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    Getting effective treatment depends on identifying the right problem. In a recent study, 88 percent of patients who came to Iraq Medical Center for a second opinion received a new or refined diagnosis.

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    Depersonalization-derealization disorder

    Overview Depersonalization-derealization disorder occurs when you persistently or repeatedly have the feeling that you're observing yourself from outside your body or you have a sense that things around you aren't real, or both. Feelings of depersonalization and derealization can be very disturbing and may feel like you're living in a dream. Many people have a passing experience of depersonalization or derealization at some point. But when these feelings keep occurring or never completely go away and interfere with your ability to function, it's considered depersonalization-derealization disorder. This disorder is more common in people who've had traumatic experiences. Depersonalization-derealization disorder can ....

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    Dengue fever

    Overview Dengue (DENG-gey) fever is a mosquito-borne disease that occurs in tropical and subtropical areas of the world. Mild dengue fever causes a high fever, rash, and muscle and joint pain. A severe form of dengue fever, also called dengue hemorrhagic fever, can cause severe bleeding, a sudden drop in blood pressure (shock) and death. Millions of cases of dengue infection occur worldwide each year. Dengue fever is most common in Southeast Asia and the western Pacific islands, but the disease has been increasing rapidly in Latin America and the Caribbean. Researchers are working on dengue fever vaccines. For now ....

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    Dementia

    Overview Dementia isn't a specific disease. Instead, dementia describes a group of symptoms affecting memory, thinking and social abilities severely enough to interfere with daily functioning. Though dementia generally involves memory loss, memory loss has different causes. So memory loss alone doesn't mean you have dementia. Alzheimer's disease is the most common cause of a progressive dementia in older adults, but there are a number of causes of dementia. Depending on the cause, some dementia symptoms can be reversed. Symptoms Dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes Memory loss, which is usually ....

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    Delirium

    Overview Delirium is a serious disturbance in mental abilities that results in confused thinking and reduced awareness of the environment. The start of delirium is usually rapid — within hours or a few days. Delirium can often be traced to one or more contributing factors, such as a severe or chronic illness, changes in metabolic balance (such as low sodium), medication, infection, surgery, or alcohol or drug intoxication or withdrawal. Because symptoms of delirium and dementia can be similar, input from a family member or caregiver may be important for a doctor to make an accurate diagnosis. Symptoms Signs and ....

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    Delayed sleep phase

    Overview Delayed sleep phase — officially known as delayed sleep-wake phase sleep disorder — is an internal sleep clock (circadian rhythm) sleep disorder in which your sleep pattern is delayed two hours or more from a conventional sleep pattern, causing you to go to sleep later and wake up later.   Diagnosis To diagnose your condition, your doctor may review your family and medical history and conduct a physical examination. Your doctor may order several tests to diagnose your condition or any other related conditions, such as: Actigraphy. In this test, you wear a small device that tracks your sleep-wake behavior ....

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    Delayed ejaculation

    Overview Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for men to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all. Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause. It's normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it's ongoing or causes ....

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    Dehydration

    Overview Dehydration occurs when you use or lose more fluid than you take in, and your body doesn't have enough water and other fluids to carry out its normal functions. If you don't replace lost fluids, you will get dehydrated. Anyone may become dehydrated, but the condition is especially dangerous for young children and older adults. The most common cause of dehydration in young children is severe diarrhea and vomiting. Older adults naturally have a lower volume of water in their bodies, and may have conditions or take medications that increase the risk of dehydration. This means that even minor ....

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    Deep vein thrombosis (DVT)

    Overview Blood clot in leg vein Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in your body, usually in your legs. Deep vein thrombosis can cause leg pain or swelling, but also can occur with no symptoms. Deep vein thrombosis can develop if you have certain medical conditions that affect how your blood clots. It can also happen if you don't move for a long time, such as after surgery or an accident, or when you're confined to bed. Deep vein thrombosis can be very serious because blood clots ....

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    De Quervain’s tenosynovitis

    Overview De Quervain's tenosynovitis (dih-kwer-VAINS ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of your wrist. If you have de Quervain's tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist. Although the exact cause of de Quervain's tenosynovitis isn't known, any activity that relies on repetitive hand or wrist movement — such as working in the garden, playing golf or racket sports, or lifting your baby — can make it worse. Symptoms Symptoms of de Quervain's tenosynovitis include: Pain near the base of your thumb Swelling near the base ....

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    Dandruff

    Overview Dandruff is a common chronic scalp condition marked by flaking of the skin on your scalp. Dandruff isn't contagious or serious. But it can be embarrassing and sometimes difficult to treat. The good news is that dandruff usually can be controlled. Mild cases of dandruff may need nothing more than daily shampooing with a gentle cleanser. More-stubborn cases of dandruff often respond to medicated shampoos. Symptoms For most teens and adults, dandruff symptoms are easy to spot: white, oily-looking flakes of dead skin that dot your hair and shoulders, and a possibly itchy, scaly scalp. The condition may worsen ....

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