Doctor insights on:
PICC line w/tip in sup vena cava. Mild posterior congestion & background of volume overload w/possible trace left pleural effusion? Explain Please...
For ppl w/vp shunts, is pressure affected by altitudes/height/elevation or the relation between distal and proximater tube (lying flat vs upright)?
ICP: There is no effect of altitude on intracranial pressure in patients with vps while climbing or flying and no effect with changing of position based on something called auto regulation. Similarly valves in shunts prevent fluid to go back into the cranial cavity. The only things that could affect the pressure are if the flow is to high (low pressure) of if the flow is too low (high pressure). ...Read more
Is isordil (isosorbide dinitrate) for chest pressure contraindicated in patients with constrictive pericarditis?
MRI was read, it said 'There is fusiform prominence of the left vertebral artery deforming the left side of the cervical medullary junction....
Review: When my patient's mri report comes back like that, I carefully review it with the radiologist, neurosurgeon, and a vascular surgeon to get as much information and advice as I can to see if further imaging studies should be done. This is a highly specialized situation that requires expert advice. ...Read more
Does elevation (like sitting, standing, flying) affect vp shunt pressure or the relation between distal and proximater tube (lying flat vs upright)?
Rare: Cutaneous nocardia usually originates from lung nocardia infection but there are cases of primary cutaneous nocardiasis. There are a few reports of cutaneous nocardiasis spreading to other organs. ...Read more
Thickened pluera 4.2mm along left posterolateral chest wall which is Small loculated with internal septation in left cp angle n not asprable?
See below: Pericardial tamponade is a serious emergency problem of fluid or blood collection in the sac around the heart, causing heart dysfunction. Myocardial contusion is a potentially serious condition of direct trauma and bruising of the heart muscle. Flail chest is a serious problem of multiple rib fractures in several locations on one side of the chest resulting in the lung to not expand correctly. ...Read more
Papillary muscles: They are papillary muscles.Get a more detailed answer ›
Fusiform aneurysmal dilation 2 CM of proper hepatic artery in porta hepatis. Can someone explain this in plain English?
Weakening of artery: Fusiform refers to the shape (spindle-shaped, ie both facing walls) of the aneurysm, or a bulge in the artery. See medical-dictionary.thefreedictionary.com/fusiform+aneurysm for a diagram. The proper hepatic artery is the artery to the liver; it goes through an opening called the porta hepatis ("liver door") or transverse fissure. TTYD about a possible weakening in the artery to the liver. GH & GL ...Read moreSee 1 more doctor answer
Loc, bleeding&collapsing lungs, blood in kidneys, arrythmia, was on a vent, BP sky rocketed, back on vent.Is this SVT or goodpasture?13yrsold.Thoughts?
While palpating, I pressed my caput epididymis very hard. Will some cell in rete testis burst or intracellular fluid flow out of broken cell membrane?
Doubt damage: It seems unlikely that pressing or pinching the epididymis would do more than cause bruising and irritation. If there is swelling/pain, wearing tight jockey shorts and sitting in a warm bathtub (not necessarily at the same time...) would be good first aid. If problems continue, consult your doctor or an urgent care. ...Read more
MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??
Mild thickening's OK: See my comment to your previous post regarding the other findings (tortuous aorta, subclavian artery). The mild thickening of the heart muscle is common, and not necessarily from HCM. It could be the effects of long-standing hypertension. Keeping ur BP low with a -pril or a -sartan (Enalapril, Valsartan, etc.) could even reverse the thickening of the heart. Thanks 4 ur question on HealthTap, & GL! ...Read more
Mobile echodensity visualized on the right atrial lead, adjacent to insertion into the right atrial appendage.Would this be a thrombus? Treatment?
Very likely; see doc: From the sounds of it, the "atrial lead" is from a pacemaker, indicating some prior problem with the heart rhythm. Mobile echodensity, which is the usual description of a thrombus, can arise in RAA from arrhythmias. Usual treatment is blood thinners & careful observation (in case stroke symptoms develop). Talk to your cardiologist to see if surgery is possible. Use HealthTap Prime for specifics.GL ...Read more
Anatomical variant: Normally, the left renal vein crosses over the aorta and drains into the vena cava. A circum-aortic left renal vein is simply a vein that crosses both above and behind the aorta. It's not a problem in the least and could only cause a vascular surgeon an issue in an open aortic operation if he wasn't aware of it. So no problem! you can still call the hogs! wps! ...Read more