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Doctor insights on: Acute Phase Reactants

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The question is not about me I understand that an acute transformation of overlap myeloproliferative/myelodyplastictiy disorder is the terminal phase of the disorder But what is a blastic transformation of the disorder? Is it the same thing as an ac?

Acute vs blastic?: In the chronic and dysplastic hematologic malignancies that you mention (CMML and MDS), the term "acute" transformation means an evolution to acute leukemia. This is defined as more than 20% "blast" cells microscopically. Therefore acute and blastic transformation are the same thing. ...Read more

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How common is it for the acute HIV phase to last 2-3 days only?

How common is it for the acute HIV phase to last 2-3 days only?

Not: It depends upon whether you are referring to the symptoms associated with early HIV disease, or the immunologic phenomena. Symptoms may or may not be transient and clear within several days, but the severe effects on the immune system are not reversed without therapeutic intervention. ...Read more

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How long does the acute phase of a cervical disc herniation usually last?

How long does the acute phase of a cervical disc herniation usually last?

2-3 wks, then things: change somewhat. Initially the nerve root takes a hard fast hit,& is not happy. Pain, numbness. Muscle weakness is urgent. As the swelling from the herniation decreases symptoms are less. If the herniation is large you may never get out of the acute phase due to the large space it take up in a small space.Rx with NSAIDS help. B sure you are seeing a fellowship trained spine surgeon. ...Read more

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Im embarrassed to ask - but constant feelings of hopelessness. Meds and new therapist help only minorly. Pl help im going thru a bad acute phase. Ty?

Im embarrassed to ask - but constant feelings of hopelessness. Meds and new therapist help only minorly. Pl help im going thru a bad acute phase. Ty?

Don't lose hope: Meds and therapy do help, but it may take some time. Unfortunately we have no way of knowing which meds will help for who so it is often a matter of trial and error to find the most effective with fewest side effects. As far as therapy, let your therapist know you are frustrated with your lack of progress so (s)he can best help you. Hang in there. I hope you feel better soon. ...Read more

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Sometimes while sitting with people i pass through a phase where i see there faces way smaller than there actual size! what is this?

Sometimes while sitting with people i pass through a phase where i see there faces way smaller than there actual size! what is this?

Interesting: A very interesting phenomenon. It would be best if you could see a capable neurologist fro a full history and exam. Potential diagnosis will most likely depend on other history elements within your presentation, and secondarily via neuro exam and any tests your doctor may order. Don't be afraid, it may be something very treatable. ...Read more

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In terms of acid base disorders, why does metabolic have an acute syndrome compared to respiratory having an acute and chronic phase?

In terms of acid base disorders, why does metabolic have an acute syndrome compared to respiratory having an acute and chronic phase?

Compensation: When you have a metabolic acid/base disorder, you compensate rapidly by changing your respiratory rate. When you have a respiratory acid/base disorder, it takes several days for your kidneys to compensate. ...Read more

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How does serum glucose normally fluctuate during activie phases of acute or chronic pancreatitis? Does glucose get elevated AFTER pancreatitis ends?

How does serum glucose normally fluctuate during activie phases of acute or chronic pancreatitis? Does glucose get elevated AFTER pancreatitis ends?

Sugar: Your sugars can be very sporadic and and change upward or downward, with pancreatitis, but normally it will go up. As your pancreas is damaged, so are the cells that produce insulin and therefore your sugar my elevate. ...Read more

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Is there a correlaton between Iron and recently HIV infection? Can Iron drop during acute phase? Thank you.

Is there a correlaton between Iron and recently HIV infection? Can Iron drop during acute phase? Thank you.

Get tested for HIV: Iron is not a reliable marker for HIV. If you have any concerns get a test for HIV nucleic acid. If the result is negative, repeat the test in 6 months to be sure. ...Read more