临沧外阴上有红疙瘩临沧在哪里看妇科好,临沧阴道出血有可能是什么原因,临沧阴道反复出血怎么办,临沧意外怀孕40天该怎么办,临沧阴道口有个小肉芽,临沧引起盆腔炎原因,临沧急性附件炎的特点

For the past two years, 52-year-old Kendra Jackson of Omaha, Nebraska just thought she had a bad cold."When it first started out, I just thought it was my allergies or a runny nose -- like the beginning of a fresh cold," Jackson said.The coughing, sneezing and runny nose began 2? years after Jackson was involved in a serious car accident. She remembers hitting her face against the dashboard, and she has struggled with migraine headaches ever since.In 2015, Jackson's "runny nose" began to worsen."When it didn't go away, I kept going back and forth to the doctors, and they prescribed every kind of medicine you can think of, and my nose just kept on running," she said.The doctors she saw told her that she probably had allergies. But this year, Jackson went to physicians at the University of Nebraska Medical Center and learned the real reason behind her nasal discharge: a cerebrospinal fluid (or CSF) leak caused by a small hole in her skull."She would wake up in the morning after sleeping upright in a chair, and the whole front of her shirt was wet with fluid. It was a lot of fluid," said Dr. Christie Barnes, a rhinologist at the University of Nebraska Medical Center and a lead surgeon on the case.Jackson said she was losing about half a liter of fluid per day.A physician's assistant "astutely recognized right away that this was something different than a runny nose and was consistent with a CSF leak. So we had her collect her fluids and sent it off for evaluation," Barnes said.Cerebrospinal fluid is a clear, colorless fluid that surrounds and protects the brain and spinal cord. The fluid also helps to remove waste products from the brain and distribute nutrients and other substances throughout the central nervous system, according to the Cleveland Clinic."CSF is a fluid that actually bathes the brain. Because the skull is a fixed box and the brain is a nice soft organ, it needs to be protected from moving around inside that hard box," Barnes said. "So it actually provides a cushion for the brain and the spinal cord."Cerebrospinal fluid is produced continuously in the brain and is normally absorbed into the bloodstream through protrusions in the outer membrane of the brain, called the dura mater.But in Jackson's case, a tiny hole in her cribriform plate -- a thin bone that separates her cranial and nasal cavities -- allowed the fluid to drip into her nose and mouth, resulting in her symptoms.According to Barnes, this part of the skull is "very thin, less than a potato chip. And it's one of the most common locations for this type of a CSF leak," Barnes said.Cerebrospinal fluid leaks are relatively rare, occurring in approximately five in 100,000 individuals worldwide every year. They are most commonly caused by trauma or surgery, according to the CSF Leak Association.In Jackson's case, the physicians believe that her car accident may have caused a small hole that increased in size over time."She was rear-ended and had head trauma, so it's certainly possible," Barnes said. "It may have caused a bit of a thin area there. Her symptoms actually started a little bit after (the accident), so for her, I think there's probably a combination of both the trauma and the increased pressure."Depending on the amount of fluid loss, cerebrospinal fluid leaks can be life-threatening. They also place the patient at an increased risk of infections such as meningitis, according to Barnes.In order to treat Jackson's condition, physicians at the University of Nebraska Medical Center performed a surgery that plugged the hole in her skull using tissue from her nose and abdomen, Barnes said."I used tissue from the inside of her nose to plug the leak," Barnes said. "I also borrowed some abdominal fat; it makes a great plugging agent in this location, so with just a tiny bit of fat, I was able to plug the leak."Almost a month after the surgery, Jackson is back home and reports that the mysterious drip has disappeared."I don't have the nasal drip anymore, but I still have the headaches," she said. "I actually feel pretty good, and I'm able to get a little bit of sleep."Though her condition is rare, Jackson wants people to know that cerebrospinal fluid leaks can occur, particularly after head trauma: "For people who hear my story, if they're tasting a very salty taste and something's draining in the back of your throat, it's probably something other than allergies. So get to the doctor." 4474

For the first time since 2003, the American Heart Association is updating the comprehensive guidelines for blood pressure and hypertension.According to a release from the AHA, patients with a blood pressure reading of 130/80 should now be considered to have hypertension, or abnormally high blood pressure. Previously, a blood pressure level of 140/90 was the baseline for being diagnosed with hypertension.The new guidelines from the AHA mean that nearly half of all American adults — 46 percent — suffer from hypertension. By the AHA’s old standards, 32 percent of American adults suffered from high blood pressure. “We want to be straight with people – if you already have a doubling of risk, you need to know about it,” said Dr. Paul K. Whelton, the lead author of the AHA’s new guidelines. “It doesn’t mean you need medication, but it’s a yellow light that you need to be lowering your blood pressure, mainly with non-drug approaches.”Despite an increase in the amount of Americans with high blood pressure, the AHA hopes their new guidelines mean there will be only a small increase in the amount of patients requiring medication. The Association now generally recommends that patients with Stage 1 hypertension only be prescribed medication in the event of a heart attack or stroke, and they’re also recommending that pharmaceutical companies combine multiple blood pressure drugs. The AHA also hopes the new guidelines encourage patients to monitor their blood pressure at home, away from a stressful setting like a doctor’s office that can skew a single blood pressure test.According to the AHA, the new guidelines were developed by 21 science and health experts who reviewed more than 900 published studies.The new AHA guidelines for diagnosing hypertension are listed below. 1803

Former Trump campaign chairman Paul Manafort pleaded not guilty at an arraignment Wednesday morning in federal court to a re-written set of charges that had been levied against him late last week.The charges in the US District Court for the District of Columbia include allegations of money laundering, conspiracy and making false statements about his foreign lobbying.Prosecutors and the defense agreed on a September 17 trial start, which means the trial involving the onetime leader of Trump's campaign brought by the special counsel will be just before the November midterm elections where Democrats are already expected to do well.   656

Fleetwood Mac and Lindsey Buckingham are cutting ties.A representative for the band confirmed to CNN on Monday that Buckingham and the band have parted ways and that he will not be going on tour with them in the fall."Lindsey Buckingham will not be performing with the band on this tour," a statement read. "The band wishes Lindsey all the best."The representative would not provide any further details as to what led to his departure. A source close to the band told CNN that the split was "over musical differences regarding the tour." A representative for Buckingham referred questions to the band.Buckingham joined Fleetwood Mac in 1974, the same year as the band's longtime lead singer, Stevie Nicks. Buckingham, who has since served as the lead guitarist for the band, wrote some of the band's most well-known songs including "Go Your Own Way," which was the lead single off the band's highly successful 1977 album, Rumours.The vague statement regarding Buckingham's abrupt departure came at the same time the band announced that musicians Mike Campbell and Neil Finn would be joining the band on tour.Fleetwood Mac was originally founded in 1967 by Peter Green. The band was named after two of its band members, Mick Fleetwood and John McVie. Green left the band in 1969. Christine McVie joined the band in 1970.Over the years the band has experienced ups and downs. The band went on hiatus in 1982 and when they agreed to go back on tour in 1987, Buckingham backed out at the last minute. In 1998, Christine McVie left the band and rejoined in 2014.During a Grammy event in January, CNN spoke to Buckingham, who said said that the "dysfunction" is what made the band great."Everything that we wore on our sleeve, the discord and nature of the band, was the people breaking up, the dysfunction. Even if you look at, on paper the five people they don't look like they would belong in the same band together but it adds up to something bigger than the sum of the parts. Right below all of that dysfunction is a great, great deal of love."Buckingham also spoke to CNN about his widely publicized breakup with Nicks, which took place while the band was recording Rumours."There was a time when I was certainly waiting for her to come back and she never did," Buckingham said. "Then I moved on eventually, it took a long time." 2342

First Lady Melania Trump did not visit her husband, President Trump, over the weekend as he is getting treatment at Walter Reed Medical Center and has no plans to, according to multiple reports.A spokesperson for the first lady said she is remaining at the White House executive residence in quarantine after her own COVID-19 diagnosis early Friday morning."Melania is aware of the dangers of COVID-19," the official told CNN. "Potentially exposing others is not a risk she would take."In another response to the question of First Lady Trump visiting her husband at Walter Reed, an official said “that would expose the agents who would drive her there and the medical staff who would walk her up to him,” according to NBC News.The reaction from the First Lady is drawing a comparison to the president's reaction. On Sunday, President Trump and a few members of Secret Service, all wearing masks, drove around the Walter Reed facility to see supporters waiting outside. Monday morning, the First Lady tweeted she was “feeling good (and) will continue to rest at home.” 1075