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30 y/o f HbSS & I am having less VOC & < bone pain, AVN, & now bone infarcts. left the ED & now I'm in more pain than b4. What can I do 2 lessen pain?
Specialist f/u: Limited data available.sickle cell disease (SCD) have acute and chronic disorders of bones , joints, including vasoocclusive pain episodes, osteomyelitis and septic arthritis, osteonecrosis of the femoral (hip)and humeral heads( shoulder), vertebral body collapse(back pain). f/u with specialist ASAP. Had you ever been on Hydroxyurea?opiates for chronic pain-tolerance/dependence ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
What can I do to reduce pain of bone infarcts. The pain in my shin-ankle is getting worse, I went to the ED last night & woke up w/ more pain today.
Would an infection of mastoid/ temperol bone-posterior show on a CT scan of the head? Is it possible to mistake it for an old infarction?
Old stroke: Chronic implies longer than 3-6 months. Brain infarct is a stroke, due to blood vessel obstruction. Risk factors might include hypertension, diabetes, high cholesterol, and the presence of an old stroke predicts future stroke risk. So, likely best to start an anti-platelet drug. Discuss this with your doc. ...Read more
What are the most common underlying conditions that would cause a splenic infarct? And how long do they take to show up?
Splenic infarct: It's possible but until a hematologist does the work up and gives you the clean bill of health that it was just a coincidence, i would not just right it off. Last time i looked, this is not a terribly common thing to happen unless there is trauma and the spleen is an incredibly important organ. ...Read more
Compromised tissue: An infarct is a decrease in blood supply to an area. In the spleen if the tissues don't get blood supply the tissue becomes necrotic and infarcts. Te good news is that if the majority of the splenic tissue is healthy. ...Read more
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more
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