Doctor insights on:
Ct Upper Extremity With And Without Contrast
Hospital: Radiology dept or a imaging center i can't think of a reason why you woild need one check up on some lesion seen on xray this kind of test best guided by a physician not to be used as ascreening test can follow growth of a known lesion preop detail for surgical planning check with orthopod. ...Read more
Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more
None: None.Get a more detailed answer ›
It shouldn't: Once the IV is in, injecting fluid into your veins shouldn't hurt, as there are no pain receptions inside your vessels. In some cases the IV can "blow out" or infiltrate and the fluid will go around the vessel and not into the vein. This can hurt and cause other complications. Elderly patients with fragile veins are the most at risk for IV infiltration. ...Read more
List: Of meds and allergies.Get a more detailed answer ›
Why is it necessary to observe someone's gait in a neurological examination of the upper extremity?
Completeness: The examination of the neuromuscular system takes into account interrelated systems. For example evaluating weakness upper and lower extremities are necessary. Many disorders affecting upper extremities also affect lowers, even if patient is not aware of the lower extremity involvement ...Read more
My bf get sores on his skin that start off as blisters and its on on his upper extremity what could this be?
Once, more? 1 arm?2?:
Once? Could be shingles, flare of prior chicken pox infection. Can't get it if vaccinated, without history of infection. Not both arms. Could also be bacterial infection of skin (impetigo).
Multple? Could be manifestation of celiac sprue: dermatitis herpetiformis.
Other causes are possible too, e.G reaction to sun, genetic metabolic problems-less common. See md, preferably during outbreak. ...Read more
What are some possible causes of bilateral upper extremity fatigue / weakness in a 45 yr old healthy female? This weakness has been present 1 week.
Polymyalgia : Polymylagia rheumatica is a relatively common disorder that can cause bilateral upper extremity weakness (difficulty combing your hair) and shoulder aching. Sounds like you should see a doctor. ...Read more
I am having a slight tingling all over my body especially in the facial and upper extremity areas. I have Spina Bifida but never this b4. Feels electr?
Neuro eval: Chiari malformations are common findings in Spina bifida. Occasionally this can present with abnormal sensations in the arms and legs, even later in life. Headaches are probably the more common symptom though. These things typically get worse with coughing or sneezing. If ongoing, a complete evaluation by a neurologist would be beneficial. ...Read more
Many: There are many complications for this, mostly related to the injection of contrast. Fortunately, the number of complications is small, and pre-screening for risk factors is helpful. You can get infection at the injection site, deep vein thrombosis, embolism, septicemia and more. You can have an allergic reaction to the contrast, from mild to very severe and death, or have kidney damage. ...Read more
Please advise what is it meant if I have been told that my upper extremity reflexes are normal and my lower reflexes are brisk?
Spinal cord: If the lower extremity reflexes are increased, but arms are 'normal', it suggests there could be a problem in the spine. Reflexes in the arms come from the cervical spine at C 5-6-7. If these are normal, the problem lies somewhere below this, in the spine. An old injury, inflammation, stroke or tumor could cause. There are some times when exam is 'abnormal', but there is no obvious pathology ...Read more
Can you tell me for our neurology practical exam we were told we had to analyse gait even in the upper extremity examination and I can't remember why. any help?
What is the meaning of slight thickening of limbs of adrenal glands on ct scan obtained for microhematuria in 53yo female
Nothing: It's a curiosity.Get a more detailed answer ›
My leg adductors are so incredibly tight my lower extremity is very weak my upper extremity is very weak what should I do?
Normal jamar dynamometer grip strength what are the normal jamar dynamometer grip strength results for 35 year old for both dominant/nondominant upper extremity
I : I would add to the discussion that there is a voluntary element to grip strength. If you are in pain, you may not feel secure about giving a good effort. ...Read more
Bilateral upper extremity weakness nerve damage in toes. Started 5 months ago progressing. ESR 31mml Ana 1:640 homogenous cardiolipin IgG 33gpl ?
There is no medical emergency. MRI/CT negative. No thrombus. Nocturnal knee to toe brief severe cramping in one and/or both limbs. Possible etiology?
18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in lft internal capsule, She's 23 and hs spasm in limbs. Any hope?
The TB appears to have spread and may be difficult to treat. I would suggest that they obtain CSF cultures for TB with sensitivities to guide the multi-drug therapy. The head CT scan can then be followed once she is on targeted therapy.
Checking for a pulmonary source and a screening chest XR
The spasm of her limbs may be from a prior episode of encephalitis based on her history. ...Read more
18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in left internal capsule, she's 23 yrs nd hs spasm in limbs, Any hope?
Had an emg and ncs done on upper extemities they are sending me to a neurologist now why what does a neurologist have to do with upper extremities?
EMG: It depends what the reasons is for your upper extremity problems. A neurologist can help evaluate any problems originating with your nerves anywhere from your neck down your arms. Neurologists interpret EMGs best. ...Read more
Can blood clots come from the upper extremities? If so, other than a p.E., what would be the proper diagnosis? Thank you for your help.
Yes: But it is quite rare, and when it does happen it is usually in a patient with a vascular access device in the arm or neck. ...Read more
Dependent edema: In congestive heart failure, the parts of the body lowest will swell. Usually that means the ankles. Arm swelling might occur if someone lays flat and dangles their arms lower. It may also occur if there is an internal blockage in the return of blood flow from the upper body to the heart (superior vena cava syndrome). ...Read more
I have an avm over my primary and secondary motor cortex focal seizures to right upper extremities didn't show on EEG . Why not?
Negative EEG: The eeg is often normal in people with focal seizures, especially if the seizure occurs without loss of consciousness. This is because a seizure has to involve a minimum area of cortex for it to be seen on the surface of the scalp. The signal is attenuated through bone and scalp. Also, a seizure focus can occur deep inside or be oriented parallel to the scalp and not be seen on eeg. ...Read more
Restless legs: Yes, the syndrome can affect the upper extremities as well ...Read more