Dr. Mary Beth Engrav M.D.

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...

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...

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 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....

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...

What is encephalitis?Encephalitis means inflammation of the brain. Fever, headache, and joint pain are often experienced in the early stages of encephalitis. Other severe symptoms may develop over some days or hours. They include personality changes, seizures, disorientation, confusion, or...