Diplopia

taking baby aspirin as daily medication. His hair is greying and thinning with no hair loss. L.H. report no concurrent or severe headaches; There was no head trauma, syncope or vertigo. Patient wears corrective lens with no difficulty of vision or diplopia; absent of inflammation, discharge or lesion. Last eye exam was in September of 2016 with no history of glaucoma, cataracts. L.H. denies having any frequent colds, sinusitis, epistaxis and trauma. Patient reports having obstruction stating, “it

A migraine is the most common, recurrent, severe primary headache that affects at least 12% of the adult population in the United States or more than 28 million people. Migraine is now recognized as a neurologic process. It is characterized by an intense, throbbing, unilateral headache associated with anorexia, nausea, vomiting, photophobia, phonophobia, and/or diarrhea and may last 4-72 hours. There are three types of migraines: common migraine, classic migraine, and basilar migraine. A common

Working in various settings of physical therapy rehabilitation centers is one of the most challenging and complicated. Apart from the 40-hour workweek, it is physically strenuous as well. Physical therapists often have to the need to stoop, kneel, crouch, lift, and stand for extensive periods. Above and beyond, physical therapists move heavy equipment and lift patients or help them turn, stand, or walk. Most of the patients that I have encountered are diagnosed with Diabetic Neuropathy (DN). Diabetic

ce Difficulty moving an arm or leg     ptosis Involuntary movement (including eye)      Difficulty walking               diplopia Loss of sensation in part of body     strabimus Memory

Twin studies provide evidence that bipolar disorder is linked to genetic component. A research study published in the Epidemiology for Behavioral Neurosciences asserts that “twin studies demonstrated that there are strong genetic factors involved in the pathogenesis of bipolar disorder, which also influence white matter, which in turn is involved in brain connectivity” (Squarcina, Fagnani, Bellani, Altamura, & Brambilla, 2016). From the above research, it is obvious that there is correlation between

the CNS through the optic nerve. Loosing the sense of vision can be very detrimental. Some of the dysfunctions that occur with CN II are immediate monocular blindness (partial or complete), visual field deficits, blurring, scotomata, and monocular diplopia. There can be many possible causes for these dysfunctions to name a few, immediate loss of vision is due to injury to optic nerve due to ischemia or death, delayed vision loss is due to infarction of the optic nerve or less frequently by hematoma

Case Study Two Derek is a 57-year-old, diagnosed 2 years ago with insulin resistance diabetes. At the time, he had an extremely poor diet with a sedentary lifestyle, and he smoked a pack of cigarettes a day. He presents to you today on his wife’s insistence, complaining of fatigue and polyuria. Derek states, “I have followed your advice ‘to the letter’ and have reduced smoking to 5 cigarettes/day”. During his physical examination, you note: • Weight 130kg (previous admission: 118kg) • BP of

LOCAL ANAESTHETICS BUPIVACAINE Figure 10 Bupivacaine is an amide linked local anaesthetic .Bupivacaine has a relatively slow onset of action (approximately 30 min) but a prolonged duration of action. These features are related to its physicochemical characteristics particularly its pKa value and extensive protein binding. Its main advantage compared to lidocaine and prilocaine is its prolonged duration of action, and it is commonly used to produce infiltration and conduction

Dysarthria) * Visual disturbances/ visual field deficits * Difficulty walking, dizziness, or loss of balance or coordination * Sudden severe headache Visual Field deficits * Homonymous hemianopsia * Loss of peripheral vision * Diplopia Motor Deficits * Hemiparesis * Hemiplegia * Ataxia * Dysarthria * Dysphagia Sensory Deficits * Paresthesia (occurs on the side opposite the lesion) Verbal Deficits * Expressive aphasia * Receptive aphasia Cognitive

symptoms of fatigue, bulbar & ocular weakness as well as overall muscular weakness in the arms and legs. Because the facial muscles are also affected, other symptoms of Myasthenia Gravis include muffled speech, difficulty swallowing & chewing, and diplopia (double vision). In approximately 85% of MG patients, the disease becomes generalized and within 3 years, the limbs, axial muscular groups like the neck muscles, as