Doctor insights on:
Acute Illness With Systemic Symptoms
Short answer- YES: The diagnosis of AIP should always be in the differential diagnosis of a person who becomes psychotic& who fits a certain clinical profile which usually includes vague GI symptoms and abdominal pain unexplained neuropathy, and other characteristic symptoms. Feel free to write me more questions on this topic and I'll be happy to answer: www.healthtap.com/drsaghafi ...Read more
Severe infections: This disease affects the immune system so that they are unable to fight off common germs and get very sick from infections that would be mild in healthy people. These severe infections can include skin or bone infections and abscesses in internal organs (lungs, liver, brain). Children with this disease are healthy at birth but usually develop severe infections in infancy or early childhood. ...Read more
Can SIRS (systemic inflammatory response syndrome) be an underlying cause of delirium or be otherwise associated with delirium?
Delirium: In critically ill patients, delirium is a frequent occurrence. Investigators have found that the profile of increased inflammatory biomarkers changes in critically ill patients with delirium according to the presence or absence of clinical evidence of inflammation (either infection or systemic inflammatory response syndrome). Thus, there is a reasonable associate between the two. ...Read moreSee 1 more doctor answer
Bacteria vs. viral: Acute sinusitis is characterized by pus in the nose, significant post nasal drainage, pain and pressure in the face and pain between the eyes. You must differentiate this group of symptoms from a viral rhinitis (cold). Relief of symptoms are increased fluids, vitamin c, pain meds. But as always, you need a specific diagnosis. Patients use the term sinusitis very loosely. Get a diagnosis. ...Read more
With acute diffuse proliferative glomerulonephritis caused by systemic lupus erythematosus, why would a patient have uremia and hyperkalemia?
Sepsis recovery: When a patient is in severe sepsis, the blood pressure (BP) drops, organs start to shut down and ICU level care is needed to survive. In the ICU they will add "pressors" which are meds to support the BP. When these meds start to get weaned off, that is a good sign. Look also for recovery of organ function like coming off the ventilator and making urine... Hope for the best. ...Read moreSee 1 more doctor answer
Can you give me a brief description or meaning of an acute illness w/ systemic symptoms & examples of these illnesses.
Systemic.: This would refer to an acute illness someplace in the body that produces symptoms that reach head to toe. An example could be acute sinusitis, a bacterial infection of the sinuses that can cause fever, chills, sweats, generalized achiness, generalized weakness. ...Read moreSee 1 more doctor answer
Could either severe dengue fever and/or antibiotic induced anaphylactic shock trigger a chronic obstruction of hepatobiliary system? Thank you.
Not clear: Sorry, take a look at your question and try to rewrite it more clearly. ...Read more
Can be: Systemic Inflammatory Response Syndrome which is either fever or hypothermia,either high or low blood count with many WBC band forms, tachycardia and tachypnea, can be seen in infections with sepsis and in noninfectious insults such as trauma or burns. Therefore depending on the cause it can be associated with pain. ...Read more
Varies: Majority cases are asymptomatic and the evaluation is started due to abnormal blood work. When the leukemia is more advanced - patient can become symptomatic-and can be presented with-anemia, low platelet level- bleeding, increase white blood counts, recurrent infections, fatigue/decrease energy level, fever/chils/night sweats, increase abdominal girth etc. Read more : www.Cancer.Net / www.Lls.Org. ...Read more
Why does subacute bacterial endocarditis may give embolic manifestation but not in acute rheumatic fever?
Debris breaks off : Rheumatic fever is a misguided attack on your heart by your own immune system. Rheumatic fever creates damage that can cause susceptiblity to endocarditis. In bacterial endocarditis, colonies of bacteria develop on a heart valve or other intravascular structure. Clumps of bacteria, infection fighting cells or other debris can break off and travel through the body. ...Read moreSee 1 more doctor answer
Many tests: You need to be evaluated for sleep pattern disruptions, metabolic abnormalities, immune system dysfunctions, inadequate nutrition, chronic infections, insufficient hormone levels, vitamin and mineral deficiencies, psychological issues and many more. It's difficult to evaluate and treat. There are many things that can help. ...Read more
Patient with a rare autoimmune disease (relapsing polychondritis) with new onset worsening cramping of muscles over body worsening over time.....?
RPC: As a rheumatologist, I have quite a few patients with relapsing polychondritis (RPC). Patient is do respond to therapy but do require routine evaluations every 3-4 months. There are multiple drugs that may be used but this depends on clinical findings as well as laboratory and imaging findings. I recommend that you be seen by a rheumatologist. ...Read moreSee 9 more doctor answers
Curds & Way Itching: Cottage cheese like curds in the vaginal tract and itching, redness and a mild odor. ...Read more
Can methotrexate help with mild vasculitis of brain/cerebritis or neuro symptoms caused my ctd such as lupus?
Pneumonia: Legionella is a relatively common cause of community-acquired and hospital acquired pneumonias. Legionnaire's disease is a syndrome of pneumonia caused by legionella species. One acute, febrile, self-limited infection caused by legionella is pontiac fever. I am unaware of any chronic infections involving legionella species. Hope this helps. ...Read more
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