Hello sir: Can you please suggest the way forward for the below due to fall from bike:
IMPRESSION:·Complete thickness tear of the proximal fibers of the anterior cruciate ligament – grade III tear.·Focal undisplaced vertical tear in the posterior horn of medial meniscus.·Edema / contusions in the posterior aspect of medial and lateral tibial condyles. ·High riding patella with insall salvati ratio 1.43.·Significant fluid in the bursae adjacent to the lateral collateral ligament.·Grade IV chondromalacia changes along the patellar ridge.·Moderate kne
Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?
Doctor's Answer
You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area.
I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ... Read Full Answer
Doctor my mother aged 63yrs have DVT. When scanned the report says following; 1- grey scale imaging shows enlarge diameter of Common Femoral Vein (CFV) & Superficial Fomoral Vein (SFV). 2- Color Doppler reveals non-fillilng of external lilac vein on the left side. Partial filling of colour is seen in the left CFV & SFV. The Popliteal vein does not show any colour filling. The Peroneal and Posterior Tibial veins are filling with the colour. Anterior tibial vein could not be identified on colour Doppler. 3- Doppler imaging shows mid respiratory plasticity in CFV. There is very poor Response to distal augmentation in the CFV. 4- Great Saphenous vein is Patent.
IMPRESSION- Deep vein thrombosis in lower limb involving External lliac vein, CFV,SFV & Popliteal vein, and possibly Anterior Tibial Veins. There is partial recanalisation of CFV & SFV. Posterior Tibial and Peroneal veins are patent.
Suggested clinical correlation.
Scan copy added to the medical record in the profole.
that the above is the report of the radiologist now what medicine you prescribe ,how to take and when to review the report? .whether the same will be cure or the patient should be in medicine for life long,what are the immediate risk?
Doctor's Answer
Hi,
The Doppler examination shows a thrombus in the deep veins with partial recanalization. This suggests that the thrombus is of a chronic nature. The Doppler can be repeated after one month of treatment to see residual thrombus.
We do not provide any prescription. For this you have to visit an internal medicine specialist.
Feel free to ask more questions. ... Read Full Answer
complete tear of ACL near femoral attachment.High grade tear of LCL near femoral attachment with contusion of the popliteal tendon.MCL grade -2 tear,the meniscpo-femoral/menisco tibial ligaments are likely torn.impacted,mildly depressed fractures of the anterior aspect of the lateral femoral condyle and posterial aspect of the lateral tibial condyle.Moderate joint effusion, fluid extends into baker's cyst and supra-patellar recess.plz help to understand the seriousness of this case...
Doctor's Answer
Hello Sir ,
The results of surgery are good if you get it done as early as possible.There are no other choice other than surgery. It is a routine surgery so no special preparation is required. About 30 to 45 days will be required for recovery. ... Read Full Answer
I am experiencing sleepiness in daytime in my office. I am not feeling drowsy while talking, walking, traveling in vehicles, riding bike or watching TV.
My sleeping time in the night is 12:30 AM to 7:30 AM. I do not have smoking or drinking habit.
Is this a serious condition? Do I need to take medication?
Doctor's Answer
Hi
Then just follow what I told you to do. You may do yoga and early morning exercise for improving from chronic nasal congestion and reducing stress. I have also seen people improve with homeopathic treatment for chronic allergies,so if you want to try it.
Try to maintain chronic allergies,that would be helpful as well. Having a healthy diet also reduces also helps you to reduce stress. Try and reduce stress in all other departments of your life.
Keep a check on your diabetic status ... Read Full Answer
I am 29 Years old man who had a ligament tear in my right knee 14 months back. Though i can walk properly and can run slowly but cannot run hard because if i do so my right knee buckle and i fall down. I have not had a surgery till now though i had some physio therapist treatment but it dint heal well enough.Can i go for the surgery now? How long should i be in rest,i mean after the surgery as i am working?What would be the total cost of the treatment and surgery?
Doctor's Answer
As you can already walk there is no requirement of surgery, just continue physiotherapy to strengthen muscles around knee joint. ... Read Full Answer