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Clinical Dermatology

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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?

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. ...

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It is my contention that rheumatoid arthritis is either caused by a potassium deficiency or is greatly enabled by one (Potassium in the etiology of rheumatoid arthritis and heart infarction. 1974 Journal of Applied Nutrition. 26; p40. ) (Potassium deficiency as a cause of rheumatoid arthritis. 2000 Townsend Letter for Doctors and Patients. 208; 74-76. ) ( http://charles_w.tripod.com/arthritis.html ). Dr. Reza Rastmanesh has performed a clinical trial that establishes this (Rastmanesh R. 2008 A pilot study of potassium supplementation in treatment of hypokalemic patients with rheumatoid arthritis: A randomized, double-blinded placebo controlled trial. The Journal of Pain. 9, issue 8; 722-731. ). Potassium should be automatically prescribed for rheumatoid arthritis because getting potassium up to normal from the low values in all RA patients (LaCelle PL et al 1964 An investigation of total body potassium in patients with rheumatoid arthritis. Proceedings Ann. Meeting of the Rheumatism Association, Arthritis & Rheumatism 7; 321 ) (Sambrook PN, Ansell BM, Foster S, Gumpel JM, Hesp R, Reeve J, Zanelli JM 1985 Bone turnover in early rheumatoid arthritis. 1. Biochemical and kinetic indexes. Ann Rheum Dis. Sep;44(9):575-9. ) is slow, even with a high unprocessed vegetable diet. There are tasty foods that are especially rich in potassium ( http://www.rheumatoidarthritisprogram.com/potassium-and-ra/ ). However it is important that thiamin (vitamin B-1) be adequate when supplementing with potassium because heart disease can not materialize when both are deficient, but will show up if only one of those is deficient (http://charles_w.tripod.com/kandthiamin.html ). This is probably the primary reason why heart disease is a main cause of death in rheumatoid arthritis patients. In view of the fact that this is not considered by current rheumatologists, it would be very valuable for you to bring it into your future research. It is not only that potassium is not considered by physicians in regard to RA, most of them do not even believe that a potassium deficiency is likely. This even though many of them prescribe what are actually supplements, but prescribed under euphemistic terms such as salt substitutes, sodium free baking powder, ORT salts (oral rehydration therapy for diarrhea), polarizing solutions, GIK (glucose, insulin, potassium) salts, vegetables, or glucosamine. A deficiency is further defined out of existence by defining the blood serum content normal as 4.2 when the actual figure is 4.8. Sincerely, Charles Weber 828 692 5816 PS You may find interesting an article that presents the history of arthritis research in http://charles_w.tripod.com/arthritis2.html

hi there is no RCT that food can affect Rheumatoid arthritis. ...

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Endometrial Hysteroscopy Patient Dear Sir, With reference to the above mentioned subject I want to inform you that I was undergone an operation of Endometrium Hysteroscopy on 24th July 2014 and admitted in Nursing Home for 2 days. My clinical symptoms were irregular bleeding, Clotted black blood, and severe pain in lower abdomen and back. My Endometrium Biopsy revealed: 1) Disordered proliferative endometrium and 2) No evidence of endometritis or granuloma or atypia; Type of sample - ENDOMETRIUM KOCH'S; Mycobacterium tuberculosis Complex - Not Detected Non tuberculous Mycobacteria - Detected After operation I experienced bleeding before Period, till August 11. After that, my heavy period persisted for another 10 days (upto 20th August). Presently I am under medication of Cabgolin 0.5 and already completed course of Krimson 35. On 6th of September my period was started suddenly and continued for 8 days upto 14th September. Today suddenly I felt severe pain in lower abdomen, back and legs with clotted smelly blood (black colour) again. I am worried. Please suggest what should I do.

Hi, are you looking for treatment in India? ...

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