Dr. Cynthia L Johnston M.D.

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• Chikungunya Fever: Symptoms, Treatment, and Prevention

  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...

• 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 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...

• What Is a CPK Lab Test?

  What is creatine phosphokinase (CPK)?Creatine phosphokinase (CPK) is an enzyme, which is predominantly present in the heart, brain, and skeletal muscles. Converting creatine into phosphate is the main task of this enzyme. The cells of the body then quickly consume or burn this phosphate and use it...

• Lightheadedness

  What is lightheadedness?Lightheadedness or feeling faint may not always be a cause for concern. However, it may also indicate an underlying health problem and can increase the risk of falling and fall-related injuries. If you feel lightheaded, drink water or fluids containing electrolytes and take...