Doctor insights on:
I have widespread joint pain, swelling. C-reactive protein <0.5 mg/dl, rheumatoid arthritis factor<8.6 iu/ml, sed rate 15mm/hr. Rheumatoid arthritis?
Polyarthralgia: You should be seen in person by a rheumatologist. Good luck. ...Read more
Autoimmune disorders: like Rheumatoid Arthritis, diabetes & thyroiditis have an ^ed incidence in children with Down Syndrome (DS). A normal Free T4 & ^ed Ultrasensitive TSH indicates sub-clinical HYPOthyroidism that can become clinical. Macrocytosis, large RBC's, in infants with DS remains lifelong in 2/3rds. It can be associated with anemia from low Vitamin B12 & Folate (folic acid) or iron levels, hypothyroidism or leukemia. ...Read moreSee 1 more doctor answer
Enlarged hilar lymph node, bilateral ant groundglass opacities, rt pulm nodules, elevated ana, fam hist. Odds of lung cancer/metasticzd fromelsewhere?
Let's not jump into: The worst conclusions. Your are 30 y/o, nonsmoker. If you look at the study, 1994, univ of miami, people who developed lung cancer under age 36 were mainly exposed to marijuana, inconclusive but something to think about. In all likelihood this is part of your rheum problem such as rheumatoid nodules or infectious such as fungal. You need a bronch/biopsy for dx. I wish you luck, keep spirits up. ...Read moreSee 1 more doctor answer
Part of the gland: They will move upward with the rest of the gland when you swallow, and you can move them just as you can move your larynx and trachea once you know your way around your neck. Your physician can help you make the distinction from a lymph node or other mass. ...Read moreSee 1 more doctor answer
ANA+ (1:160 homologous), all other titers NEG (Lupus, RA, vasculitis, etc) Rheum thinks seroneg RA. Morning stiffness, joint/spine/SI pain. Possible?
Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read moreSee 2 more doctor answers
Joint swelling >6wks: Jia/jra - general guide 1. Age of onset <16 yr 2. Arthritis (swelling or excess joint fluid), or 2 or more of these: less than full range of motion, tenderness or pain on motion, & increased warmth in at least 1 joint 3.Above signs (seen by doc)for > 6wks 4.Type seen in first 6 mo: a.Polyarthritis: ≥5 inflamed joints b.Oligoarthritis: 4 or fewer joints c.Systemic -fever, arthritis 5.No other cause. ...Read moreSee 1 more doctor answer
Seizures mouth ulcers hepatocellular disease low blood count anticardiolipin antibodies 1:80 speckled ANA osteoarthritis spine Si joints LUPUS maybe?
Rheumatoid arthritis -15yr. Chestxray- increased interstitial markings, prominent hila. Handxray- reduced PIP&MCP joints. Reason for this? Treatment?
See details: joint narrowing suggest damage. The chest x ray findings may be related to infection or to interstitial lung disease secondary to the RA. This individual needs immediate evaluation to determine the cause and extent of the pulmonary issue. Aggressive treatment is needed and that treatment depends on the cause. Have you seen a rheumatologist? ...Read more
Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?
38y female seroneg ra. Plaquenil (hydroxychloroquine) not work. Bone scan show si joints & feet. Start 10mg mtx. Doc said may not be RA since si joints?4 relative w/ra. ?
Talk to your doctor: There are other forms of inflammatory arthritis, which include the seronegative spondyloarthropathies. It might be something like ankylosing spondylitis. Additional testing might be necessary, and a rheumatology referral may be necessary. Also keep in mind being seronegative does not mean you absolutely don't have rheumatoid arthritis. ...Read moreSee 1 more doctor answer
Post hyster for endo cancer - all mediastinal nodes enlarged, w/bilateral hilar & virchows node. No sarcoid/lung issue, have thyroid nodules. Ideas?
Thyroid us: diffusely heterogeneous thyroid w/o well-defined dominant nodule, isthmus enlarged. Thyroid ab tests are neg, tg = 88.7 (<55). Diagnosis?
What do thyroid US results mean? Homogeneous echogenicity. Multiple nodules bilaterally, no cysts ID'd. Heterogeneous parenchyma w/bilateral nodules.
Thyroid nodules: Did they measure the largest nodules? Thyroid nodules are fairly common, and the vast majority of them are not cancerous, but if one is above 1 cm, a biopsy may be considered (there's some variation in how thyroid nodules are managed). Some can give you hyperthyroidism. I'd speak with your doctor or an endocrinologist about further steps. ...Read more