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Miller Fisher Syndrome (MFS), also called Fisher’s syndrome, commonly begins with the rapid development, over days, of 3 problems:
Weak eye muscles, double or blurred vision, and sometimes drooping eyelids with facial weakness,
Weak balance and coordination with sloppy or clumsy walking,
on physical examination, decrease in deep tendon reflexes, such as the knee and ankle jerk.
Miller Fisher Syndrome(MFS) is named after Dr. C. Miller Fisher who described it in 1956 as a limited different of ascending paralysis, Guillain- Barre syndrome (GBS).
How common is Miller Fisher Syndrome(MFS)?
Miller Fisher Syndrome(MFS) is a rare disorder.
Guillain-Barré syndrome affects only 1 in 100,000 people trusted Source.
Miller Fisher Syndrome(MFS) makes up just 1-5 percent of trusted sources of these cases in Western countries, but more in Taiwan and Japan.
Because Miller Fisher Syndrome(MFS) is such a rare condition, it can sometimes be challenging to diagnose.
A person who thinks they have either of these conditions may need to look for a specialist.
Who is at risk?
Anyone can develop Miller-Fisher syndrome(MFS), but some are more prone than others.
Men. The Journal of the American Osteopathic Association notes that men are twice as likely to have Miller-Fisher syndrome(MFS) as women.
People who are of middle age.
The mean age of developing Miller-Fisher syndrome(MFS) is 43.6 years.
People who are Taiwanese or Japanese.
According to a case, reportTrusted Source published in the Hawai‘i Journal of Medicine & Public Health, 19 percent of GBS cases in Taiwan fall under the Miller-Fisher syndrome(MFS) category.
That number jumps to twenty-five percent in Japan.
Miller Fisher syndrome(MFS) triad
Background and objective: Miller-Fisher syndrome (MFS) is considered the most usual variant of Guillain-Barré syndrome (GBS) and is characterized by the clinical triad of ophthalmoplegia, ataxia, and areflexia.
Respiratory involvement and relapses are uncommon.
What Are the Causes of Miller Fisher Syndrome?
Both Miller-Fisher syndrome(MFS) and Guillain-Barré syndrome(GBS) develop in response to an illness.
The illness triggers antibodies to attack your nerves.
Experts are not sure why this occurs.
Miller Fisher syndrome commonly develops a few days or up to 4 weeks after an illness, especially a diarrheal disease or respiratory infection.
Campylobacter jejuni is a usual species of bacteria that triggers Miller Fisher syndrome and Guillain-Barré syndrome.
These bacteria may source diarrhea and abdominal pain.
Viruses that trigger both diseases involve:
Human immunodeficiency virus (HIV)
*People develop a voice disorder for many reasons. A voice disorder is a change in how the voice sounds. Health care providers trained in ear, nose and throat illnesses and speech-language pathologists diagnose and treat voice issues.
*Voice is the sound made by air passing from your lungs through your larynx, or voice box. In your larynx are your vocal cords, two bands of muscle that vibrate to make sound.
*For most of us, our voices play a big part in who we are, what we do, and how we communicate. Like fingerprints, each person's voice is unique
*Many things we do can injure our vocal cords. Talking too much, screaming, constantly clearing your throat, or smoking can make you hoarse. They can also lead to problems such as nodules, polyps, and sores on the vocal cords.
*Signs that your voice isn't healthy include:
-your voice has become hoarse or raspy
-You've lost the ability to hit some high notes when singing
-Your voice suddenly sounds deeper
-Your throat often feels raw, achy, or strained
-It's become an effort to talk
Emotions are often difficult to understand and interpret, even on a person without a disorder. It is therefore normal to have some difficulty understanding the emotions transmitted by a person who functions differently from you, or who has a disorder such as autism spectrum disorder (ASD).
An autistic person will feel emotions and will want to communicate emotions to those around them. However, it is not uncommon to encounter difficulties in expressing oneself. Indeed, people with autism spectrum disorder will encounter certain obstacles in recognizing various facial expressions. They will also have difficulty communicating by imitating the emotional expressions of others, which will make it difficult for them to understand their own emotions and to interpret them in the right way day after day.
This is because of the biological functioning being different from others. These people have to recognize and mindfully express what they are feeling. Its not always easy for them to connect their internal thoughts and emotions with their facial expressions.
There are though different ways of expression that each of these individuals enagage in for communication.
Therapies such as ABA i.e. Applied Behavior Analysis along with Speech therapies can help these individuals in better recoginition and expression along with social skills.
Posterior interosseous nerve syndrome can be caused by a traumatic injury, tumors, inflammation and an anatomic injury. With repeated pronation and supination a dynamic compression of the nerve in the proximal part of the forearm can be created.
the posterior interosseous nerve syndrome, the presenting symptoms are weakness and/or paralysis of the extensor muscles, which result in a wrist or finger drop. The presenting complaint for radial tunnel syndrome is proximal forearm pain often coexisting with lateral epicondylitis, without sensory nor motor loss.
-reduced range of movement.
-tingling / pins and needles.
Treatment of a PIN syndrome consists of either conservative or surgical management. Initially, wrist and/or elbow splints may be used, physical therapy, use of NSAIDs, or a corticosteroid injection in order to reduce local inflammation and swelling around the nerve.
Conservative management. 3-6 months of physiotherapy with regular re-assessment of signs and symptoms is recommended. If there is no response to therapy, evidence of denervation, or persistent paralysis, surgical decompression should be considered.
Trouble swallowing is also known as Dysphagia
Is a problem with swallowing food or liquids can be caused by stroke or any injury to brain .
There are different types of Dysphagia but they all show mostly similar signs and symptoms
•Problem in initiating a swallow
•Pain while swallowing
•Frequent coughing/ choking/gagging while swallowing
•Feeling of stuck in the throat
•Shortness of breath
•Heart burning sensation
Emotions are what help us derive meaning from the world around us. Without them, we would experience life with the vibrancy of reading a technical manual on transmission repair. While our emotions—whether good or bad—provide a lot of the excitement in life, there’s still a lot about them that we don’t know.
Every child is unique and develops a little differently, but overall, there are three major steps to building a well-equipped, emotional toolbox—and they don’t just happen. They involve practice and support from those who understand how important emotional intelligence really is.
3 Major emotional stages in childhood development
Take a closer look at three critical stages of emotional development so you can be equipped to help support the children you care for.
1. Noticing emotions: Birth to one
There are a lot of different theories about how emotions develop and function. Some think we are born with only three emotions: happiness, anger and fear. Others believe that babies are capable of feeling a much wider range from birth. It’s impossible to know for sure when they can’t tell us, but through crying and cooing, babies certainly communicate something. At this stage, an infant is discovering the world—good things like cuddles, bad things like full diapers. They are noticing how everything makes them feel.
2. Expressing emotions: Two to three
As children develop a vocabulary and more independence, they will experiment with expressing emotion in new ways. Some of it will be productive like drawing and narrating a picture of the scary monster under the bed. Some of it will be more like throwing a tantrum in the grocery store because they can’t get cheese puffs. This can be a very difficult stage for adults as children experience complex emotions but have not yet figured out healthy versus unhealthy expression.
3. Managing emotions: Three to five
At this stage, children are ready to enter preschool. A new social environment and more independence provides a great opportunity for growth but also poses some new challenges. Sharing, listening and playing together can cause friction between children, and since they cannot rely on their parents all the time anymore, they must develop new coping skills to manage on their own. Preschool caregivers play a vital role in this development as they create a safe space and offer guidance
Heberden's nodes are small bony growths that appear on the joint closest to the tip of your finger. Along with Bouchard's nodes, Heberden's nodes are a symptom of osteoarthritis of the hands. They can cause pain and limited motion in your hands.
The main cause of Heberden's nodes is osteoarthritis. That's a form of arthritis that happens when the tissue that covers the ends of your bones -- called cartilage -- wears away. Your cartilage can break down because of slow wear and tear over time or if you have an injury to the joint.
If you have Heberden's nodes, which are a sign of advanced osteoarthritis, you may have symptoms such as:
-Pain, swelling and stiffness.
-Bumps at the ends of your fingers.
-Loss of motion.
-Enlarged, stiff fingers
Unfortunately, no. There is no cure for Heberden's nodes or finger OA, but with proper treatment, the disease can be managed effectively and progression stopped or delayed.
Treatments for Heberden's nodes include laser therapy, splints, and over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain. Ice, heat, and physical therapy can also be effective, though some people may require surgery.
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