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Doctor insights on: Apache Ii Score

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Fatty liver grade II . What does grade II mean ?

Fatty liver grade II . What does grade II mean ?

Fatty liver: Fatty liver can possibly be graded at the time of biopsy but if it was an ultrasound based diagnosis, grade is not normally assigned. Grade ii out of IV is close to medium steatosis (fat inclusions in the cells). It's not badly extensive as it would be in grade iv, but it may get there if not treated. ...Read more

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Q waves leads II, III, v4, v5, v6. ECG reads LVH. Went on beta blockers for sinus tachycardia. Q waves no longer on ECG. What does this mean?

Q waves leads II, III, v4, v5, v6. ECG reads LVH. Went on beta blockers for sinus tachycardia. Q waves no longer on ECG. What does this mean?

It means that the: quality of one or the other (or both) EKGs is not good. Most likely your body position changed (lying vs. sitting) or leads were incorrectly placed. Heart rate could potentially make a difference as well. At your age it is not concerning in anyway and is most likely an artifact. Don't worry. ...Read more

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Im Jay,26 M, 97.4kg with Hypertension Stage II, high SGPT&SGOT.taking Losartan 50mg AM,Felodipine 5mg at night. still my bp upon waking is 130/100mmhg?

Im Jay,26 M, 97.4kg with Hypertension Stage II, high SGPT&SGOT.taking Losartan 50mg AM,Felodipine 5mg at night. still my bp upon waking is 130/100mmhg?

Need more meds.: That BP remains a bit too high, specifically the diastolic number. For now, you need more medication, perhaps a higher dose of one medication or the other, to bring your numbers into better control. Eventually, though, weight loss will certainly help. ...Read more

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What does DSM-IV diagnosis 799.9 on Axis I and II mean?

Deferred Diagnoses: A code of 799.9 on either Axis I or Axis II according to DSM-IV criteria means that the diagnosis is deferred. A deferred diagnosis generally means that there isn't enough information to make a definitive diagnosis. This article in the Journal of Epidemiology about the 799.9 "diagnosis" can help clarify it for you. https://www.ncbi.nlm.nih.gov/pubmed/2760657 ...Read more

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Osteopenia of left femur neck. BMD g/cm2 0.649, T-score -1.8, Z-Score, -0.4. Would this require drug treatment. Total hip and Spine classified normal.

Osteopenia of left femur neck. BMD g/cm2 0.649, T-score -1.8, Z-Score, -0.4. Would this require drug treatment. Total hip and Spine classified normal.

Osteopenia: At age 62 you should be a bit concerned but for now I would strongly suggest you check with the doctor whether or not your need drug therapy. Please let me know what your doctor said. ...Read more

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Y bipolar diagnosis change w ea doctor? NOS 2002. BP1 mixed w psychosis inpaitent06. Eval CYCLO 2010. BP2/RO bipolar1 mixed inpaitent2014. Which am I?

Y bipolar diagnosis change w ea doctor? NOS 2002. BP1 mixed w psychosis inpaitent06. Eval CYCLO 2010. BP2/RO bipolar1 mixed inpaitent2014. Which am I?

Bipolar Spectrum Dx: I can't tell you your accurate diagnosis. The diagnoses are all bipolar spectrum. Usually when there is this spread in diagnoses it can mean 1 of 2 things. 1. The more serious diagnoses become evident with subsequent visits due to ^ in symptoms or 2. The different providers are not conversing & the patient is a poor historian. Take care. ...Read more

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Whats glasgow coma score mean?

Whats glasgow coma score mean?

Scottish head trauma: A major hospital in glascow scotland published levels of coma in head trauma patients. It has now become the standard throughout the world. It is a number from 1 to 15 that can describe the neurological condition of the patient. There are five categories each of which can get a number 1, 2, or 3. A fully conscious and responsive patient will get a 15 with serious injury usually below 7. ...Read more

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My son was diagnosed borderline ADHD on Conners parent rating scale (he was on omega3). He has low serum ferritin. What does borderline mean?

My son was diagnosed borderline ADHD on Conners parent rating scale (he was on omega3).  He has low serum ferritin.  What does borderline mean?

Was iron deficiency: mentioned? Borderline means nothing more than his condition is close to normal. Get rid of the sweets and concentrate on what IS a good diet. ...Read more

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I have grade ii prostatomegaly measures 36×53×44 Mm.weight 45gms is it curable. And doctor prescribedprescribe Exical,solution 5mg and dutalf.

I have grade ii prostatomegaly measures 36×53×44 Mm.weight 45gms is it curable. And doctor prescribedprescribe Exical,solution 5mg and dutalf.

See below: Your prostate is about twice the normal size of a young man and may or may not be significant depending on your age, PSA value, and whether you have any associated urinary symptoms that are bothersome enough to warrant medical therapy with either an alpha-blocker such as Tamsulosin (relaxes prostate) and/or a 5-ARI such as Finasteride (shrinks the prostate) which are commonly used meds in the U.S. ...Read more

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What does a Child Pugh score of 4 mean?

What does a Child Pugh score of 4 mean?

You can review this: http://www.2minutemedicine.com/the-child-pugh-score-prognosis-in-chronic-liver-disease-and-cirrhosis-classics-series/ Not sure what 4 meant. This has been modified...you should ask your doc/hepatologist to confirm the prognosis. ...Read more

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My father have Agatston score : 384. How danger it is?

My father have Agatston score : 384. How danger it is?

Coronary Calcium: The Agatston score is a measure of the amount of calcification in the wall of the coronary arteries, as measured by computed tomography (CAT scan). In general, it up with the development of coronary artery disease, and also goes up with age. Taken with other factors it can predict the risk of a coronary event and might lead to a decision to treat with medicine or even a procedure. ...Read more

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1996 had ultrafast ct age 36 total score of 2. Report put me in 95th percentile. (1mm in lad 1mm in rca) was this a poor score?

1996 had ultrafast ct age 36 total score of 2. Report put me in 95th percentile. (1mm in lad 1mm in rca) was this a poor score?

Focus on present: I don't think it does you any good to ruminate or speculate on some test result from 19yrs ago. If you're concerned about potential for heart disease, go see your Family Doc or Cardiologist. Get testing as appropriate but don't dwell on nearly 2 decade old result. Use http://tools.cardiosource.org/ASCVD-Risk-Estimator/ to assess your risk for heart disease & stroke then manage risk accordingly. ...Read more

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Does a high psa score mean cancer?

Does a high psa score mean cancer?

Not always: Usually the change in a psa value from one to the next is more concerning than the sole value itself. Rate of change is important too. Psa is a tool that helps us determine who is at highest risk for prostate cancer and therefore who needs a biopsy to diagnose cancer. Normal values slowly increase as one ages. However psa values over 20ng/ml are very concerning for cancer and need a biopsy. ...Read more

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Diabetic type 2 on multi inj of insulin on 2 atypical antipsychotics plus bipolar meds how have diastolic dysfunction stage 2 do I lose safely weight?

Diabetic type 2 on multi inj of insulin on 2 atypical antipsychotics plus bipolar meds how have diastolic dysfunction stage 2 do I lose safely weight?

Yes: It sounds that most any form of weight loss would have less morbidity than your current conditions. You need to lose weight if you are indeed overweight. The other conditions should improve with weight loss. ...Read more

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I have stage 4 emphysema and high bp, along with cardiomyopathy. How risky is gen., anesthesia? My fev 1 is 27. Advise/recommendations.

I have stage 4 emphysema and high bp, along with cardiomyopathy. How risky is gen., anesthesia?  My fev 1 is 27. Advise/recommendations.

You are a high risk : Patient. Make sure you have your surgery in a good hospital with anesthesiologists trained in critical care and a good icu. Also, make sure your cardiologist and pulmonologist are satisfied that your conditions are optimized prior to surgery. ...Read more

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