Clinical examination

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Doctors

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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in jan end there was unprotected sex on 03 april i felt burning sensation on my penis ,on 04 april i was diagnosed for uti by surgeon as there was 1-2 pus cell in my urine and prescribed with antibiotic for a week. it did not give me relief i refered to a urologist and told him everything, he has diagnosed me for prostattitus after physical examination and my semen culture showed no growth,but pus cells 4-6hpf the urologist said there is no STI . he has prescribed me the foll doxy 100mg twice daily for 15 days lenoflox 500 once daily for 4 weeks t.alfoo 10mg one daily for 3 months it has been 15 days since i am having the med but the burning sensation comes often on the right bottom of the head of my penis with no other symptom .what can be the possible reason there is no discharge/rashes on my genitals only this burning sensation pl tell me if i need to show to some other urologist or is it that i have an std which the urologist could not diagnose if so then whom should i consult and what all test of std should i conduct .the urologist has said that i do not require any STD test as i have simple prostatits but the fear of std is troubling me or do i need to consult a pshycatrist pl help

Hi, The medicines you are having are fine and have to be taken for 15 more days and you may feel further better. I might have liked to give some other medicines,but then the doctor might have noticed something on your examination to give you this medicine. You can get tested for hiv for safety sake and your concern. Is there any smell in urine ? prostatitis is difficult to comment without examining you.But it may be possible that you are having acute bacterial prostatitis and treatment for acut ...

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hi. i am having mouth ulcers. i use to have such problem very often. please suggest me something. can it be a big problem medically? Should i go for any diagnostic examination?

It it is a recurrent episode, then just get a routine blood examination done, most importantly Hb% and do give your current medical status and any medication you are presently taking. ...

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Name â€“ Biman Das Age â€“ 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint â€“ Weakness since 1year. Hiâ€¦. Below are the complete tests I have done two days backâ€¦.. Blood Urea Nitrogen â€“ 11.00 mg/dl Serum Creatinine â€“ 1 mg/dl Serum Glucose â€“ 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total â€“ 1.30 mg/dl Billirubin â€“ direct â€“ 0.30 mg/dl SGOT/AST (P5P, IFCC) â€“ 63.00 IU/ml SGPT/ALT (P5P, IFCC) â€“ 142.00 IU/ml ALP â€“ 74 IU/ml Total protein â€“ 7.80 g/dl Serum Albumin â€“ 4.90 g/dl Serum Globulin â€“ 2.90 g/dl ALB/GLOB Ratio â€“ 1.69 g/dl SERUM TSH (ECLIA) â€“ 6.240 IU/mL COMPLETE BLOOD COUNT WBC â€“ 9300.00 /cu.mm RBC â€“ 6.15 million/cu.mm Hemoglobin â€“ 11.90 g/dl Haemotocrit (PCV) â€“ 37.00 % MCV â€“ 61.00 fL MCH â€“ 19.40 Pg MCHC â€“ 31.30 g/dl Platelet count â€“ 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils â€“ 52 % Lymphocytes â€“ 43 % Monocytes â€“ 3.00 % Eosinophils â€“ 2.00 % ESR â€“ 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBCâ€™s â€“ Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBCâ€™s â€“ Leucocytes are normal in total count and distribution Plateletes â€“ Plateletes are reduced. Macroplateletes noted. Impression â€“ Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS â€“ Routine Urine analysis â€“ All values are normal ECG â€“ Normal study X-Ray of chest â€“ PA View â€“ Normal Study MY HABBITS â€“ Non veg 3 days a week Beer â€“ 3 days a week( 700ml per day) drinking since 10 years. Smoking â€“ 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER â€“ History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver â€“ Fatty Liver 18th October 2012 â€“ Liver function test â€“ All values are normal 18th October 2012 â€“ Pulmonary test â€“ Normal spirometery 18th October 2012 â€“ Complete Haemoglobin â€“ Haemoglobin 12.5 gm/dl, WBC â€“ normal in number and morphology, RBC â€“ Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

Hi, I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have. Although yellow eyes can also be due to mddy sclera,some people have muddy sclera. Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this. Time taken is different for diffirent person ...

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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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Hi, In Jan2010 one fine morning I woke up to find permanent heaviness + tinnitus in my right ear with hearing loss. Repeated audiometry tests show 50% hearing loss. Now I have permanent Tinnitus along with hearing loss. Of late, I have noticed constant pain in my skull's right side (areas including: upper & lower molars jaw bone, joint where jaw fits into the skull, joint just above the eyebrows). This pain is cyclical, sometimes very noticeable & sometimes not. During my initial examination tests, doctors had suspected tumour for which MRI scan was negative. That time I had no pain in the skull, however now I do and hence I fear the worst. Thus wanted to know your opinion of what should I do; which kind of opinion / treatment must I seek? Thanks.

Please email me your MRI Images and Audiometry reports to *********@*****.com and I will get back to you.... ...

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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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I'm a dentist and I have my private practise since 3years. I want to know the details about what is fage. Is it a degree or a course or a examination. And also about how to get this. It would be very helpful if you could help me with this query. Thank u

It is a fellowship. Nothing like degree or diploma. With 3000 rs u can have that. All the details are available in internet. ...

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hi we have a child about 10yrs that has speech impairment pronouncing letters "R", "S", "Z" "T" basically those letters that require the nostrils and tongue to touch at the roof of the mouth to let out word...he has had examination by doctors here in Lebanon.And was put on speech trials by reading,but it seems not to assist much.Can he get better medical correction assistance such as surgery? we have the medical tests and doctors report for perusal so that u ascertain the proper assistance to be sort

please scan & email your child's records directly to me on *********@*****.com so that I may understand your case better.... ...

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ankylosing spondylitis: I am 38 yr old 1977 born. Suffering with Ankylosing spondylytes When i was 20 yrs (1997) , then first time had sever leg pain ( from hip to down) and took ibruofin to control It was there now and then and used ibruofin when pain comes Later 13 yrs in 2010 the hip pain ( from hip to down , pain sever during night and morning ) is continuous then when examinded found out that it is Ankylosing spondylytes. In examination HLAB27 is +ve and MRI scan with C-reactive protein (CRP); erythrocyte sedimentation rate (ESR); high levels Took physiotherapy session for 10 days with rest and it controlled Later now and then pain used to come then mostly I was bearing without taking any drug..... But if pain is very severe and need to travel then used Naprosyn 250 some times else try to manage with pain without medication But in 2013 ( I moved another city, and from next day itself) this time sever body pains majorly back pain and neck pain and stiffness which restricts movememnts started.... continuously..... but i was reluctantn to taken any pain killers and managed like that only ... for almost 2 yrs !!!! during this time my movements are restricted and walking style changed.... But during this time when ever i went to my home town i felt bit better.... but on return position is same.... Recently in 2015 July .... suddently on both feet got swelling and sever pain... not able to walk also .... then contacted rhumotologist then rhumotologist prescribed below medcine after blood tests: Blodd tests: C-reactive protein (CRP) - 99 ; erythrocyte sedimentation rate (ESR) -13; plasma viscosity (PV). ( Not done) Vitamin D: 18 and using below Medcine: Gave Afec injection For one motnh Saaz DS :Morning - Night Ziffinac : when pain there BGcal-ctf Night PDOM-SR :morning ZEMPRED : 16 mg used for 12 days morning - night and for 5 days: monrnng 16 mg - night 8mg and for 5 days: monrnng 16 mg - night 4mg Immustar Pls suggest based on my conditions what shoud be done? (Some one telling to take Remicade/infimab injections !!!! which i dont prefer as it needs to be continued after some yrs it seems also expensive) (is homeopathy good option) Regs, Mohan

hi there is no treatment in homeopathy, but there is no need to go for remicade/inflimab, there are many other medicines are available. methotrexate, leflunomide etc are very effective. if you want you can come to delhi, we can evaluate and modify treatment to make you better take care ...

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