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Doctor insights on: Brain Surgery For Ra Nodules On The Hands

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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RCC patient, stg. 4 metasises in lungs,liver and skull. Swollen feet. Now has swollen legs (up to thighs) is this from the cancer? On lasiks for 2+wks

RCC patient, stg. 4 metasises in lungs,liver and skull. Swollen feet. Now has swollen legs (up to thighs) is this from the cancer? On lasiks for 2+wks

Possible: Very possible. Swelling may occur via a few different mechanisms in this illness: 1) if normal liver tissue has been replaced by cancer then insufficient circulating proteins can be produced by the liver resulting in a decrease in oncotic or "pulling pressure" of the circulating bloodstream resulting in fluid seeping out into dependent areas of body like the legs. 2) tumor bulk could block IVC ...Read more

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What advanced in dupetryens contracture hand surgery? If patient had surgery twice with recurrence of the cord what options are out there?

What advanced in dupetryens contracture hand surgery?
If patient had surgery twice with recurrence of the cord what options are out there?

Dupuytrens disease: If recurrent can be resected again, but care must be taken to make sure that the scar is not the culprit as well as recurrent disease. that the patient followed the appropriate post operative protocol and that nn compliance was not a reason for failure. The time frame for recurrence is vital to understand as well as if arthritis is present. see below in comments and ill finish ...Read more

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For cervical disc prolapse patient on the neck, what treatment they can do on their own without going for operation and therapy. Pain on the left elbow?

For cervical disc prolapse patient on the neck, what treatment they can do on their own without going for operation and therapy. Pain on the left elbow?

Several can help: You can see your primary doctor, a neurologist, a physiatrist, a pain management specialist, an orthopedist or a neurosurgeon for treatment with 90% usually treated non surgically. This could include: medication, traction, a soft collar, physical therapy/exercises, time and possible epidural steroid injections as well as activity modifications and ceasing smoking if you have that habit. ...Read more

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Are nodules and mets the same thing in a cancer patient ?

Are nodules and mets the same thing in a cancer patient ?

Yes and no: When mets develop and defined as a lesion in lung, liver etc it is a pure lesion composed of the cancer. Some nodues are metastatic lymph nodes where the node has been replaced to some degree by tumor. In other cases a nodule may be an associated inflammatory condition or a lesion replaced by fibrous tissue after a chem response. Bx is essential for determining diagnosis and significance. ...Read more

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Got results for PET scan on lung nodules. Nodules are "undetermined" cuz of size but parotid glands on both side of neck showed "hot". Any relation?

Got results for PET scan on lung nodules. Nodules are "undetermined" cuz of size but parotid glands on both side of neck showed "hot".  Any relation?

No relation: Parotid glands can have chronic inflammation which will show up on a PET scan just like tumors do. But it is unlikely to be anything significant that should worry you. You can ignore it for the time being. ...Read more

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Undiagnosed nerve pain in both arms, legs, hands and feet. Lesions on brain, demyelination. All testing shows nothing?

Undiagnosed nerve pain in both arms, legs, hands and feet. Lesions on brain, demyelination. All testing shows nothing?

Nerve conduction: studies performed? Medical workup and exam performed? History of trauma? Diabetes checked? what brain lesions are you referring to? Consult your treating physician. ...Read more

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Iwould multiple lung lesions 2.5 CM eeavh in size located on the outer part of the right lung be detected on a chest x ray? My diagnosis is stage4 non

Iwould multiple lung lesions 2.5 CM eeavh in size located on the outer part of the right lung be detected on a chest x ray? My diagnosis is stage4 non

Usually: The smallest lesion on chest radiograph that can be detected is about 5 to 8 mm. A lot depends on its location, peripheral or central. 2.5 cm lesions are easily visualized. ...Read more

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Physiotherapist wants to do dry needling to neck and forearm for chronic bilateral wrist pain (1 yr roughly)thoughts on opinions on this procedure ? He thinks there is compression of nerves.

Physiotherapist wants to do dry needling to neck and forearm for chronic bilateral wrist pain (1 yr roughly)thoughts on opinions on this procedure ? He thinks there is compression of nerves.

Treatment options: Dry needling is very helpful for trigger points. I didn't actually know that dry needling could be used in the manner you described. There are many treatment options depending on the cause of wrist pain. Has the source of your wrist pain been diagnosed? I can't comment on the treatment plan that was offered to you. As a medical acupuncturist, I am not familiar with this approach to wrist pain. ...Read more

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I had 28 treatments of radiation on the brain for a benign tumor. Can it cause cancer else where in the body down the road ?

I had 28 treatments of radiation on the brain for a benign tumor. Can it cause cancer else where in the body down the road ?

Narrowing of the: field of exposure with radiation treatment is done to minimize the risk of side effects of treatment. Yes there is increased risk of thyroid tumors, other brain tumors and brain infarcts (stroke). You should review your situation with the doctors ( radiation oncologist especially) Each situation requires weighing the potential risks vs benefits. ...Read more

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Can radiologist tell the diff between OA and RA on MRI? MRI showed i had arthritis in couple of toes but results didn't specify which kind

Can radiologist tell the diff between OA and RA on MRI? MRI showed i had arthritis in couple of toes but results didn't specify which kind

Sometimes yes.: But RA is a clinical diagnosis based upon history, exam, and lab tests, and not on MRI findings. Consult with your internist regarding more specific diagnosis. ...Read more

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I have morning stiffness on right hand for 1hr, no other symptoms during day. Mri: bone marrow edema, effusions, tenosynovitis. Is this arthritis?Type?

I have morning stiffness on right hand for 1hr, no other symptoms during day. Mri: bone marrow edema, effusions, tenosynovitis. Is this arthritis?Type?

Need more info: What bone has the edema, was there an injury, where is the stiffness, do u feel any grating when u flex ur fingers ; if so which finger, do u do repetitive motions with ur hand or fingers. All this will help 2 localize ur complaints as well as allow 1 to give an answer. ...Read more

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What is the risk for needle aspiration of ganglion cyst on feet if it's close to the nerve? I already have MRI &xrays on it.

What is the risk for needle aspiration of ganglion cyst on feet if it's close to the nerve? I already have MRI &xrays on it.

Ganglion aspiration: Aspirating a ganglion cyst may offer temporary relief but it will likely reaccumulate fluid. Surgery is the only way to make sure the entire cyst is removed. See an orthopedist or a podiatrist, either can remove the cyst. ...Read more

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My 67 years old mom has onfh (osteonecrosis of the femeral head) on both hip joints, what are the risks on surgery to replace total hip?

My 67 years old mom has onfh (osteonecrosis of the femeral head) on both hip joints, what are the risks on surgery to replace total hip?

Statistics: Every center where this procedure is performed will provide you with statistics (so you can compare) of the adverse outcomes and inform you of risks involved in this particular case. In general bleeding, anesthesia misshaps, residual pain, etc are common risks of surgery of this type. Consult your dr, good luck ! ...Read more

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Dr. Tracy Lovell
941 doctors shared insights

Rheumatoid Arthritis (Definition)

A chronic inflammatory disorder that affects joints and can also affect ...Read more