#iritis
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It's hard for me to go out in public. More so lately because I'm in a worsening autistic burnout. This means I'm more sensitive to things like light, sound, people, etc. I'm not wearing a hat and pink glasses to be cool or disguise myself. Light is painful to my eyes. Not just because of autism. I also have glaucoma and since September have been dealing with an autoimmune condition causing iritis and episcleritis. If you happen to see me I'd appreciate it if you could please not comment on my red eyes or my hat and sunglasses. The sunglasses are pink because they're an FL-41 tint to help with migraines. I hate pink but they work. #autistic #autisticlife #iritis #uveitis #episcleritis #glaucoma #glaucomaawareness #autoimmunedisease #autoimmune #photophobia #autism #autismawareness #migraine #fl41glasses https://www.instagram.com/p/CmNscmKrrH-/?igshid=NGJjMDIxMWI=
#autistic#autisticlife#iritis#uveitis#episcleritis#glaucoma#glaucomaawareness#autoimmunedisease#autoimmune#photophobia#autism#autismawareness#migraine#fl41glasses
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Ordering specific test in Uveitis – Avoiding a scattershot approach
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Ordering specific investigations in uveitis involves a systematic approach to identify the underlying cause and guide appropriate treatment, with the initial evaluation typically including a comprehensive eye examination, detailed medical history, and assessment of symptoms, carefully analysing risk factors and clues to diagnosis.
This short discouraging the blunderbuss approach to ordering tests and taking into account both sensitivity (how well the presence of a disease is predicted by a test) and specificity (how well the absence of a disease is predicted by a test), targeting a golden ratio of minimal amount of tests for maximum amount of data (The analogous blunderbuss was a a 17th- century large-bored gun firing balls or slugs which scattered projectiles in a broad range but lacked subtlety and precision).
Specific investigations may be ordered based on the clinical presentation and suspected aetiology of uveitis. Common tests include blood work to assess for infectious or autoimmune diseases, such as full blood count (FBC/CBC), inflammatory markers such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), organ profile (LFT, U+E), Chest X-ray to look for TB or Sarcoidosis, Syphillis.
Other tests depend on the outcome of targeted history and examination, and include Serum ACE, Toxoplasma and Toxocara antibodies, HLA-A29, ANCA, ANA, Mantoux Test, Interferon Gamma Release Assay, Fundus Fluorescein Angiography, Indocyanine Green Angiography, Electrophysiology, CT Chest, CT Abdo/Pelvis, MRI Brain, Lumbar Puncture for CSF Studies, Conjunctival biopsies, Anterior chamber tap, Biopsy of vitreous/choroid - In infectious uveitis cases, polymerase chain reaction (PCR) testing of ocular fluids or serological tests for specific pathogens may be necessary
Sometimes doing routine immunological tests doesn’t really help as there are often weak positive anti-nuclear and other antibodies found in Uveitis which are not really interpretable, so
Tailor Those Investigations!
Featuring Pirates of the Caribbean’s Marty, Guardians of the Galaxy’s Mantis, Shawshank Redemption’s Warden Samuel Norton, the lab scene from Jurassic Park’s Isla Nublar, and the classic Knightmare CITV series (1987-1994) "Ooh, nasty!"
#youtube#uveitis#ophthalmology#iritis#pirates of the caribbean#marty#guardians of the galaxy#mantis#shawshank redemption#warden#jurassic park#isla nublar#knightmare#citv#oftalmologia#oftalmologo#oftalmo#oftalmologista#optometry#blunderbuss
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Wish me luck :( and maybe say a prayer please, my left eye is acting up again with the redness/irritation and visible eye vessels. I went to my PCP today and now have an “urgent” ophthalmology appointment Thursday morning.
#they wanted me in tomorrow morning but my biologic injection is then and is located two (2) hours away from the ophthalmologist#my pcp basically was like yeah I have no idea what is going on with your eye#it’s not fully consistent with conjunctivitis or iritis#my blood vessels there are just. angry and visible.#pupils are fully functional though. no discharge or redness in surrounding tissues#delete later#prayer request#would very much like for my eyes to be functional please#they’re one of the few things I have that actually work
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When you just want to work on art but your goddamn eye looks like this. 🥲
#shut it void#gotta love chronic eye conditions#this is why I’ve been so goddamn exhausted the past few weeks#my fucking iritis not wanting to show up until last minute when I really don’t have time to take off from work
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you ever just. have extreme pain for five days and it recontextualizes your entire life
anyways i'm on steroids because my white blood cells decided "hey. hey. what if we invaded your eye"
worst pain i've ever felt but uhhhh at least I'm taking care of myself now for the first time since age six
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'three images of condylomatous iritis, a form of inflammation thought to be characteristic of syphilis' in the sick rose: disease + the art of medical illustration - richard barnett (2014)
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the mystery of aidens eyes
{I apologise in advance if the reason Aiden has red eyes is known, and if it's not, that you had to read all this, just because my friends don't want to be proofreaders}
So, as I do, I remember random stuff during eating, and I just so happened to remember finding this post by @/yeonggisbitch about Aiden possibly having depression and suicide. One thing lead to another, and I found myself with a single question. His eyes.
Now, since we've seen images of young Aiden, we've seen his natural eyes colour is brown, a common colour, but why are they now red? Red eyes are only natural for albinos, which we know he isn't. However, the other likely option is blood leaking into your iris, but it's unlikely that happened to both eyes. But, if he did have an eye injury, causing blood to leak, then he'd either have partial or full blindness, so we can rule that out.
Now, I know what most of you are thinking. They're probably contacts. However, it's dangerous to sleep with contacts in. If you do, there's an increased chance of getting an eye infection. We see Aiden sleep, without taking out any contact lenses, so I think it's safe to say that Aiden doesn't wear contact lenses.
However, there's something else you can get done. It's possible to surgically change your eye colour to red, however it's expensive, and there's no guarantee nothing will go wrong, meaning you may loose your eyesight, but that's only if things go wrong. This makes sense, seeing Aiden's family is rich. Theres one key issue, however, it only destroys the melanin at the front of your eyes, leaving them blue. However, this reason seems most likely at the moment.
I found these websites, however, saying you can get red eyes from physical trauma, like getting a blunt object thrown in your eye, or chemicals wafting into them. If this happens, you need medical treatment. What do we know about Aiden? He's reckless and often does stuff that could put him in danger, getting a bruise at best, going to the hospital at worst. In one of the chapters, we see Aiden threaten a phantom using chemicals. Chemicals give you physical eye trauma. This is called traumatic iritis, and I'd not healed, leads to permanent blindness.
For now, we don't know much about the mystery of Aidens eyes, but I think it's either caused by surgery, or chemicals infecting his eyes
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Oh, y’all, I was hoping to get Part 2 of Pink Scarf out today, but instead I’m all up in my feels and wrote a stupidly long post about EP to mark this 45th year of his passing…I’m sharing it here because it seems the best place to do so.
45 years ago today, the world lost an icon. Elvis Presley’s early death, at just 42, shocked millions. Elvis was more than just an entertainer; he is a facet of American culture and history, changing the landscape of both and paving the way for many artists after him.
I’m so grateful that I’ve been able to reconnect with and rekindle my love for Elvis this summer. For a lot of reasons, this season of my life has been very challenging and uncertain, and in June, I was at the height of emotions related to all of it. It feels serendipitous that it was also the moment I discovered there was an Elvis movie coming out, and thus began my deep dive into the trove of information related to him and the movie. This has been a welcome distraction and fuel for my other passions of music and writing. It may seem silly to some, but I find him endlessly fascinating—a one of a kind charismatic, talented, beautiful, tragic, and tremendously flawed human.
My dad loved Elvis, and I will forever cherish being able to share that love with him and my mom. I have so many fun memories of watching his concerts with them and listening to Elvis CDs blasting at full volume in the middle of the night when my dad would go on an Elvis kick. That kind of joy and fun is contagious! It bonds you.
This week is one of strong emotions. I find it strangely fitting that Dad died almost 35 years to the day after Elvis and exactly 54 years after EP’s mother, Gladys. Honestly, I hope they are all out there somewhere in the ether having a good time together! Regardless, while I feel deep sadness this week, there is also the celebration and homage of lives that made a profound impact on others (albeit on a different scale!).
I know that EP struggled a lot in those last years with his purpose, thinking that no one would remember him or wondering if he’d done anything of any value in his life. To me (and millions of fans with more fervor than mine), I ultimately think that Elvis brings people together through music and his beautiful and tragic life story. He makes us feel. That was, and continues to be, his superpower, and why, 45 years after his death, his otherworldly magnetism is still drawing in new generations of fans.
I will always be tremendously frustrated with the sensationalist way his death was treated and how it affected his legacy. Finally, after 45 years, some light has been shed on the subject—Elvis did not die of a drug overdose or even simply from complications from prescription drug use. He was very, very ill, and his heart gave out. It is likely that he would’ve died early with or without the drugs.
I highly recommend reading Elvis: Destined to Die Young by Sally Hoedel. According to her extensive research, Elvis had several conditions (many of which he suffered from since childhood/were genetic) that detrimentally affected nine out of his 11 body systems, including (but not limited to):
- severe glaucoma & iritis,
- Chronic insomnia,
- Hirschsprung’s disease (bowel paralysis due to missing nerve cells in the colon that would’ve caused excruciating pain) resulting in megacolon,
- an immune system disorder called hypogammaglobulinemia (an under active immune system) resulting in frequent infections and left untreated, can lead to heart, lung, and digestive damage, Crohn’s, and cancer. (We know that Elvis suffered chronic infections throughout his life, especially tonsillitis, ear infections, sore throats, fevers, intestinal infections, and flus)
- Presence of the genetic disorder Alpha 1 Antitrypsin Deficiency (a condition affecting the liver, lungs, and heart which is now believed to be what killed his mother at such an early age)
- Congenital heart disease & hypertension
- Cushing’s disease
- adrenal insufficiency
- Anemia
- Rheumatoid arthritis and Reactive arthritis
- Enlarged spleen
- Enlarged liver/non alcoholic hepatitis
- Diabetes
- COPD (Based on the combination of many of these, Elvis may very well have suffered from Common Variable Immunodeficiency Disease or CVID.)
- And finally, his prescription drug addiction. Having so many conditions had him relying on, and eventually abusing, many prescription drugs just to function, especially as his touring and performing schedule demands increased.
I am amazed that Elvis could even function at all with even a fraction of these conditions, much less perform physically demanding shows twice a day and tour.
I truly hope Elvis is at peace and that he knows what a tremendous impact he’s made and continues to make on the world. I hope he can see what a wonderful job Austin and Baz did portraying him. I’m so happy that new generations are discovering him and his legacy. I hope we can continue it in for generations to come!
In memory of Elvis Aaron Presley
January 8th, 1935-August 16th, 1977
#elvis presley#elvis#elvis 2022#if you’re looking for trouble#you came to the right place#elvis movie#my heart#austin butler elvis#elvis presley x reader#elvis x reader#elvis the king#elvis music#personal#Pink Scarf#sorry guys
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I ordered myself a kindle paperwhite to try and like. I got a multi payment deal, and I’ve been getting eye strain. And I know raw raw fight the power but I already have a shit tonne of kindle books and the paperwhite has like screen but not screen with a bunch of backlighting and warm lighting and dark mode and stuff and I have been so frustrated with migraines lately. If it gets worse I’m going to the opthamologest and like. Checking. I think that’s a reasonable thing right? Like. “I’m prone to iritis and flares of pressure on my optic nerve and I’m experiencing pain, can I make an appointment to check?”
But also there is a very indulgent voice in my head like “you should get a chaise lounge for your bedroom and make a reading nook, to go with your kindle” and my brain is like conjuring some like obnoxious fairy lights Pinterest aesthetic nook of whimsical escapism that will be photographable for like 30 minutes before I ADHD all over it and like pile clothes on it but still.
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Mick Mars general headcannons! This has hc for both romantic and general things for the Marsman, no NSFW, that will have its own separate post. I also split this into 80s-90s and current Mick, because I can.
Warnings: Talk of Chronic illness and some sad themes. Nothing extreme though
80s/90s
Playful af, despite the grumpy demeanor he shows he’s always in a silly goofy mood around you.
Has a very weird, dark sense of humor, but he never fails to make you laugh.
Surprisingly can cook well, but he doesn’t do it often
Would never cheat, he’s perfectly happy having you in his life. Though girls do swarm him after shows. He always reassures you that you are all he needs.
Doesn’t really get ‘jealous’ per say, but he does sometimes has a bit self of self doubt I’m terms of his appearance. Especially with the AS.
He has freckles on his arms, and he hates them. Doesn’t understand why you think they are cute.
Appreciates the calm you give him, especially after shows or if he’s been around his bandmates for too long.
A bit protective of you around the boys…glares at them if they get touchy with you.
Although it’s no where near as bad as Tommy and Nikki, he doesn’t shower as much as he’s supposed to. He views it more as a chore than anything else, the best way to convince him is to join him.
On that note, he love bathing with you. It’s very relaxing, and he loves the intimacy.
When it came out he was obsessed with Nintendo, and he loves it when you join him to play.
Doesn’t like PDA all that much, but when you are in the comfort of your home he clings to you, he’s big on cuddles.
Current
Wears sunglasses everywhere. Even inside, due to the iritis that came with the AS. So the lights in the house are always on low, he also has the most gorgeous eyes in the world.
When he plays his guitars, the man has no chill. You hear him shredding, and it’s so loud it not only shakes the house, but has caused the power to go out several times.
Definitely has a guitar named after you or reminds him of you in some way, and has it on the road with him if you aren’t with him.
Despite the stiffness the AS, he still finds ways to be playful. He likes jumping out at you and scaring you.
Insanely possessive of his precious hat. You have a little game where you steal it or hide it and he had to come find it. Pretends to be mad but always laughs in the end.
Sometimes feels a little bad that he can’t do as much with you as he wants to. He knows you understand but it’s still hard on him.
Has the SOFTEST hair. He loves it when you run your fingers through it.
He loves squeezing your hand when he holds it. It’s the most PDA he shows in public, but he’s willing to make the most of it.
He’s salty about his height. He used to be 5’9 but is now 5’3, but will playfully make fun of you if you’re shorter than him(like me)
Frequent horror movie date nights are a common occurrence, teases if you get scared but will hold you close.
Never gets up before 10:00 if he doesn’t have to. Don’t talk to him before coffee.
Has you cut his hair, gives a very menacing side eye if you cut it too short.
Is a cat person, and has a few. I don’t think he has anything against dogs, but they may be a bit much to take care of for him.
He smiles more, especially now that he has you on his life.
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Be like Detective Pikachu, but don't forget Shin Chan!
Anterior Uveitis & Axial SpA - HLA-B27 Testing, Features, Support?
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The most common type of Uveitis (inflammation in the eye) is anterior uveitis, or iritis, and almost 50% of patients with this condition test positive for the genetic marker HLA-B27.
Having a positive result could potentially help establish the diagnosis, guide treatment, and provide information about prognosis. It can help avoid unnecessary diagnostic workup too. But it's a grey area as both false negatives and false positives can happen. Asking questions is key and results should be interpreted in the context of the full clinical picture.
#uveitis#axialspa#ankylosing spondylitis#hla b27#pikachu#pokemon#detective pikachu#shin chan#spondylitis#house md#hugh laurie#axial spondylarthritis#iritis#scleritis#psoriasis#ibd#inflammatory bowel disease
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Going through ABFM CKSA questions:
An acute red eye is a common presentation in primary care and it is critical to differentiate serious causes from benign causes. Pain is an important distinguishing feature for the acute red eye. Episcleritis is a self-limited condition that can be idiopathic or associated with autoimmune conditions. It is more common in females and usually presents with mild discomfort and focal hyperemia. Discerning episcleritis from scleritis is important. In general, the inflamed vessels of episcleritis will move with gentle pressure from a cotton-tipped applicator whereas those with scleritis will not, and the pain of scleritis is more intense. The treatment of episcleritis is symptomatic with topical lubricants and oral NSAIDs. If recurrent episodes occur, an autoimmune workup should be considered. Conjunctivitis is typically associated with a discharge that is clear in viral cases and mucopurulent in bacterial cases. Iritis is associated with significant pain, a poorly reactive pupil, diminished vision, and photophobia. This patient does not have changes in visual acuity, photophobia, or severe pain as seen in keratitis, which would also cause an abnormal fluorescein stain showing corneal ulceration.
A Cochrane review reports good evidence that salicylic acid is effective for the treatment of plantar warts. Candida injections may be indicated for warts that are difficult to treat, but they are not considered a first-line treatment. The application of duct tape has not been shown to be more effective than placebo. Manual paring and extraction of plantar warts carries a greater risk for complications and is not necessary for flat, minimally bothersome warts. Laser treatment may be effective, but the cost is not justified as initial therapy in this case.
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So I'm in another flare. One bad enough to require me to switch medications yet again.
It started with usual flare symptoms, ones I thought I could catch and mitigate. I could not.
Then I got iritis. Responded well to treatment, until it didn't, and I had to restart the cycle of prednisolone drops. Iritis was another sign that my flare was bad, and getting worse rapidly.
Now I am having issues with my radial nerves/blood vessels in my right hand. Capillary refill is shit. The digits are cold. Fingers blotchy, if I fall asleep and stop using them I wake up and they hurt so fucking bad. I need strong painkillers just to deal with it. And I am already on a taper of prednisone oral pills now too. And this development could be yet another sign of my flare being worse than previously anticipated. Idk how to feel anymore.
I don't want this to be the rest of my life. I just want this next fucking medication to work.
#chronic illness#chronic pain#crohns#colitis#flare#flareup#illness flare#pain#this shit sucks#personal#rant#cw medical#cw medication#cw medicine
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I’m super excited for the one half of the commission that my coworker’s getting from me, but my eye is too fucked up to be working at night right now, but it’s in absolute agony in the daylight because of how photosensitive it is.
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