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Shingles: Pathophysiology, Symptoms, 3 stages of Infection, Complications, Management, Animation. [Video]

Shingles: Pathophysiology, Symptoms, 3 stages of Infection, Complications, Management, Animation.

(USMLE topics) Herpes zoster: Nerve pain and skin rash caused by varicella-zoster virus (VZV), the same herpesvirus that causes chickenpox. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-animations/microbiology-videos/-/medias/e4963921-b112-48d1-90d6-6247edf7e9fe-shingles-narrated-animation
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Shingles, also known as herpes zoster, is a common condition characterized by nerve damage and a painful skin rash. It is caused by varicella-zoster virus, the same virus that causes chickenpox. The first exposure to the virus, usually during childhood, leads to chickenpox. After the primary infection resolves, the virus moves to sensory ganglia of the spinal and cranial nerves, where it becomes inactive.
The body’s immunity against chickenpox suppresses viral replication, keeping it dormant for decades. Reactivation of the virus occurs when this immunity weakens and fails to contain the virus. This can happen as a result of aging, stress, or other diseases.
Instead of another case of chickenpox, the reactivated virus causes shingles. It multiplies and spreads along the path of the infected nerve, resulting in damage and pain. The location of pain depends on the nerve that is affected. Because each spinal nerve supplies a specific area of the body, called a dermatome, the patterns of pain follow the dermatome distribution. When a cranial nerve is infected, face pain results. As nerves come in pairs and usually only one is affected, the pain is typically limited to a small area on one side of the body.
Shingles develops in 3 phases. Patients typically experience pain as the first symptom. The pain can be described as a stabbing pain, or a burning, numbness or tingling sensation. The area is sensitive to touch. Depending on the location, the pain can sometimes be mistaken for a lung, heart, or kidney problem. Less common symptoms include fatigue, headache and fever.
A painful skin rash appears in phase 2, a few days after the pain. The rash starts as small red dots, which develop into fluid-filled blisters. As the blisters follow the nerve path, they form a stripe on one side of the body. The blisters eventually dry out and crust over.
The healing occurs in phase 3, which may take several weeks.
There’s no cure for shingles, but it is usually self-limited and resolves on its own. However, possible complications can be severe. Some patients may continue to experience debilitating pain beyond rash healing, in a condition known as post-herpetic neuralgia, PHN. The chance of developing PHN increases with age. Shingles that occurs on the face, neck or scalp, may lead to vision loss, hearing loss, or other neurological problems. If blisters aren’t properly treated, bacterial skin infections may develop.
Prompt treatment with antiviral medications can speed up healing and reduce risk of complications. Pain can be managed with pain relievers, cool bath or cool compresses. The affected area must be kept clean and covered.
Most people get shingles only once, but it is possible to get it more than once. Shingles can be effectively prevented with vaccines.

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Mozart Sonatas Can Help Treat Epilepsy: A New Study from Dartmouth [Video]

Many and bold are the claims made for the power of classical music: not just that it can enrich your aesthetic sensibility, but that it can do everything from deter juvenile delinquency to boost infant intelligence. Making claims for the latter are CDs with titles like Baby Mozart: Open Culture, openculture.com

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From your vision to your hearing, even your memory, Lee Health family medicine Dr. Ravi Ramaswami says annual physicals are a good opportunity for health experts to do an overall check of your health. “The term “physical” is a misnomer, it should actually be called preventive examination and the reason it’s important is that it’s not whatever is obtained in a physical exam on that particular day, it’s actually to prevent problems in the coming months or years.”Doctors say regardless of your age, it’s important to have a physical every year. “It goes all the way from children to adults and seniors. Each category of people has different requirements of things that we look for. In children, we are looking at possible obesity, childhood obesity, problems concerning that, developmental milestones, for instance. As one grows older, we are looking at tobacco use, their general lifestyle,” he said.But it’s not only your physical health doctors are concerned with. “Stress is one of the most underrated causes of problems, medical problems. We do depression screenings. We really look at their overall health,” said Dr. Ramaswami.Doctors may also order lab tests to check your blood sugar, kidney function, liver function, and cholesterol. “Being able to detect things that would have a bearing on somebody’s health in the future is what preventive care is all about,” he said.Making it important to do regular self-exams as well as maintain your annual physicals. View More Health Matters video segments at LeeHealth.org/Healthmatters/Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health - Caring People. Inspiring Care.Visit LeeHealth.org

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