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Pre-existing Conditions

Achalasia - A disease of the esophagus caused by the abnormal function of nerves and muscles of the esophagus that makes swallowing difficult. There may sometimes be chest pain. Regurgitation of undigested food can occur, as can coughing or breathing problems due to entry of food into the lungs. The underlying problems are weakness of the lower portion of the esophagus and failure of the lower esophageal sphincter to open and allow passage of food. Achalasia may occur at any age but is predominantly a disease of young adults. Diagnosis is made by an X-ray, endoscopy, or esophageal manometry (to measure the pressure in the esophagus). Treatment includes medication, dilation (stretching) to widen the lower part of the esophagus, and surgery to open the lower esophagus. A fairly recent approach involves injecting medicines into the lower esophagus to relax the sphincter.

Acne - Localized skin inflammation as a result of over activity of the oil glands at the base of hair follicles.

Acromegaly - Condition due to the production of too much growth hormones by the pituitary gland after the end of adolescence.

Acute Poliomyelitis - An acute and sometimes devastating viral disease. Man is the only natural host for poliovirus. The virus enters the mouth and multiplies in lymphoid tissues in the pharynx and intestine. Small numbers of virus enter the blood and go to other sites where the virus multiplies more extensively. Another round of viremia (virus in the bloodstream) leads to invasion of the central nervous system (CNS), the spinal cord and brain, the key sites struck by the virus.

Addisons Disease - Addisons disease is an endocrine or hormonal disorder that occurs in all age groups and afflicts men and women equally. The disease is characterized by weight loss, muscle weakness, fatigue, low blood pressure, and sometimes darkening of the skin in both exposed and nonexposed parts of the body.

Alzheimers Disease - Alzheimers disease (AD) is a slowly progressive disease of the brain that is characterized by impairment of memory and eventually by disturbances in reasoning, planning, language, and perception. Many scientists believe that Alzheimers disease results from an increase in the production or accumulation of a specific protein (beta-amyloidal protein) in the brain that leads to nerve cell death.

Arthritis - Arthritis is a joint disorder featuring inflammation. A joint is an area of the body where two different bones meet. A joint functions to move the body parts connected by its bones. Arthritis literally means inflammation of one or more joints.

Asthma - Asthma is a chronic inflammation of the bronchial tubes (airways) that causes swelling and narrowing (constriction) of the airways. The result is difficulty breathing. The bronchial narrowing is usually either totally or at least partially reversible with treatments.

Biliary Cirrhosis - Biliary Cirrhosis is a chronic (long duration) disease characterized by progressive inflammation and destruction of the small bile ducts within the liver. What are the bile ducts and what do they do? Lined with cells named biliary epithelial cells, the bile ducts are tubules that make up a plumbing system for the liver. The bile ducts along with the gallbladder are part of what is called the biliary tract.

Bipolar Disorders - Bipolar disorder, otherwise known as manic depression or bipolar depression, is a relatively common mood disorder that affects about 5.7 million Americans. Characterized by episodes of depression alternating with euphoric (manic) states, the symptoms of bipolar disorder are several and often affect an individuals daily functioning and interpersonal relationships.

Blastomycosis - Infection with a fungus called Blastomyces dermatitidis. The infection causes symptoms in about 50% of cases. It usually presents as a flu-like illness with fever, chills, productive cough, myalgia, arthralgia and pleuritic chest pain. Some patients fail to recover and develop chronic pulmonary infection or widespread disseminated infection (affecting the skin, bones, and genitourinary tract). It occasionally affects the meninges which cover the brain and spinal cord.

Brights Disease (Glomerulonephritis) - Chronic inflammation of the blood vessels in the kidney with protein, specifically albumin, in the urine. There are a number of disorders that lead to Brights disease. With nothing more sophisticated than a candle and a silver spoon, the English physician Richard Bright (1789-1858) discovered protein in urine and in 1827 published his pioneering study of kidney disease.

Carcinoid Syndrome - A syndrome due to carcinoid tumor which secretes large amounts of the hormone serotonin. The syndrome is directly due to the serotonin. Features include flushing and blushing, swelling of the face (especially around the eyes), flat angiomas (little collections of dilated blood vessels) on the skin, diarrhea, bronchial spasm, rapid pulse, low blood pressure and tricuspid and pulmonary stenosis (narrowing of the tricuspid and pulmonic valves of the heart), often with regurgitation.

Cardiac Bypass - According to the American Heart Association 427,000 coronary Cardian Bypass surgeries were performed in the United States in 2004, making it one of the most commonly performed major operations. CABG surgery is advised for selected groups of patients with significant narrowings and blockages of the heart arteries (coronary artery disease). CABG surgery creates new routes around narrowed and blocked arteries, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscle.

Dentofacial Function Abnormalities - Not Found

Depression - Depressive disorders have been with mankind since the beginning of recorded history. In the Bible, King David, as well as Job, suffered from this affliction.

Depression - Depressive signs and symptoms are characterized not only by negative thoughts, moods, and behaviors but also by specific changes in bodily functions (for example, crying spells, body aches, low energy or libido, as well as problems with eating, weight, or sleeping. The functional changes of clinical depression are often called neurovegetative signs. This means that the nervous system changes in the brain cause many physical symptoms that result in diminished participation and a decreased or increased activity level.

Dermatomyositis - A chronic inflammatory disease of skin and muscle which is associated with patches of slightly raised reddish or scaly rash. The rash can be on the bridge of the nose, around the eyes, or on sun-exposed areas of the neck and chest. Classically, however, it is over the knuckles. When the characteristic inflammation of the muscle (myositis) occurs without skin disease, the condition is referred to as polymyositis.

Diabetes - Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels, that result from defects in insulin secretion, or action, or both. Diabetes mellitus, commonly referred to as diabetes (as it will be in this article) was first identified as a disease associated with "sweet urine," and excessive muscle loss in the ancient world. Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose into the urine, hence the term sweet urine.

Emphysema - Emphysema is a long-term, progressive disease of the lung(s) and occurs when the alveolar walls are destroyed along with the capillary blood vessels that run within them. This lessens the total area within the lung where blood and air can come together, limiting the potential for oxygen and carbon dioxide transfer.

Encephalopathy - Encephalopathy is a term that means brain disease, damage, or malfunction. Encephalopathy can present a very broad spectrum of symptoms that range from mild, such as some memory loss or subtle personality changes, to severe, such as dementia, seizures, coma, or death. In general, encephalopathy is manifested by an altered mental state that is sometimes accompanied by physical manifestations (for example, poor coordination of limb movements)

Enlarged Liver - A liver that is greater in size than normal. Enlarged liver is also known as hepatomegaly. Enlargement of the liver can occur in a wide variety of diseases. Examples include congestive heart failure, congenital diseases of metabolism, infections, tumors, and alcohol use.

Esophageal Varices - The tube that connects the pharynx (throat) with the stomach. The esophagus lies between the trachea (windpipe) and the spine. It passes down the neck, pierces the diaphragm just to the left of the midline, and joins the cardiac (upper) end of the stomach. In an adult, the esophagus is about 25 centimeters (10 inches) long. When a person swallows, the muscular walls of the esophagus contract to push food down into the stomach. Glands in the lining of the esophagus produce mucus, which keeps the passageway moist and facilitates swallowing. Also known as the gullet or swallowing tube. From the Greek oisophagos, from oisein meaning to bear or carry + phagein, to eat.

Factor VIII or IX Deficiency - Hemophilia due to deficiency of coagulation factor IX in the blood which results in prolonged oozing after minor and major injuries, tooth extractions, or surgery. There is renewed bleeding after the initial bleeding has stopped.

Fatty Liver - Nonalcoholic fatty liver disease (NAFLD) refers to a wide spectrum of liver disease ranging from simple fatty liver (steatosis), to nonalcoholic steatohepatitis (NASH), to cirrhosis (irreversible, advanced scarring of the liver). All of the stages of NAFLD have in common the accumulation of fat (fatty infiltration) in the liver cells (hepatocytes). In NASH, the fat accumulation is associated with varying degrees of inflammation (hepatitis) and scarring (fibrosis) of the liver.

Fertility Treatment - Not Found

Fibromyalgia - Fibromyalgia is a chronic condition causing pain, stiffness, and tenderness of the muscles, tendons, and joints. Fibromyalgia is also characterized by restless sleep, awakening feeling tired, fatigue, anxiety, depression, and disturbances in bowel function. Fibromyalgia was formerly known as fibrositis.

Gilles De La Tourettes Syndrome - Tourette syndrome (TS) is a neurological disorder characterized by repetitive, stereotyped, involuntary movements and vocalizations called tics. The disorder is named for Dr. Georges Gilles de la Tourette, the pioneering French neurologist who in 1885 first described the condition in an 86-year-old French noblewoman.

Glomerulonephritis, Chronic - Not Found

Goodpastures Syndrome - Not Found

Guillain Barres Syndrome - Guillain-Barré syndrome (often misspelled Guillain-Barre) is a disorder in which the bodys immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include varying degrees of weakness or tingling sensations in the legs. In many instances the weakness and abnormal sensations spread to the arms and upper body. These symptoms can increase in intensity until certain muscles cannot be used at all and, when severe, the patient is almost totally paralyzed.

Heart attack - A heart attack (also known as a myocardial infarction) is the death of heart muscle from the sudden blockage of a coronary artery by a blood clot. Coronary arteries are blood vessels that supply the heart muscle with blood and oxygen. Blockage of a coronary artery deprives the heart muscle of blood and oxygen,causing injury to the heart muscle. Injury to the heart muscle causes chest pain and chest pressure sensation. If blood flow is not restored to the heart muscle within 20 to 40 minutes, irreversible death of the heart muscle will begin to occur. Muscle continues to die for six to eight hours at which time the heart attack usually is "complete." The dead heart muscle is eventually replaced by scar tissue.

Hemiplegia - A rare neurological disorder with frequent temporary episodes of paralysis of one side of the body (hemiplegia) usually beginning before the age of 18 months. The eye movements, face, or limbs can be paralysed on either side of the body, but on only one side at a time. The cause is unknown. Abbreviated AHC. Also known as alternating hemiplegia syndrome.

Hemochromatosis - Hereditary hemochromatosis is an inherited (genetic) disorder in which there is excessive accumulation of iron in the body (iron overload). It is a common genetic disorder among Caucasians in the United States, affecting approximately one in 240 to 300 Caucasians. Individuals affected with hereditary hemochromatosis may have no symptoms or signs (and have normal longevity), or they can have severe symptoms and signs of iron overload that include sexual dysfunction, heart failure, joint pains, liver cirrhosis , diabetes mellitus, fatigue, and darkening of skin.

Hemolytic Anemia - Anemia due to the destruction (rather than underproduction) of red blood cells.

Hemophilia A or B - Hemophilia (A) Classic hemophilia, due to profound deficiency of factor VIII, a blood factor necessary to normal clotting. The hemophilia A gene is on the X chromosome, so females carry the gene. Each son of a female carrier stands a 50% chance of receiving the gene and having hemophilia. Treatment is by blood products that introduce clotting factor and replace lost blood. However, use of contaminated blood products exposed many people with hemophilia to HIV infection in the 1980s. Hemophilia A has affected the Russian royal house and other descendants of Queen Victoria.Hemopholia (B) Hemophilia due to deficiency of coagulation factor IX in the blood which results in prolonged oozing after minor and major injuries, tooth extractions, or surgery. There is renewed bleeding after the initial bleeding has stopped.

Henochs Purpura - Not Found

High Blood Pressure - High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive emotional tension, although emotional tension and stress can temporarily increase blood pressure. Normal blood pressure is below 120/80; blood pressure between 120/80 and 139/89 is called "pre-hypertension", and a blood pressure of 140/90 or above is considered high.

High Cholesterol - Too much cholesterol (ko-LES-ter-ol) in the blood, or high blood cholesterol, can be serious. People with high blood cholesterol have a greater chance of getting heart disease. High blood cholesterol itself does not cause symptoms, so many people are unaware that their cholesterol level is too high.

HIV / AIDS - Sexual transmission of HIV has been described from men to men, men to women, women to men, and women to women through vaginal, anal, and oral sex. The best way to avoid sexual transmission is abstinence from sex until it is certain that both partners in a monogamous relationship are not HIV-infected. Because the HIV antibody test can take up to six months to turn positive after infection occurs, both partners would need to test negative six months after their last potential exposure to HIV. If abstinence is out of the question, the next best method is the use of latex barriers. This involves placing a condom on the penis as soon as an erection is achieved in order to avoid exposure to pre-ejaculatory and ejaculatory fluids that contain infectious HIV. For oral sex, condoms should be used for fellatio (oral contact with the penis) and latex barriers (dental dams) for cunnilingus (oral contact with the vaginal area). A dental dam is any piece of latex that prevents vaginal secretions from coming in direct contact with the mouth. Although such dams occasionally can be purchased, they are most often created by cutting a square piece of latex from a condom.

Immunodeficiency Disorder - A disorder caused by an inherited flaw in the immune system that increases the susceptibility to infections. Primary immunodeficiency diseases are unlike secondary or acquired immune deficiency diseases, which are caused by infectious, chemical or radiological agents. AIDS is a prototype of an acquired immune deficiency disease.

Infertility Treatment - Most experts define infertility as not being able to get pregnant after at least one year of trying. Women who are able to get pregnant but then have repeat miscarriages are also said to be infertil.

Insulin Use - Use of Insulin for diabetic control

Internal Cardiac Defibrillator - A device put within the body that is designed to recognize certain types of abnormal heart rhythms (arrhythmias) and correct them.

Ischemic Heart Disease - When a portion of the brain loses its blood supply, it becomes oxygen deficient and can become damaged. The part of the body that the brain controls stops functioning. This is called a stroke or a cerebro-vascular accident (CVA). If the brain is able to regain its blood supply quickly, then the CVA symptoms may resolve; this is known as a transient ischemic attack (TIA).

Kidney Transplant - Replacement of a diseased, damaged, or missing kidney with a donor kidney. Also called a renal transplant.

Kidney: Polycystic Kidneys - Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. The kidneys are two organs, each about the size of a fist, located in the upper part of a persons abdomen, toward the back. The kidneys filter wastes and extra fluid from the blood to form urine. They also regulate amounts of certain vital substances in the body. When cysts form in the kidneys, they are filled with fluid. PKD cysts can profoundly enlarge the kidneys while replacing much of the normal structure, resulting in reduced kidney function and leading to kidney failure.

Klinefelters Syndrome (Gonadal Dysgenesis) - Klinefelter syndrome, also known as the XXY condition, is a term used to describe males who have an extra x-chromosomes in most of their cells. Instead of having the usual XY chromosome pattern that most males have, these men have an XXY pattern. Klinefelter syndrome is named after Dr. Henry Klinefelter, who first described a group of symptoms found in some men with the extra X chromosome. Even though all men with Klinefelter syndrome have the extra X chromosome, not every XXY male has all of those symptoms.

Lupus - Lupus is an autoimmune disease characterized by acute and chronic inflammation of various tissues of the body. Autoimmune diseases are illnesses that occur when the body s tissues are attacked by its own immune system. The immune system is a complex system within the body that is designed to fight infectious agents, such as bacteria and other foreign microbes. One of the ways that the immune system fights infections is by producing antibodies that bind to the microbes. Patients with lupus produce abnormal antibodies in their blood that target tissues within their own body rather than foreign infectious agents. Because the antibodies and accompanying cells of inflammation can affect tissues anywhere in the body, lupus has the potential to affect a variety of areas. Sometimes lupus can cause disease of the skin, heart, lungs, kidneys, joints, and/or nervous system. When only the skin is involved, the condition is called lupus dermatitis or coetaneous lupus erythematosus. A form of lupus dermatitis that can be isolated to the skin, without internal disease, is called discoid lupus. When internal organs are involved, the condition is referred to as systemic lupus erythematosus (SLE).

Obesity - The definition of obesity varies depending on what one reads, but in general, it is a chronic condition defined by an excess amount body fat. A certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions. The normal amount of body fat (expressed as percentage of body fat) is between 25%-30% in women and 18%-23% in men. Women with over 30% body fat and men with over 25% body fat are considered obese.

Other Major illness - Any other illness which is severe in nature.

Pagets Disease - Pagets disease is a chronic bone condition characterized by disorder of the normal bone remodeling process. Normal bone has a synchronized relationship of mechanisms that act to lay down new bone and take up old bone. This relationship (referred to as remodeling) is essential for maintaining the normal calcium levels in our blood. In bone affected by Pagets disease, the bone remodeling is disturbed and not synchronized. As a result, the bone that is formed is abnormal, enlarged, not as dense, brittle, and prone to breakage.

Pancreatitis - Pancreatitis is an inflammation of the pancreas. The pancreas is a large gland behind the stomach and close to the duodenum. The duodenum is the upper part of the small intestine. The pancreas secretes digestive enzymes into the small intestine through a tube called the pancreatic duct. These enzymes help digest fats, proteins, and carbohydrates in food. The pancreas also releases the hormones insulin and glucagon into the bloodstream. These hormones help the body use the glucose it takes from food for energy.

Paralysis - In general, diseases that produce paralysis can be divided into two groups; those that involve changes in the makeup of nervous or muscular tissue or those that are the result of metabolic disturbances in the function of nerves or muscles. Some diseases affect the entire body while others hit only a small area of the body.

Paranoid Disorder - Paranoid refers to the perception or suspicion that others have hostile or aggressive motives in interacting with them (for example, "they are out to get me"), when in fact there is no reason for these suspicions. People experiencing paranoia believe that others are persecuting them and have delusional ideas about themselves as central figures in scenarios that in reality have little relevance to them. Minor feelings of paranoia are common, but severe paranoia can cause significant fear and anxiety and can have a pronounced effect on social functioning. Feelings of paranoia can be observed with many psychological disorders, including schizophrenia, as well as with a number of medical diseases, ranging from Alzheimers disease to multiple sclerosis, that can affect brain function.

Paraplegia - Paralysis of the lower part of the body including the legs. As in flaccid or spastic paraplegia. The suffix plegia means paralysis.

Pregnant - The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the womans last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long.

Stroke - A stroke, or cerebrovascular accident (CVA), occurs when blood supply to part of the brain is disrupted, causing brain cells to die. When blood flow to the brain is impaired, oxygen and glucose cannot be delivered to the brain. Blood flow can be compromised by a variety of mechanisms.

Ventricular Arrhythmias - Abnormal rapid heart rhythms (arrhythmias) that originate in the lower chambers of the heart (the ventricles). Ventricular arrhythmias include ventricular tachycardia and ventricular fibrillation. Both are life threatening arrhythmias most commonly associated with heart attacks or scarring of the heart muscle from previous heart attack.

Ventricular Septal Defect - A ventricular septal defect (VSD) is a heart malformation present at birth. Any condition that is present at birth can also be termed a "congenital" condition. A VSD, therefore, is a type of congenital heart disease (CHD). The heart with a VSD has a hole in the wall (the septum) between its two lower chambers (the ventricles).

Von Willebrands Disease (hemophilia) - A group of inherited bleeding disorders in which the ability of blood to clot is impaired.


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