Diagnosis

The diagnosis of MS is based on the clinical features of the illness. There is no one definitive test for MS. Signs and symptoms define lesions that develop over time (at least 1 month apart) and space (different areas of the central nervous system). Most symptoms tend to develop over several days and then persist for several weeks to months, with improvement and in many cases return to normal. The neurologic examination generally provides objective evidence of the patient's symptoms, however, sensory symptoms may be entirely subjective. Paraclinical data, which include magnetic resonance imaging (MRI), cerebrospinal fluid (CSF), and evoked potentials (EPs), are used to confirm or dispute the clinical diagnosis. The most recent criteria were developed by an International panel of experts in the field MS (Table I), These criteria incorporate MRI as a tool of assessing subclinical disease activity and providing for a diagnosis before a second clinical event. The criteria includes visual

Table I

MS Diagnostic Criteria0

Table I

MS Diagnostic Criteria0

Clinical attacks

Objective lesions

Additional requirements to make diagnosis

2 or more

2 or more

None

2 or more

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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