Dr. David Rex Shellenbarger M.D.

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• What Could Uncontrollable Shivering Mean?

  Uncontrollable shivering is characterized by the rapid shifting between muscle relaxation and contraction. It is through these contractions that the body warms itself up when exposed to cold. Shivering is not always accompanied by fever. In some cases, shivering may occur before the onset of...

• What Are Ketones?

  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...

• Facts About Meningitis Vaccines

  IntroductionThe only way to prevent serious and life-threatening diseases such as meningitis is through vaccination. Meningitis can also be caused by viral, bacterial, and fungal infections. The infection usually affects the meninges or membranes that enclose the brain and spinal cord. Although...

• Leukocyte Esterase Test

  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 Cat Scratch Fever?

  IntroductionCat scratch fever or cat scratch disease is a bacterial infection spread by cats. You can get the cat scratch fever from a scratch or bite of a cat that is infected with the bacterium called Bartonella henselae. Aside from the infected cat’s scratch, you can also acquire the infection...

• What Is a Transient Ischemic Attack (TIA)?

  OverviewA transient ischemic attack (TIA) is a mini-stroke, which only lasts for a few minutes. It occurs when blood stops flowing to a part of the brain for a short time. The symptoms of TIA are similar to other symptoms of stroke, but they do not last long, so TIA does not lead to permanent...