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| Iran could be Russia's sore |
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Walking away from the Iran negotiating table
is a mistake for Russia says Mark Brzezinski,
a partner at the U.S. law firm McGuireWoods
and former director for Russia on the U.S.
National Security Council In his analysis of
current affairs exclusive to RT.
Tags : Iran Russai US Georgia South Ossetia Brzezinski |
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Affichage : 2996
Durée : 207 s |
| A Sore Throat, is it that simple? |
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I'm posting important radiographs at
http://web.me.com/lomeli.info/Luis_Lomeli,_M.
D. at this private site that I'm presently
developing. Sore throat, is it that simple?
Annually, million of patients consult medical
providers for a "sore throat." At times, it
can be benign and at other times it can be
deadly or a medical emergency as in acute
EPIGLOTTITIS.
Bacterial pharyngitis is most commonly caused
by group A ß-hemolytic Streptococcus
pyogenes ("Strep" throat). This video
presents a child with acute Erythema
marginatum (rheumatic erythema) that resulted
from streptococcal sensitization. This rash
is also typical of Henoch-Schonlein Purpura
which is a distinct syndrome mediated via our
immune system against specific antigens,
which includes upper respiratory tract
infections, drugs, foods, insect bites and
rarely immunizations.
Allergic rhinitis often becomes complicated
with sinopharyngitis and is readily apparent
when a patient is properly examined.
Sinopharyngitis is common in children and can
be misdiagnosed as "an ear infection" because
the pain may be referred to the ear.
Sinopharyngitis is often misdiagnosed as
"tonsillitis."
Mononucleosis (CMV or EBV) can present as
acute exudative tonsillopharyngitis. If
these patients are treated with an
antibiotic, the pain often becomes more
severe as a result of secondary candidiasis.
Candidiasis (fungal) resolves with Nystatin
suspension and surgery is not indicated. The
reader should see my other video that
addresses this topic.
Viral pharyngitis can be caused by other
viruses such as Coxsackievirus A, Herpes
Simplex (HSV) Types 1 and 2. Acute HIV can
present with "Flu" like syndrome that may
include pharyngitis and aseptic meningitis.
Pharyngitis can also be caused by Neisseria
gonorrhoeae, Syphilis (Secondary), Yersinia
enterocolitica, anaerobic bacteria (Vincent's
angina), atypical bacteria and rarely
Corynebacterium diphtheriae in poorly or
non-immunized patients (Tetanus/Diphtheria).
There are many other conditions that cause a
"sore throat" that can be as benign as a
canker sore or as life threatening as
Pemphigus vulgaris.
In third world countries and even in the
United States in patients that have not been
properly vaccinated, may present with
diphtheria pharyngitis, which can be deadly.
One mother tried to sue her pediatrician
(circa 1990's) because her child died of
diphtheria pharyngitis. The mother had
refused, on religious grounds, that her child
be vaccinated against diphtheria.
Patients with anxiety often present with what
I call Autonomic Pharyngitis or Globus
Hystericus. One man kept returning to see me
because of his "sore throat." The conflict
he had was that his wife had discovered that
his girlfriend was pregnant. In another
case, a 15-year-old girl, Cherry, kept seeing
various providers for pharyngitis. When I
saw Cherry, she denied any stressors.
Eventually she had her tonsils removed, but
her symptoms did not abate. Cherry was not
doing well in school, was often truant, and
her family was highly dysfunctional. A few
months after her tonsillectomy, Cherry became
pregnant and later a teen mother.
George Washington, our first President, died
from acute Epiglottitis. At age 67, he had
contracted hoarseness and a sore throat.
According to the principles of his day, he
was subjected to multiple bleedings. The
bleedings hastened his end. A tracheotomy
could have saved him.
In modern times, retropharyngitis,
parapharyngitis, tonsillar abscesses and
acute Epiglottitis can be life threatening.
Many doctors have been sued because of
failure to diagnose Epiglottitis.
Since medical school, I developed the idea
that I would one day see all the rare
conditions mentioned in textbooks, and I have
for the most part. To think otherwise, a
clinician may fail to diagnose a life
threatening condition.
Docendo discimus (Latin): "We learn by
teaching."
This information is not intended for patients
to self-diagnose. A properly trained medical
provider must be consulted.
Luis Lomeli MD
Tags : Pharyngitis Strep Tonsils Tonsillectomy Conjunctivitis Viral Epiglottitis Hand Food Mouth Rheumatic Fever Luis Lomeli |
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Affichage : 479154
Durée : 192 s |
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