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Ex-27wk, trach, bpd, 7yo. Meds: duoneb bid, Pulmicort 0.5 bid, hypersol 5% bid, singulair, (montelukast) vestpt 20min bid. Reason4 new atelectasis? Maybe doin biops
Permanent airway...: First, congrats on making to age 7 a preemie who has obviously had a rough time of it. Child is on great meds and therap. However, despite all of these, your child likely has permanent and possibly irreversible changes in his airways that all the meds in the world are not going to change. You optimize what he has left and work with that. New atelectasis likely mucous plugging in inflexible airways. ...Read more
Highly: Focalin (dexmethylphenidate) is the active half of methylphenidate (ritalin), so it is twice as potent as the latter. But it still is a stimulant, with same side effects and benefits. With well-diagnosed individuals with adhd, it should be effective and tolerated about 65% of the time (as are all stimulants). It lasts 10-12 hours with a single morning dose. ...Read moreSee 2 more doctor answers
Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?
Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read moreSee 1 more doctor answer
No: Metformin is not known to be toxic to the kidneys. The concern may be when a patient has naturally kidney function and they take metformin. That person may then be at (rare, but still documented) risk of a condition called lactic acidosis - a potentially dangerous, body-wide build-up of lactic acid that interferes with the delivery with oxygen. ...Read moreSee 1 more doctor answer
Yes, but..: A stainless steel plate for fracture repair will affect imaging of that specific area. Some people can have sensations when getting the exam but most don't. Effects may be more significant on the stronger 3t magnets but most people notice little to nothing. ...Read moreSee 1 more doctor answer
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Ins. Refused pet scan. Say mri/ CT w/o iodine (allergy). Just as good at finding problems? 2 yrs post hr re cc met. Pet oct.'12. See profile for dx.
I agree with: Insurer. U/s and mr of liver better than non-contrast ct. There are preps to try, but need contrast timed to check for liver metastais. Two year disease free interval is good for you. Pet scans are very expensive and not clearly more sensitive. I'd get mr. ...Read moreSee 1 more doctor answer
Alp 121 (norm 30-99), GGT 41 (norm 7-33). Dr. Ordered abdominal ultrasound. Use dulera, (formoterol and mometasone) a corticosteriod. Ultrasound warranted for these elevations?
No: Dexmethylphenidate has a 4-6 hour duration of effect (a long-acting formulation, Focalin XR, which spans 12 hours is also available & has been shown to be as effective. It has also been demonstrated to reduce the symptoms of childhood ADHD, & ADHD in adults.] Typical daily doses of dexmethylphenidate are around 20-40 mg for children & 40–60 mg for adults. A maximum of 80 mg can tolerated. ...Read moreSee 1 more doctor answer
Should I do & how much radiation CT scans for one dental implant causes vs regular chest/head CT scan or one digital tooth x ray. I am curious to know
Radiation dose chart: We only want to take the minimum number and type of x-rays or scans in order to properly diagnose and treatment plan. Without that we might either miss something or the final result might be compromised. Here is a good website for you to look at: http://www.Ans.Org/pi/resources/dosechart/. ...Read moreSee 2 more doctor answers
Nsclc st4. Diagnostic CT scans used iodine contrast but due to allergy, post treatment CT scans used barium. How accurate/comparable are the scans?
Phonetically: Hi. They are pronounced phonetically.Get a more detailed answer ›
I was on lopressor 25 mg 2 x daily. Now i'm on toprol (metoprolol) 50 mg xr. If i tolerated the lopressor well, them i'll tolerate the toprol (metoprolol) well to right?
Almost always: The active ingredient is identical. The only difference is the formulation, toprol (metoprolol) being a gradual (extended) release form. Since slow release avoids the peaks and valleys of the medication concentration in your blood, it's usually better tolerated than the shorter acting form. ...Read more
Noticed in old 08 chst XR rpt aft p-mak insert "ill-defined
r basilar nod focus consid. Ct a/o cmp w/ prv xr"(3 weeks bfore) please translate. Even if there was an ok cmp is an XR or CT in order now?
Needs follow up : If you are referring to an issue that is already 5 years old, i would just get a chest x-ray for comparison. If there is no change, a yearly chest x-ray is sufficient to follow it. If the abnormality has gotten larger since 2008, i would recommend a chest ct scan without delay. ...Read moreSee 1 more doctor answer
How serious is fbs of 43 for diabetic f79? She is on post-surgery prescription of gluformin g3 forte x 3 +glucobay 50 x 3 +pioglit 30 x 1.
Hypoglycemia : This number represents significant low blood sugar levels that can definitely endanger her life especially at her age. She needs to take something sweet immediately and check the bg few minutes after, if still low she needs to take more and if not coming up go to the ed. Later on adjustments in meds should be discussed with her pcp. ...Read moreSee 1 more doctor answer