Dr. James David Spiller MD

Copperhead snake bites are one of the frequently reported snakebites annually. However, they are rarely fatal. Most of the time, snakebites happen when people accidentally step on or touch snakes, which are excellent at blending into their surroundings. When copperhead snakes are disturbed, they...

Introduction Chikungunya is a viral infection that is transmitted by mosquitoes. The chikungunya virus causes a sudden onset of fever along with severe joint pain. The illness is not considered as contagious, but in rare instances, the virus can get transmitted through contact with a person's...

Almost every cell in the body has a primary source of energy, which is usually glucose. However, when the body doesn't have enough glucose, the liver responds by producing chemicals known as ketones, converting stored fatty acids into ketone bodies. Ketones are used as a backup fuel source when...

Leukocyte Esterase Urine TestLeukocyte esterase (LE) is an esterase produced by white blood cells (WBCs) or leukocytes. A leukocyte esterase test is a urine test used to detect the presence of white blood cells and other health conditions associated with infection.Normally, leukocyte esterase...

What is epistaxis?Epistaxis or commonly called a nosebleed is defined as a type of bleeding that occurs from the nostrils, the nasal cavity, or the nasopharynx. Nosebleeds are mostly caused by the rupture of blood vessels inside the nose. Bleeding may be spontaneous or caused by injuries or trauma....

Influenza Influenza, also commonly called as the flu, is a highly contagious respiratory infection caused by viruses, particularly influenza A or influenza B. These viruses usually infect the throat, nose, and lungs. Although the flu causes mild symptoms in most people, it can also cause severe...