ICD 9 code for Chronic Kidney Disease

Symptoms of different stages of kidney disease differ ranging from the specifics of the disease as well as the parts of the system which are being affected. Fever and generally weakness are the usual symptoms, even though urinary tract infection doesn’t go forward with a fever. Bacterial infection of the kidneys always has high body temperature as a symptom, along with cancer of the kidneys. Most of the patients tend to urinate four to six times daily, mostly during the day. Common urination without any obvious increase in fluid intake is a symptom of irritation of the bladder with a foreign body, stone or a tumor. Tumor or other matter pressuring the bladder may also cause common urination.

Treatment of chronic kidney disease

Chronic kidney disease (ICD 9 CODE = 585.4) needs to be confirmed before prescribing any type of treatment. With a routine analysis of the urine sample one can find out the amount of protein and sugar in the urine, and it can also be tested for red and white blood cells. With these simple and cheap tests that can be done in any medical laboratory one can measure the level of all kinds of different substances in the urine. These tests are done with a thin plastic strand which was impregnated by chemicals that react with substances found in urine. When the contact is established there are chemical reactions becoming obvious with the color shift. The more obvious the color shift is, the more of the substance there is to be found in the urine.

Proteins found in urine can indicate a sign of chronic kidney disease, but it can also be a normal state after significant physical exertion, such as running a marathon. Glucose in urine can be determined very accurately and the most common reason for its presence is diabetes. If the glucose continues to show in urine after normalizing the level of glucose in blood, problem might be in irregular function of the kidneys.

Kidney biopsy is an invasive method of taking a sample of the kidney tissue which is a common test to be done when a diagnostic procedure is required. Transplanted kidneys commonly need this procedure to determine if there are any signs of organ rejection. During biopsy the patient lies face down, and a local anesthetic is provided into the skin and surrounding muscle regions above the kidneys. The biopsy needle is inserted, taking the tissue of the kidney for a detailed microscopic test. During biopsy of the transplanted kidney the need is directly inserted through the ultrasound test. Microscopic test is very useful when determining cancers of the urinary tracts. People who represent the risk groups such as smokers, people who are suffering with painless bleeding are common candidates of kidney biopsy. Causes can include other issues such as inflammations. There are also false positives to be noted, so biopsy alone doesn’t confirm any issue with 100% accuracy.

 

Most common Goldfish diseases

There are countless situations and problems in having a goldfish as a pet which would make you panic your way through helping your gentle pet out, only to do more damage in the long run. There is one thing you need to keep on your mind at all times if you have a goldfish as a pet – there isn’t any room for panic-induced decisions which would help your little pet out, which is unfortunately the most common cause of health issues with goldfishes. Treatment needs to be done carefully and systematically, obviously depending on what type of condition your little fish is suffering from and in which phase it is once you realize it. Today you will learn about some of the most common goldfish diseases, their symptoms and ways of treatment.

Bladder inflammation

Symptoms of bladder inflammation with goldfish include irregular swimming pattern which tends to go towards one side and not straight. Cause of this are bacteria which can be found on rocks and weeds inside the aquarium. This is one of the most common goldfish diseases, as it is somewhat difficult to prevent, but fortunately, in most cases it should disperse on its own if your fish is being fed well. Make sure to clean the aquarium well to prevent additional complications from occurring that might prevent your little fish to recover completely.

Abdominal ascites

The abdominal ascites make themselves obvious by showing a large swollen belly, as if the goldfish is constantly being overfed. This is a serious condition which correlates to human cancer and it includes organic decomposition of the interior parts of your goldfish. This might be caused by bad water conditions, which often happens if you’re not cleaning the tank often enough. Since it is a deadly condition, you should treat it as soon as possible. Fortunately, there are plenty of effective medications you can use. Doxycyclin in a dosage of about 50mg in 10L of water daily with an added air pump should be more than enough to heal your fish.

Visible wounds on the body

This is the most obvious condition to spot, as it involves locally damaged shells that tend to fall off, being replaced by a pink wound. The next stage usually includes a tiny worm working on the wound, spreading the infection to the rest of the body. Cause of this is a parasite which can easily be eliminated with some peroxide. If you have multiple goldfishes make sure that you isolate the affected fish from the others to stop the parasite from spreading.

Fins rotting away

If your fish is visibly struggling to maintain a steady position, it is an obvious problem with its fins. Since these are very delicate parts of the goldfish, it can easily be affected with low water hygiene as well as some other factors. It can be treated with potassium permanganate dissolved in sterilized water – use one drop of the permanganate per a liter of water and use it as quickly as possible. The water should acquire a purplish note which should fade away after 20 minutes.

 

Everything You Need to Know about Asherman’s Syndrome

Asherman’s syndrome is a conditionally acquired condition, described as an adhesion of tissue inside of the uterus. In many cases the front and rear tissue connects together inside of it, while in rarer cases the adhesion process will affect only a smaller segment of the uterus. The area of effect of this adhesion process basically determines the level of Asherman’s Syndrome – the larger the tissue being affected, the higher level of the condition it is. Adhesions can be thick or thin and they usually feature no vascularity, which is one factor that significantly improves chances of 100% recovery.

Symptoms and causes of Asherman’s syndrome

Most patients who are dealing with Asherman’s syndrome report lack of periods, but it doesn’t need to be a dead giveaway, just a hint. Some patients actually had normal period cycles and were still diagnosed with this condition. One dead giveaway is pain during periods, which indicates that there is blood accumulating somewhere inside the uterus, being trapped by the adhesion of the tissue. Repetitive spontaneous abortions and infertility may also indicate towards Asherman’s syndrome.

This syndrome begins once the mucosa of the inside of the uterus tries to repair itself. This is often caused by a trauma of some sort, and it is completely natural for the mucosa to begin the healing process. This damage can be done by improper checkups with probes, particularly if the check-up is being done soon after spontaneous abortion. There is a special variety of Asherman’s syndrome, going by the name of “unpasted Asherman” which is far more difficult to get treated. In this case, adhesions may be present, but the walls of the uterus aren’t stapled together. Actually, the whole interior of the uterus is barren, which indicates that its basal layer has been destroyed by one way or another.

How common is Asherman’s syndrome?

Asherman’s syndrome can hardly be proven by using routine diagnostic tests like ultrasound. There is an estimate of 1,5% of women that are suffering from Asherman’s syndrome, out of which there is a percentage of 42% of women who have experienced spontaneous abortion. Direct visualization of the uterus during hysteroscopy is the most reliable method of diagnosis.

Ideally, prevention is the best possible solution for this condition. Back in 1993 it was suggested to reduce the amount of intrusive uterus checkups to reduce the risks of this condition and to give way to less intrusive methods such as ultrasound checkups. Treatment of Asherman’s syndrome falls down into the hands of a highly experienced surgeon via hysteroscopy. There are only a couple of specialists in the world who have had continuous success in treating this condition, so it is obviously an extremely expensive condition to be treated. This is why there is so much effort being put into preventing the condition in the first place, as well as educating women around the world about how they can reduce the risks with their own incentives.

 

What is Haglund’s Deformity?

Haglund’s deformity is also known as Haglund’s heel, which is a relatively common condition. It affects soft tissue on the back side of the heel bone by creating bone extremities on Achilles’ heel bone. This is a common condition with young girls in adolescence, often connected to wearing high heel shoes, or with athletes that prefer hard trainers. Usually, the upper part of the calcaneus has a round shape. It is possible for it to acquire a square shape, with rougher edges. If a person who has such properties of their calcaneus wears rough and sharp shoes there are higher chances of developing pain typical for Haglund’s heel. It all gets even worse by wearing high heels, with the prolongation of friction causing a little bag of slime to create itself between Achilles’ hell and the calcaneus which always causes a painful swelling of the soft tissue and thickening of the skin above it.

Diagnosis and treatment

Patients suffering from Haglund’s deformity usually complain about pain and swelling around that area. Color of the skin around the area is also a noticeable shift due to the immense amount of friction to which it is exposed. Even with people who suffer from no obvious symptoms, a changed style of walking can indicate an existing issue which includes the back side of the calcaneus.

Treatment of this condition begins by using iced compresses which have a role to reduce the intensity of inflammation process, as well as changing shoes which are supposed to be soft and without any hard and non-elastic parts, particularly around the affected area. Soft risers can be put under the heel to be used while wearing shoes at this provides a slight but highly noticeable relief. After this initial stage physiotherapy follows, with an accent towards ultrasound treatment and laser therapies, as well as pulsing magnetic field therapy. Exercises which are done to improve elasticity of the Achilles’ heel and muscles of the foot are proprietary in this phase. The flexible tendon is usually less painful. If the patient is a prospering athlete, a particular attention needs to be put towards running and jumping techniques, along with selecting proper shoes, carefully crafted to fit the specific sport in question.

What to do if your condition isn’t getting better with traditional therapies?

Once all conservative methods of treatment have been tried and there was no noticeable improvement, surgery treatment follows. Depending on a whole list of factors the surgery may be simple and minimal, including surgery on soft tissue exclusively, while it can also be a significant operation, with a long period of time being reserved for recovery. It is indeed a complex problem which can become much worse if you’re not tending to it. Since it is such a slow progressing issue, most people don’t do anything and find themselves suddenly overwhelmed with symptoms and additional problems. This is why it is very important to seek out medical assistance as fast as possible, to make sure you get the most out of your physical and surgical therapies.

 

Can black people get lice?

Just the mentioning of lice makes a lot of people scratch their head by reflex. People who had to deal with these annoying bugs know how much of an annoyance they can be and how difficult they are to get rid of. Elementary school students have been the target audience for lice ever since they became a known nuisance, but there is an interesting phenomenon when it comes to different races of people. Apparently, there are a lot of questions about can black people get lice and even though this might sound stupid or even racist, there are some interesting facts behind the whole issue. Today we will discuss and explain why there are some quite obvious differences in terms of resilience towards lice with Caucasians vs Black people.

Basic differences between races explain why

There’s no doubt that different races carry some specific physical properties which is why there are races to begin with. Apart from the obvious, visual differences, there are even more significant differences in body structure. Black people are known for having much thicker and richer hair, which is the main attraction point for lice to grab on. Caucasian hair is generally much thinner in diameter, and most lice species have a limit when it comes to the spread of their mouth. Obviously, if the hair string is thicker than what the lice can attach to – it simply won’t be able to attach to. Lice need to live and breed in a warm and moist environment for a while in order to multiply and spread. With black people’s hair being thicker, it seems as if they have a natural repellent system against lice. Of course, there are differences in hair thickness in between races themselves so there will most certainly be individuals of Caucasian descent with thicker hair, as well as individuals of Black descent with thinner hair. However, when looking at the entire statistical picture, Black people do in fact record far lower numbers when it comes to lice infections.

Is it any different in Africa and other countries?

Statistics that we are talking about here are correlated to the North America region, where Caucasians make the most of that region’s population, so lice have adapted to the majority. In Africa, where Blacks make the most of the population, lice are different. They have much wider mouths and can fit around thicker hair strands, which makes the whole statistic balanced at most. It’s a really interesting concept that goes all the way back to evolution principles. Lice survive by nesting and breeding, which is why they must adapt to the environment where they are living in order to survive. There is another problem of determining why Blacks have thicker hair strands to begin with, but that is a whole different concept that we will deal with at another time.

Basically, black people do get lice less commonly, but only in areas where Caucasians make the most of that region’s population. Lice adapt to the majority.

 

How long does Hemorrhoids last?

There is a lot of people whose lifestyle and habits dictate hemorrhoids, which is a fairly unpleasant and irritating problem. During even the slightest of exertion hemorrhoids tend to “fall out”, which makes it impossible for the person to actively engage in athletic activities, they need to avoid longer travels and are forced to a special diet regime. Bleeding out in public is no exception and probably tells you the whole story of how irritating this issue can become. Fortunately, the advancements gained in medical science have allowed for some pretty effective solutions which can be made use of to ease the whole issue.

Increase in vein pressure tends to weaken its shell

Ending of the rectal intestine is the lowest part of your digestion system, which has an anatomic and functional role do determine the rhythm of its emptying. This function is enabled by a complex neuromuscular mechanism which allows it to uninterruptedly open and close. This is why we call this part of your digestive system the organ of contingency. Difficulties may also be of tumor nature, or more commonly, inflammatory. A tiny percentage of people visit their doctor due to an issue with their anal region. Reasons range from shame, but it’s also a well-known fact that the test is actually quite unpleasant and somewhat embarrassing.

A case of hemorrhoid infection has no specific lasting time. Depending on the severity of the problem, it can last for as long as you decide to get some medical help. It is also the most common problem with the anal region, commonly described as varicose veins of the rectum area, while they actually represent swollen blood vessels inside and around the anus. Exact cause of the condition is yet to be determined. It’s considered that more than half of population will eventually succumb to a hemorrhoid infection after 30 years of age. Therefore it is somewhat necessary that you collect all your courage and actually go and visit your doctor before your hemorrhoid starts to bleed out as this can obviously cause some major embarrassments in the public.

Differentiating inner and outer hemorrhoids

Outer hemorrhoids are located in the outside part of the anus and are covered with a really thin layer of sensitive skin. If one of these hemorrhoids develops thrombi, it will clog the blood, preventing it to circulate in that area and you will experience pain over a painful lump. This type of hemorrhoids bleeds only when popped. Inner hemorrhoids are developed on the inside of the anus. Most common symptoms are bleeding but without any pain being experienced as well as a lump outside the anus during defecation.

Question of correlation between hemorrhoids and intestine cancer is always being pulled up. It is considered that there is no cause and effect relation, even though symptoms of hemorrhoids somewhat correlate to those of intestine cancer. This is yet another reason why you shouldn’t take symptoms mentioned above for granted. Definitely consider visiting your doctor so that you can make sure that everything is alright and there are no serious conditions threatening to you.

 

Gum Disease(Periodontitis) Symptoms and Pictures

Let’s be honest for a minute – how often do you visit your dentist? Are you using floss every day? Are you brushing your teeth at least two times per day? Gum diseases are a common form of chronic diseases in general and it’s considered for this to be a condition affecting 98% of people older than 60 years of age. Diet rich in refined sugar is definitely one of the main risks for such conditions, with inadequate oral health care to follow.

Gingivitis or periodontitis?

Generally speaking, gum diseases are gum inflammations which can also affect other tissues which act as supports for the teeth. Main cause is accumulation of food segments, saliva and bacteria on the edge of teeth, which makes plaque. Pockets of this plaque is constantly added up to as you eat, with new bacteria reaching into the tiny crevices in between teeth and surrounding tissues. These little pockets and all the matter that surrounds it creates a fertile base for multiplication of bacteria which were present from before. Consummation of sugar increases saliva excretion and prevents defensive mechanisms from kicking in. In the earliest phase of gum disease, known as gingivitis, pain, swelling and redness occurs, sometimes even bleeding. Lack of vitamins, medications, disturbances in functions of glands as well as blood disorders make us susceptible to gingivitis.

Symptoms

Symptoms of gum disease include red and swollen gums, susceptible to frequent bleeding, localized pain, fragile teeth and bad breath. There’s a rule which states that smokers are more than doubly exposed to risk of gum disease in comparison to non-smokers. Other risk groups are diabetics, leukemia patients, Crohn disease patients and pregnant women. Studies have shown that specific types of bacteria are attracted to certain hormones, which is something pregnant woman and woman who are taking anti-pregnancy pills should take into account. Chemotherapy and radiotherapy can also increase the risk of gum disease, as well as exposure to metals such as mercury.

Foods rich in fiber protect your gums

If you include a higher amount of fiber into your diet, not only that you will maintain your digestive system in good order, lower cholesterol and preserve your cardiovascular health, but you will also reduce risk of acquiring gum disease. Sometimes gingivitis is further complicated with environmental factors which your dentist can’t fix – irregular bite, common teeth grinding etc. In cases of aggressive gingivitis, your dentist will first remove all if any dental plaque and then prescribe a mouth wash which contains chlorhexidine. Dentists usually apply same treatment in case of periodontitis, even though surgery is necessary in order to clean all the inflamed parts of the oral cavity and remove dead bone tissue. There’s an abundance of mouthwashes and toothpastes which help to battle with dental plaque, decrease the effect of inflammation and chances for your gum to bleed. It’s recommended to use a home remedy too, in form of half a lemon and a cup of water. By juicing the lemon acid into water and drinking it (with no added sugar of course), the acid will work its way through bacteria and prevent some complications from happening.

 

Toasted Skin Syndrome

Whether you’re using your laptop at home, at work, on the beach, or bedroom, computers in forms of laptop which are being held on the lap have become an unavoidable part of our everyday life. However, despite this habit, there is a significant amount of reports coming in from medical experts that it is not as harmless as you might think. There are significant health issues which may be caused by this habit alone. Aside with the proven issues with sight, headaches and pain experienced in multiple group of muscles which occur after hours spent at computers, there is an epidemic of dermatological conditions caused by laptops exclusively. Erythema ab igne, also known as toasted skin syndrome happens in events of prolonged exposure of thigh skin and muscles to the intense heat energy being expelled by the laptop or a similar object.

Some specifics about toasted skin syndrome

An increasing number of young people spends their time on laptops in all kinds of different positions. Some tend to keep it on their knees, belly, chest, lying down. Consequence of this is toasted skin, which is a problem as its symptoms come in gradually and silently, being completely ignored until visible and permanent damage is done. Tis can easily be avoided by simply following some basic rules regarding computers and ergonomics. This syndrome manifests by a mild rash and redness, which becomes more intense if the same type of behavior is prolonged and unattended. Some cases involve itchiness and burning, but most of patients do not feel a thing and there are only visual symptoms to be noticed.

Treatment

It’s of vital importance to remove source of heat immediately from the affected area. If the area is lightly red condition usually passes by on its own with the full recovery coming in a couple of months. In extreme cases skin becomes overly pigmented, looking like sun burns. These changes may become permanent, involving risks of skin cancer. Laser therapy is one of the most efficient and popular methods of treatment. Sometimes similar changes in skin can be seen with patients who were treated by heat or were burned. It’s also possible to acquire it if the skin is oversensitive so other popular products come into play, such as heated car seats. Professionally these changes can be seen on faces of persons who have spent a significant amount of their working time exposed to high heat – bakers, blacksmiths etc.

Prevention

Toasted skin syndrome is very easy to prevent as it just involves some common habit changes which will also improve general life quality. Make sure not to go in extremes when it comes to working on computers, take a break and walk every two hours if you’re really computer ridden. Also, turn off your computer when you’re not using it so that it stops accumulating heat for no apparent reason. Also, make sure that you’re drinking enough liquids, which is very important for your back health and check some general computer ergonomic recommendations.

 

Graves Disease Diet

Graves disease relates do goiter disorders which causes it to grow noticeably. It’s very common with almost all conditions related to goiter. Doctors have divided these conditions in diffuse and knotty goiter, with their own respective list of causes as well as treatment methods. Among all other causes for goiter to swell up, lack of iodine in diet is considered to be the main problem, as well as some genetic conditions in terms of iodine metabolism. Puberty, pregnancy as well as some medications which inhibit iodine digestion are some of the less common causes for this illness. It has been proven that consummation of certain food such as cabbage have an effect here, if there are genetic conditions met. Graves disease is about eight times more common with women, not only due to gender specific conditions, but hereditary properties which are related to gender, with its efficiency increasing with age.

Surgical treatment

It’s safe to say that surgical treatment is a safe bet when it comes to treatment of Graves disease. Indications are clear that there is a malicious growth inside the goiter itself, as well as implications of pressure being applied to the surrounding tissues and structures. Aesthetic reasons are nothing to be ignored as well. Clinical grade and final decision is brought based on multiple factors which include gender, age, intensity of growth, pain, appearance of nodules on neck outside of the goiter, voice changes all the way up to complete muteness. It’s also important to take ultrasonic and cytological tests into account which can indicate maliciousness of the disease. A special group of patients are filtered into separate groups if they’re experiencing compressive symptoms such as coughs, heavy breathing or swallowing difficulties.

Complications

Extreme complications may occur during surgeries for Graves disease in terms of injuring some nerve endings or complete removal of them. These nerves allow for vocal cords to move and its injury results in the patient being mute. This is particularly serious with people who use their voices for a living such as actors, singers, radio hosts etc. Parathyroid glands are very important in metabolism of potassium, whose injury may result in potassium deficiency with all of its circumstances such as numb extremities and cramps in different parts of the body. This results in a lifetime of taking potassium supplements. However, when the surgery is done by an experienced surgeon, complications rarely happen.

Ultrasound test has an important role

There is a specific value in diagnostics and evaluating of goiter related diseases in ultrasound. By using this method it is possible to determine the size of the gland, as well as size and count of the nodules which are a usual consequence of Graves disease. It’s also possible to determine whether these nodules are solid in character, are there any cysts or is it a mixed situation. It’s possible to discover abnormalities which are at least 2-3 millimeters in size, which is enough to discover a malicious disorder happening to the goiter.

 

Grunting Baby Syndrome

There’s a lot of attention being focused towards analyzing baby’s cries and grunts while the whole affair is rather simple. Screaming and resilient cries of your baby simply indicate a discomfort which is a part of growing up. There are more than enough reasons for you to try and find out why is your baby crying so much, which can be one hell of a task on its own for first time parents as well as experienced ones, as there aren’t two babies that are the same. Last thing you would expect from your baby to cry endlessly while you’re nursing it or rolling around.

A basic need is usually the reason

Babies are hardwired to cry when there is any kind of an issue. We all know that babies need a lot of attention, which is why this is the most common cause of grunting babies. It’s always a cry for help, as Dan Levy said, who is a doctor at Maryland University. Babies have a very limited ability to attract attention and completely rely on crying. By doing so, babies attract attention from their elders, and as they grow older they can pinpoint their need exactly. In the earliest of days this is not the case and it causes a lot of headaches to parents. Even though we, as adults, are aware of this simple fact, emotions that are involved in the whole ordeal are impossible to avoid. As babies are hardwired to cry for attention, we as parents are hardwired to respond and feel stressed about a baby crying until her needs are met. Unfortunately, there are no proven simple solutions. Parents simply need to check all possibilities to pinpoint the exact cause.

False alarms do not exist

Many parents, if not all, tend to give up on reacting to these grunts after a while. It’s undeniable that this is a highly irritable and annoying period in baby’s life, but your responses to it are building the character of your baby which will play an important role in further psychiatric development. Experts have confirmed this and they will often discuss this topic. Consider your baby’s grunts to be almost as smoke signal detectors – where’s there’s smoke there is a fire. By not reacting to baby’s grunts, whether it’s fear, hunger or need for attention you will be responsible for baby’s insecurity and lack of trust in the future. Studies have shown that babies on whose cries there was always a swift response show a noticeably higher feeling of safety towards the person who raised them.

Five most common reasons for babies to grunt

Discomfort, hunger, cramps, exhaustion or an illness are five of the most common reasons your baby is crying out of its mind. Make sure that you’ve checked all of these first before making any further conclusions about such behavior, as in 90% of cases this will solve the issue. Feel free to consult your baby’s physician if you really find something out of the ordinary.