Scoliosis

Scoliosis

Scoliosis can be caused to happen at any age of any person and at any time. When a child is born with it at birth it is called congenital when is caused by vertebral anomalies. It could also develop as a juvenile, adolescent, or adult according to when onset occurred or by having having developed as a secondary symptom of another condition, such cerebral palsy, spinal muscular atrophyor due to physical trauma. Scoliotic curves greater than 10° affect 2-3% of the population of the United States. The prevalence of curves less than 20° is about equal in males and females. Curves that are greater than 20° affect about one in 2500 people. Curves convex to the right are more common than those to the left, and single or "C" curves are slightly more common than double or "S" curve patterns. Males are more likely to have infantile or juvenile scoliosis, but there is a high female predominance of adolescent scoliosis.
The condition can of the persons spine can be categorized based on convexity, or curvature of the spinal column, with relation to the central axis:

• Dextroscoliosis is a scoliosis with the convexity on the right side.
• Levoscoliosis is a scoliosis with the convexity on the left side.
• Rotoscoliosis (may be used in conjunction with dextroscoliosis and levoscoliosis, e.g. levorotoscoliosis) refers to scoliosis on which the rotation of the vertebrae is particularly pronounced, or is used simply to draw attention to the fact that scoliosis is a complex 3 dimensional problem.

It is most commonly not very easy to find a clear cause to scoliosis. Various causes have been discovered, but none has consensus among scientists as the cause of scoliosis. Scoliosis is more often diagnosed in females and is often seen in patients with cerebral palsy or spina bifita, although this form of scoliosis is different from that seen in children without these conditions. In some cases, scoliosis exists at birth due to a consgenital vertebral anomaly. Occasionally, development of scoliosis during adolescence is due to an underlying anomaly such as a tethered spinal cord, but most often the cause is unknown or idiopathic. In April 2007, researchers at Texas Scottish Rite Hospital for Children identified the first gene associated with idiopathic scoliosis, CHD7, which was a huge medical breakthrough and was the result of as 10-year study.

The signs of scolioses are often very obvious unless it is very discrete. Pain is often common in adulthood, especially if the scoliosis is left untreated. Scoliosis surgery is often performed for cosmetic reasons rather than pain alone as the surgery cannot guarantee pain loss but it can stabilize a curvature and prevent worsening therefore improving one's quality of life. Pain can occur because the muscles try to conform to the way the spine is curving often resulting in muscle spasms. The symptoms of scoliosis can include:

• Uneven musculature on one side of the spine
• A rib "hump" and/or a prominent shoulder blade, caused by rotation of the ribcage in thoracic scoliosis
• Uneven hip, rib cage, and shoulder levels
• Assymetric size or location of breast in females
• Unequal distance between arms and body
• Slow nerve action (in some cases)

Getting examined for scoliosis is very simple. They occasional have examinations at school so they can test everybody in the school and fix it early if you are diagnosed. You are examined by bending over forwards and your spine is looked at for a hump. The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are that larger curves carry a higher risk of progression than smaller curves, and that thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, patients who have not yet reached skeletal maturity have a higher likelihood of progression. You can go one of two routes, either a brace, or undergo surgery. When you wear the brace, it is worn almost permanately but can be removed and is worn until the abnormal curvature to the spine is fixed and back to normal. Surgery is usually indicated for curves that have a high likelihood of progression, curves that cause a significant amount of pain with some regularity, curves that would be cosmetically unacceptable as an adult, curves in patients with spina bifida and cerebral palsy that interfere with sitting and care, and curves that affect physiological functions such as breathing.

http://www.medicinenet.com/scoliosis/article.htm

http://www.mayoclinic.com/health/scoliosis/DS00194

http://en.wikipedia.org/wiki/Scoliosis

Chickenpox

Proper Name: Varicella

Common Name: Chickenpox

Age of Onset: Chickenpox is a common childhood skin disease that is caused by a virus called the varicella-zoster virus (VZV). Most people get chickenpox by age 15, the majority being between ages 5 and 9, but all ages can get it. Chickenpox is usually more severe in adults and very young infants than children. A person usually has only one episode of chickenpox, but VZV can lie dormant within the body and cause a different type of skin eruption later in life called shingles (or herpes zoster).

Duration: Chickenpox may start out seeming like a cold. 1 to 2 days later, the rash begins, often in bunches of spots on the chest and face. From there it can spread out quickly over the entire body. The number of pox ranges for different people, some get just a few bumps; others are covered from head to toe. At first, the rash looks like pinkish dots that quickly develop a small blister on top. After about 24 to 48 hours, the fluid in the blisters gets cloudy and the blisters begin to crust over. Chickenpox blisters show up in waves, so after some begin to crust over, a new group of spots may appear. New chickenpox usually stop appearing by the seventh day, though they may stop as early as the third day. It usually takes 10–14 days for all the blisters to be scabbed over and then you are no longer contagious. Winter and spring are the most common times of the year for chickenpox to occur.

Males/Females/Equal: males and females are equally susceptible

Cause: Chickenpox is contagious. Someone who has chickenpox is most contagious during the first 2 to 5 days that he or she is sick. That's usually about 1 to 2 days before the rash shows up. So you could be spreading around chickenpox without even knowing it. A person who has chickenpox can pass it to someone else by coughing or sneezing. When he or she coughs, sneezes, laughs, and even talks, tiny drops come out of the mouth and nose. These drops are full of the chickenpox virus. So once these drops are out, they are susceptible to anybody that comes in contact with them or happens to breathe them in.

Symptoms & Prognosis: Chickenpox causes a red, itchy rash on the skin that usually appears first on the chest or back and face, and then spreads to almost everywhere else on the body, including the scalp, mouth, nose, ears, and genitals. The rash begins as multiple small, red bumps that look like pimples or insect bites. They develop into thin-walled blisters filled with clear fluid, which becomes cloudy. The blister wall breaks, leaving open sores, which finally crust over to become dry, brown scabs. Chickenpox blisters are usually less than a quarter of an inch wide, have a reddish base, and appear over 2 to 4 days.

Some kids have a fever, chest pain, sore throat, headache, or a vague sick feeling a day or 2 before the rash appears. These symptoms may last for a few days, and fever stays in the range of 100°–102°. Younger kids often have milder symptoms and fewer blisters than older children or adults. Chickenpox has a 10-21 day incubation period. Following primary infection there is usually lifelong protective immunity from further episodes of chickenpox.

Typically, chickenpox is not a serious illness, but can affect some infants, teens, adults, and people with weak immune systems more severely. Some people can develop serious bacterial infections involving the skin, lungs, bones, joints, and the brain. Anyone who has had chickenpox (or the chickenpox vaccine) as a child is at risk for developing shingles later in life, and up to 20% do. After an infection, VZV can remain inactive in nerve cells near the spinal cord and reactivate later as shingles, which can cause tingling, itching, or pain followed by a rash with red bumps and blisters.

Treatment Options: A vaccine to protect children against chickenpox was first licensed in March 1995. It has been recommended for persons over 12 months of age to help prevent attaining the disease later in life.

Since it is a virus that causes chickenpox, the doctor will not prescribe antibiotics. However, antibiotics may be required if the sores become infected by bacteria. This is pretty common among kids because they often scratch and pick at the blisters. The antiviral medicine acyclovir may be prescribed for people with chickenpox who are at risk for complications. The drug, which can make the infection less severe, must be given within the first 24 hours after the rash appears.

http://kidshealth.org/parent/infections/skin/chicken_pox.html

http://www.emedicinehealth.com/chickenpox/article_em.htm

http://www.health.state.ny.us/diseases/communicable/chickenpox/fact_sheet.htm