January 2007
MT Newsletter
Compiled by
Dr. Rema Valsala
Thought for the month: To live a creative life, we must lose our fear of being wrong.
          ...Joseph Chilton Pearce
Answers to the previous issue

FAQs

Standards

Questionnaire

     Ipsilateral means on or relating to the same side of the body.

     The idiom, "The bottom line" means -- The most essential information..

     The fracture site was noted on the x-ray.

     She was wringing her hands and complaining of pain in her knees.

     He agreed that he did occasionally indulge in illicit drugs.

     From what I hear there is no doubt that it is due to reflux of consumed food.

     On physical examination his upper respiratory tract was found to be inflamed.



   Course:        Noun:  A pathway, such as a race course, or the course of events, such as course of a disease.


   Coarse:        Adjective: Meaning rough, vulgar, harsh.

   Coerce:      Verb: To cause to do through pressure or necessity, by physical, moral or intellectual means.

   Anuresis:     A condition of inability to urinate. Total lack of urine.

   Enuresis:     Involuntary discharge of urine; nocturnal enuresis is bed-wetting or urinary incontinence during sleep.

   Shear:     Verb: 1. Cut with shears, as of hedges.
                      2. Shear the wool from sheep.

   Sheer:     Verb: Turn sharply; change direction abruptly.
                      Adjective: So thin as to transmit light; transparent.
                      Adverb: Straight up or down without a break.







FAQs

Q. What is presbycusis?

Presbycusis or presbyacusis is age-related hearing loss with gradually progressive inability to hear, especially high frequency sounds. For example, it may be difficult for someone to hear the nearby ringing of a telephone; however, the same person may be able to hear clearly the low-pitched sound of a truck going down the street.

Presbycusis most often occurs in both ears, affecting them equally. Because the loss of hearing is so gradual, people with presbycusis may not realize that their hearing is diminishing. They may have trouble distinguishing and understanding conversation in a noisy setting. Presbycusis is common, affecting a third of people between 65 and 75 years and up to a half of people 75 and over.

CAUSES:

There are many causes of presbycusis.

Presbycusis is usually a sensorineural hearing disorder. Most commonly it arises from changes in the inner ear of a person as he or she ages. Sensorineural hearing loss is most often due to a loss of hair cells (sensory receptors in the inner ear). This can occur as a result of hereditary factors as well as aging, various health conditions, and side effects of some medicines (aspirin and certain antibiotics).

Presbycusis can also result from changes in the middle ear or from complex changes along the nerve pathways leading to the brain. This condition may be caused by changes in the blood supply to the ear because of heart disease, high blood pressure, vascular conditions caused by diabetes, or other circulatory problems. The loss may be mild, moderate, or severe.

Environmental exposures (such as to guns, power tools, industrial machinery, or very loud music) contribute significantly to presbycusis, but up to half of presbycusis is genetically determined.

PREVENTION and TREATMENT:

Much of the hearing loss caused by noise exposure can be prevented. Awareness of potential sources of damaging noises is important. Ear plugs or special fluid-filled ear muffs can give protection and should be worn to help avoid the possibility of damage to hearing. Excessively loud everyday noises, both at home and at work, can pose a risk to a person's hearing. Avoiding loud noises and reducing the amount of time one is exposed to everyday noises may be helpful.

The hearing loss can usually be corrected with a hearing aid. Assistive listening devices like the built-in telephone amplifier can provide further improvement in hearing ability in certain situations.




Q. Conditions that produce a masklike facies:

Masklike facies means an expressionless face with little or no sense of animation, a face more like a mask than a normal face.

A masklike face is seen in a number of disorders including:

. Parkinson disease:

A neurologic syndrome usually resulting from deficiency of the neurotransmitter dopamine as the consequence of degenerative, vascular, or inflammatory changes in the basal ganglia; characterized by rhythmic muscular tremors, rigidity of movement, festination (gait in which the trunk is flexed, legs are flexed at the knees and hips, but stiff, while the steps are short and progressively more rapid), droopy posture, and masklike facies.

. Myotonic dystrophy:

The most common adult muscular dystrophy, characterized by progressive muscle weakness and wasting of some of the cranial innervated muscles, as well as the distal limb muscles. clinical features include myotonia, cataracts, masklike facies, hypogonadism, cardiac abnormalities, and frontal balding.

. Mobius syndrome:

A rare developmental bilateral facial paralysis usually associated with oculomotor or other neurological disorders. Also called congenital facial diplegia. Mobius syndrome features masklike facies with sixth and seventh nerve palsy and frequently micrognathia (abnormal smallness of the jaws, especially of the mandible). Failure to thrive in infancy is commonly due to feeding and aspiration difficulties.

. Freeman-Sheldon syndrome:

FSS or craniocarpotarsal dystrophy is a syndrome characterized by a triad of symptoms:
1. Masklike, whistling facial expression (whistling face syndrome).
2. Ulnar deviation of digits II to V and adduction contracture of the thumb.
3. Foot deformities.

. Schwartz-Jampel syndrome:

Generally presents in childhood with short stature, limited joint mobility, masklike facies with blepharophimosis (decrease in the width of the palpebral aperture without fusion of lid margins), myotonia (delayed relaxation of a muscle after a strong contraction, or prolonged contraction after mechanical stimulation, as by percussion, or brief electrical stimulation), and often muscle hypertrophy. Few cases with neonatal manifestations have been described.






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Standards

Some rules of punctuation: Comma


Use commas to set off all geographical names, items in dates (except the month and day), addresses (except the street number and name), and titles in names.

Examples:

Hillary K. Brown, MD, will be the principal speaker.

Who lives at 1600 Pennsylvania Avenue, Washington, DC?

November 27, 1992, was a momentous day in her life.

Schedule an appointment for Friday, September 15, 2006.

We visited Chicago, Illinois, last summer.


When the state becomes a possessive form and when the state or country's name becomes part of a compound structure, the second comma is dropped.

Examples:

Detroit, Michigan's investment in the automobile industry is well known.

Heublein, a Hartford, Connecticut-based company, is moving to another state.

When you use just the month and the year, no comma is necessary after the year.

Examples:

The average temperatures for June 2004 are the highest on record for that month.

October 2006 is the cutoff to register for the games.

Use a comma to set off quoted elements

Examples:

"I will be able," she answered, "to complete the assignment in 2 weeks."

She replied, "I have no idea what you mean."

"When," Rick asked, "will you return my book?"

In 1848, Marx wrote, "Workers of the world, unite!"






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Questionnaire

Q. Gradual healing through rest after sickness or injury is known as _____________.

a. Recrudescence
b. Erubescence
c. Convalescence


Q. The idiom, "Down in the dumps" means _____________.

a. Get rid of unceremoniously or irresponsibly.
b. Become depressed.
c. Drop in a heap.


Q. Fill in the blanks with the suitable word given in brackets:

1. There is some pretty ______ alignment of the bones as seen on x-ray. (descent, decent)

2. He has no ______ of chest pain or dyspnea on exertion. (complaints, complains)

3. The patient states that she would like to ______ weight. (lose, loose)

4. The cystic duct was visualized directly under the gallbladder, seen from all ______. (ankles, angles)

5. There has been ______ a panic over the recent earthquakes. (quiet, quite)


Q. Find the meaning of these homonyms:

   prescribe and proscribe

   sore and soar

   tract and track


See the answers in the next issue....
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