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Did you know? In 2011, 96% of Lyme disease cases were reported from 13 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Vermont, Virginia, and Wisconsin. Use repellents that contain 20% or more DEET (N, N-diethyl-m-toluamide) on the exposed skin for protection that lasts up to several hours.
Bathe or shower as soon as possible after coming indoors (preferably within two hours) to wash off and more easily find ticks that are crawling on you. Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of your body upon return from tick-infested areas. If you had a tick bite, live in an area known for Lyme disease or have recently traveled to an area where it occurs, and observe any of these symptoms, you should seek medical attention! Rash occurs in approximately 70-80% of infected persons1 and begins at the site of a tick bite after a delay of 3-30 days (average is about 7 days).
Rash gradually expands over a period of several days, and can reach up to 12 inches (30 cm) across. Some people may get these general symptoms in addition to an EM rash, but in others, these general symptoms may be the only evidence of infection. Some people may also get a small bump or redness at the site of a tick bite that goes away in 1-2 days, like a mosquito bite. Approximately 60% of patients with untreated infection may begin to have intermittent bouts of arthritis, with severe joint pain and swelling. Up to 5% of untreated patients may develop chronic neurological complaints months to years after infection.
Approximately 10-20% of patients (particularly those who were diagnosed later), following appropriate antibiotic treatment, may have persistent or recurrent symptoms and are considered to have Post-treatment Lyme disease syndrome (PTLDS).
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Diet and Exercise - Following a diet strict on carbohydrates to control sugar (glucose) levels will be essential. This site was created by Christian Sosa in fulfillment of requirements for the course CSS 335: Latino Health Issues taught by Dr. Granuloma annulare is a very rare autoimmune condition that is shown on the skin through red bumps that are arranged in a ring or a circle. Patch type granuloma annulare- Tends to effect woman between the ages of 30 and 70 years of age. Oral medications can be used in severe cases.  They could be used to prevent the immune system from having reactions in those individuals that have rheumatoid arthritis or who have received organ transplants. Want to improve your skin?Join over 40,000 other Advanced Dermatology fans who get skin advice delivered directly to their inbox. This article exemplifies the AAFP 2007 Annual Clinical Focus on management of chronic illness. Chronic pancreatitis is the progressive and irreversible destruction of the pancreas as characterized by permanent loss of endocrine and exocrine function.


If you are in the market for new diabetes test equipment be sure and compare blood glucose meters before you buy. After all with so many options on the market there is no excuse for not getting the one that is the best fit for your medical care and your lifestyle. With so many different options available make your choice carefully, do your research before purchasing. When the blacklegged tick is in its nymph stage, the risk of transmission of Lyme disease is the greatest. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.
Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs. These include shooting pains, numbness or tingling in the hands or feet, and problems with short-term memory. The National Institutes of Health (NIH) has funded several studies on the treatment of Lyme disease which show that most patients recover when treated with a few weeks of antibiotics taken by mouth.
This type of diabetes develops after the body does not produce enough insulin or the cells ignore the insulin. An exercise routing should be followed along with a diet, for it helps control glucose build up and helps with weight management. If hypoglycemic agents are not enough to lower glucose levels, then a combination of agents and insulin will be administered, starting with nightly insulin doses. NAIR, MD, and LANIKA LAWLER, MD, Baylor Family Medicine Residency Program, Garland, TexasMARK R. Disease characteristics include inflammation, glandular atrophy, ductal changes, and fibrosis.
The pain is commonly described as midepigastric postprandial pain that radiates to the back and that can sometimes be relieved by sitting upright or leaning forward.
Anytime you have a large number of options on the market, whether you are looking for a new car, a new home, or even food items it is a good idea weigh your options, so compare blood glucose meters before you make a decision as to which one is right for you. You can compare blood glucose meters online, in magazine articles, or even in the store, but this is a situation where you should resist the urge to buy based solely on impulse or on the basis of price alone.
If you are a technophile you may want the model that has a USB port so you can load data from the meter into your computer. Arthritis caused by Lyme disease manifests differently than other causes of arthritis and must be distinguished from arthralgias (pain, but not swelling, in joints). Diet and Exercise will be KEY in controlling Type II Diabetes in order to prevent further complications that can arise from the disease.
Alcoholism plays a significant role in adults, whereas genetic and structural defects predominate in children.


Common drugs that may induce chronic pancreatitis include angiotensinconverting enzyme inhibitors, statins, didanosine (Videx), azathioprine (Imuran), steroids, lamivudine (Epivir), hydrochlorothiazide (Ezide), valproic acid (Depakene), oral contraceptives, and interferon.6Adapted with permission from Etemad B, Whitcomb DC. It is presumed that when a person at risk is exposed to toxins and oxidative stress, acute pancreatitis occurs. If you don’t but the type of meter that suits you and your lifestyle best you are not as apt to use it as often as you need to and this should be the first thing on your mind when you compare blood glucose meters.
For example, Southern Tick-associated Rash Illness (STARI) causes a rash with a very similar appearance. If the exposure continues, early- and late-phase inflammatory responses result in production of profibrotic cells, including the stellate cells.
If your fingers get sore from checking your sugar often you may want to get the model that can take blood from the forearm or some other location other than the fingertip.
Also, other medications may be used before or along with insulin if the condition gets worse.
Contrast-enhanced computed tomography is the radiographic test of choice for diagnosis, with ductal calcifications being pathognomonic.
Newer modalities, such as endoscopic ultrasonography and magnetic resonance cholangiopancreatography, provide diagnostic results similar to those of endoscopic retrograde cholangiopancreatography. Although endoscopic retrograde cholangiopancreatography (ERCP) is still used as the reference standard in studies,5,21 contrastenhanced CT of the abdomen is the initial imaging modality of choice.11 Pathognomonic findings on plain radiography and CT reveal calcifications within the pancreatic ducts (Figure 1). Before proceeding with endoscopic or surgical interventions, physicians and patients should weigh the risks and benefits of each procedure. Therapeutic endoscopy is indicated for symptomatic or complicated pseudocyst, biliary obstruction, and decompression of pancreatic duct. Given a pretest probability of 50 percent, 70 percent of patients with positive EUS have chronic pancreatitis, and 95 percent with a negative test do not.
Surgical procedures include decompression for large duct disease (pancreatic duct dilatation of 7 mm or more) and resection for small duct disease.
Lateral pancreaticojejunostomy is the most commonly performed surgery in patients with large duct disease.
Pancreatoduodenectomy is indicated for the treatment of chronic pancreatitis with pancreatic head enlargement. Patients with chronic pancreatitis are at increased risk of pancreatic neoplasm; regular surveillance is sometimes advocated, but formal guidelines and evidence of clinical benefit are lacking.



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