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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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    Neck pain

    Overview Neck pain is a common complaint. Neck muscles can be strained from poor posture — whether it's leaning over your computer or hunching over your workbench. Osteoarthritis also is a common cause of neck pain. Rarely, neck pain can be a symptom of a more serious problem. Seek medical care if your neck pain is accompanied by numbness or loss of strength in your arms or hands or if you have shooting pain into your shoulder or down your arm. Symptoms Signs and symptoms include: Pain that's often worsened by holding your head in one place for long periods, ....

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    Nephrogenic systemic fibrosis

    Overview Nephrogenic systemic fibrosis is a rare disease that occurs mainly in people with advanced kidney failure with or without dialysis. Nephrogenic systemic fibrosis may resemble skin diseases, such as scleroderma and scleromyxedema, with thickening and darkening developing on large areas of the skin. Nephrogenic systemic fibrosis can also affect internal organs, such as the heart, kidneys and lungs, and it can cause a disabling shortening of muscles and tendons in the joints (joint contracture). For some people with advanced kidney disease, being exposed to certain gadolinium-containing contrast agents during magnetic resonance imaging (MRI) and other imaging studies has been ....

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    Nearsightedness

    Overview Nearsightedness (myopia) Nearsightedness (myopia) is a common vision condition in which you can see objects near to you clearly, but objects farther away are blurry. It occurs when the shape of your eye causes light rays to bend (refract) incorrectly, focusing images in front of your retina instead of on your retina. Nearsightedness may develop gradually or rapidly, often worsening during childhood and adolescence. Nearsightedness tends to run in families. A basic eye exam can confirm nearsightedness. You can compensate for the blur with eyeglasses, contact lenses or refractive surgery. Symptoms Nearsightedness symptoms may include: Blurry vision when looking ....

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    Nasopharyngeal carcinoma

    Overview Parts of the throat (pharynx) Nasopharyngeal (nay-zoh-fuh-RIN-jee-ul) carcinoma is cancer that occurs in the nasopharynx, which is located behind your nose and above the back of your throat. Nasopharyngeal carcinoma is rare in the United States. It occurs much more frequently in other parts of the world — specifically Southeast Asia. Nasopharyngeal carcinoma is difficult to detect early. That's probably because the nasopharynx isn't easy to examine and symptoms of nasopharyngeal carcinoma mimic those of other, more-common conditions. Treatment for nasopharyngeal carcinoma usually involves radiation therapy, chemotherapy or a combination of the two. You can work with your doctor ....

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    Nasal polyps

    Diagnosis Your doctor can usually make a diagnosis based on your answers to questions about your symptoms, a general physical exam and an examination of your nose. Polyps may be visible with the aid of a simple lighted instrument. Other diagnostic tests include: Nasal endoscopy. A narrow tube with a lighted magnifying lens or tiny camera (nasal endoscope) enables your doctor to perform a detailed examination inside your nose and sinuses. He or she inserts the endoscope into a nostril and guides it into your nasal cavity. Imaging studies. Images obtained with computerized tomography (CT) can help your doctor pinpoint the size ....

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    Nasal and paranasal tumors

    Overview Nasal and paranasal tumors are abnormal growths that begin in and around the passageway within your nose (nasal cavity). Nasal tumors begin in the nasal cavity. Paranasal tumors begin in air-filled chambers around the nose called the paranasal sinuses. Nasal and paranasal tumors can be noncancerous (benign) or they can be cancerous (malignant). Several types of nasal and paranasal tumors exist. Which type of tumor you have helps determine the best treatment for you. Diagnosis Tests and procedures used to diagnose nasal and paranasal tumors include: Using an endoscopic camera to see inside your nasal cavity and sinuses.During a ....

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    Narcolepsy

    Overview Narcolepsy is a chronic sleep disorder characterized by overwhelming daytime drowsiness and sudden attacks of sleep. People with narcolepsy often find it difficult to stay awake for long periods of time, regardless of the circumstances. Narcolepsy can cause serious disruptions in your daily routine. Sometimes, narcolepsy can be accompanied by a sudden loss of muscle tone (cataplexy), which can be triggered by strong emotion. Narcolepsy that occurs with cataplexy is called type 1 narcolepsy. Narcolepsy that occurs without cataplexy is known as type 2 narcolepsy. Narcolepsy is a chronic condition for which there's no cure. However, medications and lifestyle ....

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    Narcissistic personality disorder

    Overview Narcissistic personality disorder — one of several types of personality disorders — is a mental condition in which people have an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others. But behind this mask of extreme confidence lies a fragile self-esteem that's vulnerable to the slightest criticism. A narcissistic personality disorder causes problems in many areas of life, such as relationships, work, school or financial affairs. People with narcissistic personality disorder may be generally unhappy and disappointed when they're not given the special favors or ....

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    Nail fungus

    Overview Nail fungus Nail fungus is a common condition that begins as a white or yellow spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, nail fungus may cause your nail to discolor, thicken and crumble at the edge. It can affect several nails. If your condition is mild and not bothering you, you may not need treatment. If your nail fungus is painful and has caused thickened nails, self-care steps and medications may help. But even if treatment is successful, nail fungus often comes back. Nail fungus is also called onychomycosis (on-ih-koh-my-KOH-sis). When ....

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    Naegleria infection

    Overview Naegleria (nay-GLEER-e-uh) infection is a rare and usually fatal brain infection caused by an amoeba commonly found in freshwater lakes, rivers and hot springs. Exposure occurs during swimming or other water sports. The amoeba — called Naegleria fowleri — travels up the nose to the brain, where it causes severe damage. Most people who have naegleria infection die within a week. Millions of people are exposed to the amoeba that causes naegleria infection each year, but only a handful of them ever get sick from it. Health officials don't know why some people develop naegleria infection while others don't. ....

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