Topics Patient management
  Topics Patient management

Patient management

Find latest answers to Patient management questions, Patient management articles, Patient management news and clinic/doctors who deal with Patient management.

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A patient has blood sugar level of 103 in fasting and 190 in post prandial , is it okey if I extract her tooth or do I postpon the treatment till both the values are normal?

you are asking this question as a dentist i guess although it shows here that the question is asked by a patient 59 yr old female... if you can monitor the blood glucose level under control and also check for any signs of excessive bleeding post extraction, it can be done ...

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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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Please confirm is this possible to 100% secure medication is available in India/Delhi? and also confirm how to days required to 100% cure? Also confirm the total cost of medication if patient having aplastic animia?

Hi, there is nothing 100 % in medical,but yes there is good treatment available in delhi/india for aplastic anemia. However there are a variety of treatment options available 1) Blood transfusion 2) Medicines to stimulate bone marrow like erythropoietin and colony-stimulating factors but these have their own risks 3)Medicine to suppress immune system,Three medicines—often given together—can suppress the body's immune system. They are antithymocyte globulin (ATG), cyclosporine, a ...

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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a baby of 5 months.has biliary atresia, bile flow from the liver to the gallbladder is blocked. is now sent to CMC Vellore for further treatment. patient can bear expenditure of maximum 1 lakh. advice treatment and solution please

Hi, Biliary atresia is a serious problem and worse part is it is less know. It has only surgical treatment and intially the procedure done is kasai procedure(in which a part of child intestine is used to replace the bile duct out of liver),but however if it fails then liver transplantation is the only option. I am not sure over the cost of procedure in cmc vellore,but however if you are carrying your detailed certificate about income then you will be given priority and will be charged less(it c ...

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Can we perform extraction, root canat treatment and crown leghthening procedure on a jaundice patient safely?

Better wait still your jaundice settle down. If there is any secondary infection ,prescribbing tablet's has some limitations.but if the dental pain is severe visit a dentist. ...

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I am a Post Operative ITP Patient after Spleenactomy. Tab. Gemer 1 did not suit. Can I be given Gluconom SR 500 for blood sugar control.?

Hi, You were originally also taking metformin along with a combination of glimepiride,although glimiperide can decrease platelet count but in rare cases. Metformin is a safe drug and should not be of any problem to you,the only thing that will have to be noticed is that because you were originally taking two drugs so will a single drug be able to control your sugar or not that will have to be noticed and your blood sugar might be repeated for monitoring the efficacy of the drug. Just for being ...

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