History Of Present Illness : 34 Year Old Woman With A History Of Wolff Parkinson White Syndrome

Neurology is one of the most unexplored fields in medicine; however, more recently there has been a spike in the amount of research being done in this specialty. This is because people are becoming more interested in neuroscience, including myself. I attended a pre-medical vocational high school, which exposed me to a greater amount of knowledge pertaining to the basics of anatomy and physiology, along with hands-on opportunities in a medical setting. It was here where I realized that I wanted to pursue a career in medicine; however, due to the fact medical field is very broad, I had no set specialty. This changed when I was exposed to the cruel manifestations of Parkinson’s Disease. During, sophomore year of high school, my grandfather passed away due to complications of Parkinson’s Disease. The way that a neurodegenerative disease was able to overtake a person in the manner that it did was shocking, and while it brought me great grief initially, it later intrigued me. I took up an interest in neuroscience and began to do my own research which culminated in various projects and applications throughout the remainder of my time in high school. These experiences have culminated in my decision to work toward a Cell Biology and

Apical hypertrophic cardiomyopathy is a disease that mainly affects the apex of the heart and does not cause any obstruction. [1] These abnormalities in the heart muscle can cause a wide variety of symptoms. As the heart becomes stiff it increases the pressure in the left ventricle which can push blood back into the lungs, causing shortness of breath in exercise. Chest pain can occur as there is not enough oxygen available to the cardiac muscle due to insufficient blood supply. Palpitations and lightheadedness, along with other conditions can occur as a result of HCM. In addition to these discomforting symptoms, the patient may develop an arrhythmias that often goes unnoticed. An arrhythmia takes place as the electrical conduction of the heart is disturbed by the abnormal scattering of myocytes. The two most common arrhythmias are atrial fibrillation causing palpitations, and ventricular tachycardia that can be life threatening causing sudden death. Both conditions can be controlled with medication. [4]

Parkinson disease (PD) is one of the most common neurologic disorders. and it affects approximately 1% of individuals older than 60 years old. Parkinson’s disease is a condition that progresses slowly by treatment. In addition, loss of pigmented dopaminergic neurons of the substantianigra pars compacta and the presence of Lewy bodies and Lewyneurites are the two major neuropathologic findings in Parkinson disease (Hauser, 2016).

Parkinson 's disease is a progressive neurologic degenerative disease of the Central Nervous system. The brain produces Dopamine and Norepinephrine, which are chemicals needed for smooth muscle movement and coordination, heart rate, and blood pressure. Dopamine and Norepinephrine are released by basal ganglions that are produced in a bundle of nerve cells in the brainstem called substantia nigra. In Parkinson 's patients, the substantia nigra are destroyed and neither of the chemicals can be released into the body. (3) The decrease in Norepinephrine causes heart arrhythmia and low blood pressure, causing the person to get dizzy upon standing or tire easily. The lack of Dopamine, the smooth muscle movement and coordination controller is now gone, or significantly decreased, resulting in the first signs of Parkinson’s disease, pill-rolling, a one handed tremor and a decreased appetite. (2)

The patient is a 76-year-old Hispanic gentleman brought to the ED by his wife because the patient has been anxious for 2 weeks and now unable to sleep much of the night. He denies any chest pain but has had on-and-off palpitations that seemed not to be related to activity or a particular time of day. He denies any shortness of breath, lightheadedness or loss of consciousness. He had two episodes of syncope three years ago. He was diagnosed with having an MI. He was at that time treated at St. Mary's Hospital in Passaic and underwent cardiac catheterization and he has had some stenting done to his coronary arteries. He saw his PMD approximately a week ago who prescribed some sleeping medicine and neurology consult which the patient has

The article “Living with Parkinson’s and Looking for Relief”, written by Carla Gantz, was found in RDH magazine as a feature in the February 2013 volume on pages 34,36,38, and 95. It is about a dental hygienist, Carla Gantz, who develops Parkinson’s disease while still in practice, and the various ways she copes with the disease. Gantz had Parkinson’s disease that was only on her right side, hand, arm, and shoulder, classifying her as stage 1 Parkinson’s disease. She started off taking low doses of levodopa to help with her tremors, but as the disease progressed, the medications changed, and the doses increased. Her role as a dental hygienist was also affected as her disease progressed. She couldn’t administer local anesthesia, her manual dexterity with instruments became more difficult, and when polishing or scaling, her hand would come to a halt, a secondary motor symptom of Parkinson’s disease. She should break this “freeze” by allowing her left arm to lift up her right arm, but that only worked for so long. Five years after being diagnosed, Gantz had to give up her career because her tremors got worse and her medication increased; she was taking up to thirteen pills per day.

LONDON — A marketing firm is heavily criticizing the Guardian tech writer Hannah Jane Parkinson after publishing a false report. The piece — published on January 12th, 2015 — had several big flaws that drove unwanted hate to the marketing company. The marketing firm is even calling Hannah Jane Parkinson “the worst journalist at The Guardian”, as Mirror reported.

The most significant challenged I ever faced is being diagnosed with severe Wolff-Parkinson-White (WPW) syndrome my junior year of college. Receiving my diagnosis I was upset and negative about the situation. I knew financially I could not get the surgery, and I knew I needed to push on through college. Nevertheless, I never let my diagnosis get the best of me. My diagnosis did not get the best of me because I started to see it as a positive challenge. Additionally, I realized my diagnosis taught me important life lessons. One of the life lessons taught to me, by my diagnosis, was to not add constant stress to the situation out of my control. If a situation is out of my control, like being diagnosed with WPW, the worst response is constant

A barrier that I had to break or overcome is the fact that I have WPW or ( Wolf Parkinsons White Syndrome), a heart defect. I uses many values to help me overcome my barrier. The main three I used were courage,determination,and excellence. I used COURAGE to help me realize that I had to have surgery to help me and my heart even though it did not work I know personally that I can have any kind of surgery and not be afraid. The same way Jackie Robinson used courage to ignore that man that was yelling at him even though he wanted to he knew the right thing is to not say anything at all. One of the main values I used is DETERMINATION,because right before surgery I was wanting to back out and not have it,but then I started telling myself I would

“I am honestly surprised that you have not suffered from a heart attack.” Imagine being only thirteen years old and hearing those words coming from your cardiologist. Actually, imagine even having to have a cardiologist at age thirteen. It took me a long while to tell anyone about the terrifying symptoms that I was experiencing, but eventually I did and the endless amounts of doctor's appointments began. After many trips to the cardiologist for tests and thirty days of wearing a heart monitor, I was diagnosed with supra ventricular tachycardia. Supra ventricular tachycardia, or SVT for short, causes the heart to beat extremely quickly when the heart's electrical system is not working correctly. In order to be diagnosed with SVT, your heart

Post orthostatic tachycardia syndrome (POTS) is an autonomic disorder characterized by orthostatic intolerance, such as, light headiness, fatigue, sweating, tremor, anxiety, exercise intolerance, and fluctuation in blood pressure in either direction. A person with POTS will experience heart rates that increase 30 beats or more per minute upon standing and/or increase to 120 beats or more per minute upon standing (Grubb, 2000). These exaggerated heart rate increases usually occur within 10 minutes of rising. These symptoms of POTS may lead patient limitation of activity; for example, chronic debilitating disorders, prolonged bed rest, or medication that impair autonomic function that may have to be excluded (Agarwal, Garg, Ritch, Sarkar, 2007).

Wolff Parkinson’s White is one of the many disorders that can go wrong with the electrical system of the heart. Wolff Parkinson’s White can be caused or is caused by the abnormal or extra pathway between the atria and the ventricles. Electrical signals passing through this extra pathway make the ventricles contract early resulting in a fast pace, heartbeat. Wolff Parkinson’s White is only present in about 4 in every 100,000 people. Normal heartbeats in a person’s heart start with a cardiac action in the sinoatrial (SA) node, which can be found in the right atrium. From there, the electrical current is transmitted in the pathways to the atrioventricular (AV) node. Then the atriums contract, forcing blood down

A diagnosis of Parkinson's can take time. A family doctor might notice it first. You may be referred to a neurologist a specialist who deals with Parkinson's. There are no x-rays or tests to confirm Parkinson's. So the neurologist will check your medical history, do a careful physical examination and certain tests, and rule out other conditions which may resemble

The South Dakota Parkinson’s Foundation offers support groups in various communities in South Dakota. These communities include Sioux Falls, Rapid City, Aberdeen, Brookings, Mitchell, Viborg, Watertown, and Yankton. Apart from Viborg, all of these locations are larger population centers. It is obviously important for these locations to have these support groups, however we are neglecting the rural populations of the state. Also, several of these locations are located reasonably close to each other. I believe we can expand these types of programs to the western side of the state as well, not just Rapid

In addition, scientists have found that genetics also plays a role in cardiac arrhythmias and that in some cases patients have commented that they had no symptoms before they succumbed to some form of episode of cardiac distress, like a sudden heart attack. This has proven to be standard for many different forms of arrhythmias, whether it’s due to genetics or not. One such case is the long QT syndrome (LQTS) which is estimated to affect one in every 5000 people and is recognized as a family disorder, frequent in children during their childhood years (Wilde, and Bezzina 1352–1358.) Patients with this disorder can have symptoms of a fluttering heartbeat, shortness of breath, and chest pain, while other patients might not experience any symptoms at all (Wilde, and Bezzina 1352–1358.) Another known disorder is cardiac conduction disease, which is mostly due to some form of cardiac injury (Wilde, and Bezzina 1352–1358.) Symptoms for this