obstruction, but are not usually recommended for uncomplicated disease.
Diagnosing EBV can be done via the heterophile antibody test (“monospot” test), the anti-VCA antibody test, and the anti-EBNA antibody test. The monospot test is neither sensitive nor specific. For more videos and questions, visit – https://www.macrophage.co. Subscribe – https://goo.gl/EMRlRa. Support us on Patreon – https://goo.gl/bhmrgJ.
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since not many people talk about how professional monsta x handle unexpected mishaps, i decided to make a video of it.
this is my first youtube video so sorry if it’s a little… idk.
the clips in the video are not mine, and all credit goes to the original owners.
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Famous Physical Therapist’s Bob Schrupp and Brad Heineck describe what they believe is the single best treatment for Mid-Back or Thoracic Pain. You can do this treatment yourself.
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“Famous” Physical Therapists Bob Schrupp and Brad Heineck present the absolute best self-treatment for Thoracic (Mid-Back) Pain or a Thoracic Disc Problem. It is based on the McKenzie Method or Technique.
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Fever is a common feature of childhood infections. Watch this video on how to help a child with fever recover as quickly as possible. Be sure to also watch our video on spotting the signs of sepsis so you know what to do if your child isn’t getting better https://youtu.be/FifBm_08RkA.
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Pardon The Interruption’s Michael Wilbon and Frank Isola drop in on SportsCenter to discuss questions surrounding Zion Williamson’s overall health after he received an injection in his right foot today.
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X-Pac (aka Sean Waltman) tells the crazy story about an injury he sustained during a match where he missed a Bronco Buster and ended up ripping his rectum open requiring emergency surgery.
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#XPac #WWE #SummerSlam
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Abdominal pain during menses is actually suggestive of ovulation, that is release of egg that is required for fertilization. So the pain during menses is, you need not worry, if the pain is during a missed periods, then it is of little concern, because in pregnancy there is little amount of pain, but in abnormal pregnancies, that is when the pregnancy happens outside the uterus, that is in the fallopian tubes, then it will cause severe degree of pain that will require medical attention. So don’t neglect any kind of pain. Please take advice from your clinician.
Lower backpain is often attributed to a number of causes in a woman. Lower backpain can sometimes occur in a urinary infection. A part of a pelvic inflammatory disease, a part of some problems associated with posture it could also be associated to spine and orthopedic deformities as well as attributed to the most important Cervical Cancer. Cervical Cancer is a cause of cancer related reasons in women being the 4th important cause a lower backpain is also attributed in women when they have pelvic inflammatory disease but if the cells of the cervix are affected with the HPV virus and there is a growth to a tumor and this has spread to the organs nearby then Lower backpain could be a sign of Cervical Cancer but very often we hear a statement in the outpatient procedure office room that I have a Lower backpain, a nagging pain, it is persistent throughout the day and it increases by late evening. We often attribute a Lower backpain due to a pain in the change in posture, pain due to urinary tract infection, seldom thinking about it to be one of the reasons for attribution of a symptom of Cervical Cancer.
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