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12/10/2025

The life of a Trailblazer

Doris (Chika) Okonkwo, RN, BSN, MSC, PMHNP-C
Retired Nigerian Army Soldier 🇳🇬 | U.S. Air Force Reservist 🇺🇸 | Licensed in 5 countries 🌍 | Author ✍🏾

Hard work âś… Sacrifices âś… Dreams unlocked âś…

Congratulations to a trailblazer. Your drive sets new standards. Your work inspires progress. Keep leading with purpose.

17/09/2025

CHOREA
Chorea is a movement disorder with irregular, abrupt, and purposeless movements. It often looks like dancing or fidgeting movements that flow from one muscle group to another.

Pathology
• Chorea originates from dysfunction in the basal ganglia, especially the striatum (caudate nucleus and putamen).
• Loss of inhibitory pathways in the basal ganglia-thalamic-cortical circuit causes excessive motor output.
• Imbalance between dopamine, GABA, and acetylcholine leads to reduced inhibition of unwanted movements.
• In Huntington’s disease, there is selective neuronal loss in the caudate nucleus, leading to cortical disinhibition and progressive motor, cognitive, and psychiatric symptoms.
• In Sydenham’s chorea, autoimmune antibodies attack basal ganglia neurons after group A streptococcal infection.
• Drug-induced chorea often results from increased dopaminergic activity.

Causes
• Huntington’s disease (genetic, progressive)
• Stroke affecting basal ganglia
• Autoimmune (Sydenham’s chorea, lupus)
• Drugs (levodopa, antipsychotics, oral contraceptives)
• Metabolic disorders (thyroid disease, hypoglycemia, polycythemia)

Symptoms
• Involuntary, flowing, non-repetitive movements
• Impaired coordination and balance
• Speech and swallowing difficulties
• Psychiatric and cognitive changes in neurodegenerative causes

Diagnosis
• Neurological exam focused on movement patterns
• MRI or CT to detect structural lesions
• Blood tests for autoimmune, metabolic, or infectious causes
• Genetic testing for Huntington’s disease

Treatment
• Treat underlying cause when reversible (infection, metabolic imbalance, drug side effect)
• Dopamine-depleting agents (tetrabenazine, deutetrabenazine)
• Antipsychotics (haloperidol, risperidone)
• Symptomatic support with physiotherapy, speech therapy, and occupational therapy

10/05/2024

"Dear Nigerian nurses, as we come together to celebrate Nurses Week, let us embrace the true spirit of this occasion. This week transcends borders, it's a profound global acknowledgment of the unwavering dedication and selfless sacrifices made by nurses everywhere. Let's take pride in our roles not just within Nigeria, but as integral members of a worldwide community of caregivers. Together, we stand united in compassion and excellence, shaping healthcare with our hearts. Happy Nurses Week to all, near and far!"

10/05/2024

"In the quiet moments of healing and the depths of compassion, nurses stand as beacons of hope and comfort. They are the steady hands and gentle hearts that navigate the intricate paths of care, weaving together expertise with empathy. Through tireless dedication and unwavering resolve, they embody the essence of healing, touching lives with grace and kindness. This Nurses Week, we celebrate these extraordinary souls who make a difference in the world, one act of care at a time. Your dedication inspires us all. Thank you for your invaluable contributions and for being the heart of healthcare."

FATFEM20 10/03/2024

Happy Sunday to everyone. Do not forget to to always visit our blog site for updates.

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Photos from Nurses Library's post 23/09/2023

As I celebrate my birthday, I reflect on the blessings, the lessons, and the growth that God's unwavering love has bestowed upon me. I am grateful for this life, for the love that fuels my being, and for the hope that tomorrow holds. Thank you, dear God, for the gift of life and the promise of more beautiful journeys ahead. Amen

07/05/2021

HISTORY OF FLORENCE NIGHTINGALE

Born: May 12, 1820
Florence, Italy
Died: August 13, 1910
London, England
English nurse
https://www.fatfem.com/news/fon1

06/05/2021

Happy international Nurses week to all my professional colleagues all over the world for your selfless service to humanity.

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