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What is the negatice predictive value of a coronary 64 slice ct angiogram Done at a reputable center... If the calcium score was 0 and CCTA negative??
Pt in Kuwait, low risk sex activity. PCR equivocal. Repeating. Other tests neg. his question is this test done the same US, Germany, London,test +/-?
Depends: PCR is very specific and sensitive, but all tests have a false positive rate, and for PCR, the number is very small. I don't think it should matter where the test is redone as long as the technique is the same or similar ...Read more
molecular tests: Molecular tests such as fish and pcr are invaluable in making the diagnosis but both require a good sample taken directly from the tumor. ...Read more
Ekgs good( sinus tachycardia)..Chest xray..Blood work. Cardiac enzymes..Ct angiogram ok..Echo and stress test on wednesday..Is it safe to say all is w?
cdc HIVtestingAlgorithmRecommendationFinal doc, pge11, say HIV antibodies r antigen r viral load detect by day 50. then y some docs say no? CDC wrong?
Is repetitive HIV PCR RNA ( not detected) at 1, 3-1/2 month, HIV antibody(negative) at 3-1/2, 6,7-1/2 month rule out HIV infection ??
Quite accurate: At the six month mark more than 99.9% of patients who have contracted HIV will produce HIV antibodies. Also if you persistently have nondetectable HIV viral loads, the combination of the two suggest that you have essentially ruled out the possibility of HIV infection. If you still have concerns, you should review your testing with your physician. Hope this helps. ...Read moreSee 2 more doctor answers
Cardiac MRI, stress echo, 3d echo and blood test CRP all done at the mayo clinic AZ would these 3 rule out a blocked artery/CAD? If normal?
Regarding cancer rates. Looking at leukaemia in califnornia vs. Nv. In la county it is 11/100,000. Clark county it is 19/100,000. Is this a big deal?
Most likely not: Epidemiology (study of disease in a population) is tricky. Both rates quoted are very small so a doubling is very likely not a concern. Also, when comparing two areas and a very specific disease, you really should adjust for age, gender and ethnicity. Differences in a city's population can dramatically affect the incidence of certain diseases--many diseases occur only in men or women, kids, etc. ...Read more
How sensitive is pet scan in detecting metastatic clear cell renal cancer, irrespective of screening guidelines (uiss/nccn) , side effects, cost?
Is it ok to ask about accidental falls, deaths, infection rates, mrsa, staffing, sodium in diet, transfers, etc if looking at skilled nursing homes?
They both : Evaluate for coronary atherosclerosis. The short version is 64 slice ct is excellent at determining whether or not atherosclerosis (blockages ) are present. It is not as good in determining the extent or percentage of the blockage(yet). Cardiac cath remians the gold standard for determining the extent of stenosis and subsequent angioplasty/stent. ...Read more
Too big a ?: Way too general.Get a more detailed answer ›
Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?
Multiple myeloma: Multiple myeloma diagnosis needs more information, need the hemoglobin level, calcium level, need serum immunoglobulin level and urine BJ protein of course. Some times you may need a bone marrow biopsy for the confirmation of the diagnosis. You need to see an Oncologist/Hematologist ...Read more
R & L cath excellent. Nuclear stress test ended up false positive. Arteries immaculate, pressures great, function awesome. PFT perfect. DXd w/LBBB, HR low is that causing sob w exertion? Am I safe?
35yo m HIV neg. Cd3, cd4, cd8 mildly depressed, cd19 mildly elevated.Fatigue large complaint. Possible causes of immune dysfunction listed?
Horses, not zebras: You don't have "immune dysfunction." you have a mild abnormality of a lab test that shouldn't have been drawn in the first place. Focus on common causes of fatigue, not rare ones. ...Read more
Can happen: But more commonly they are exposed when off the plane overnighting in an area with high rate of tb. If somebody with active open pulmonary TB is coughing on a flight, the attendants are not the only ones likely to be infected. ...Read more