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Doctor insights on: Caput Succidaneum

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Could an implanted greenfield filter in the vena cava artery cause hyperthrophy of the heart?

Could an implanted greenfield filter in the vena cava artery cause hyperthrophy of the heart?

No: A greenfield filter can't cause hypertrophy of the heart because it is upstream of the heart. In general the heart hypertrophies because of a blockage downstream leading to higher pressure within the heart (just like when you put your finger over a garden hose). ...Read more

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For ppl w/vp shunts, is pressure affected by altitudes/height/elevation or the relation between distal and proximater tube (lying flat vs upright)?

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

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What are the enlarged muscles in ventricles attached to chordae tendinae known as?

What are the enlarged muscles in ventricles attached to chordae tendinae known as?

Papillary muscle: The papillary muscles attach to the cusps of the atrioventricular valves (a.K.A. The mitral and tricuspid valves) via the chordae tendinae and contract to prevent inversion or prolapse of these valves. ...Read more

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MRI was read, it said 'There is fusiform prominence of the left vertebral artery deforming the left side of the cervical medullary junction....

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

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Does elevation (like sitting, standing, flying) affect vp shunt pressure or the relation between distal and proximater tube (lying flat vs upright)?

Does elevation (like sitting, standing, flying) affect vp shunt pressure or the relation between distal and proximater tube (lying flat vs upright)?

Minimally: The elevation may be a few centimeters of water pressure and unlikely to be significant. The tube usually has adequate length to avoid tension with stretching out with extension of the body. ...Read more

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Can cutaneous nocardia become brain or lung nocardia?

Can cutaneous nocardia become brain or lung nocardia?

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

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Thickened pluera 4.2mm along left posterolateral chest wall which is Small loculated with internal septation in left cp angle n not asprable?

Thickened pluera 4.2mm along left posterolateral chest wall which is  Small loculated with internal septation in left cp angle n not asprable?

PLEURAL THICKENING: Pleural thickening needs further evaluation. You need an exam, labs and 3 AM SPUTUM samples for culture and sensitivity, Fungal Smear and culture. AFB smear and Culture(TB SCREEN). Also a Pulmonary consult with potential Bronchoscopy. ...Read more

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What are pericardial tamponade, myocardial contusion, flail chest?

What are pericardial tamponade, myocardial contusion, flail chest?

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

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Fusiform aneurysmal dilation 2 CM of proper hepatic artery in porta hepatis. Can someone explain this in plain English?

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 more

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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?

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?

Major emergency: Testing for goodpasture's and perhaps empirical plasma rx might be started at once. A hemorrhagic fever, wegener's, massive pulmonary embolization and several others are worth considering. ...Read more

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Where is the chordae tendinae located?

Where is the chordae tendinae located?

Inside the ventricle: Chordae attach the valve to its papillary muscles. They are located on the ventricular side of the valve. ...Read more

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How is the thorax affected by heart failure?

How is the thorax affected by heart failure?

Fluid accumulation: In heart failure, one can retain fluid ('water'), that can accumulate in bodily cavities such as chest - hence developing pleural effusions. ...Read more

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What causes pain directly under the knee cap?

What causes  pain directly under the knee cap?

Chondromalacia patel: Typically caused by damage on the posterior aspect of the patella due to damage or malalignment try working on quad strengthening and possible taping or patella bracing. ...Read more

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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?

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

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MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??

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

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Mobile echodensity visualized on the right atrial lead, adjacent to insertion into the right atrial appendage.Would this be a thrombus? Treatment?

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

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Incidental note of a circumaortic left renal vein, crosses the midline. Definition please?

Incidental note of a circumaortic left renal vein, crosses the midline. Definition please?

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