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Cta Aorta And Bilateral Iliofemoral Runoff
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I have had 4 CT scans... 1- pelvic/abdominal, 1- thoratic/aorta cta, 1- coronary cta & 1- brain ct.... I'm only 18. Is this a lot? Too much radiation?
Possibly: The radiation exposure risk from a ct scan needs to be balanced with the benefit of the information. If you doctors are concerned about a life threatening condition, then the ct is warranted. Radiation risk is cumulative - if these are the only scans you have for foreseeable future the overall risk is reduced. Also newer ct scanners reduce the overall radiation dose. Talk w/ your pcp. ...Read moreGet help now ›
If mra showed abi on right dorsalis pedis is zero before surgery should doctor freak out after aortic bypass surgery o again then he does a r ileofemarol thrombolectomy and a intraoperative angiogram and a r distal pop-tibial exposure then a r greater sap
I : I believe that you also asked this question elsewhere, so escuse me if the first part of my answer is a repeat. The ankle-brachial index (abi) is a screening test done with blood pressure cuffs and an ultrasound probe. An mra, in contrast, uses magnetic fields and injected dye to directly visualize the anatomy of the blood vessels. Therefore, while an mra might show a blocked dorsalis pedis artery, it would not be reported as showing an abi of zero. The abi tests blood pressure in the dorsalis pedis and the posterior tibial arteries and compares those measurements to blood pressures in the arms. If the pressures in the feet are significantly lower than those in the arms, and/or the patient has clinical signs of decreased blood flow to the feet, then one may decide to intervene. It sounds to me like you had no pulse in your dorsais pedis artery before your surgery, regardless of what your abi might have been. This could have happened because of chronic blockage or because of new clot that might have formed a) because of decreased flow in an already-diseased dorsalis pedis or b) because of clot that came from abnormal vessels upstream. You had an aortic bypass, so there certainly was disease upstream. It sounds to me like your surgery was a difficult one. However, it's hard to know whether your doctor was fixing problems that were caused by the surgery or whether you just had a lot of disease to begin with and he or she was trying to fix a of of problems at the same time. Unfortunately, a lot of people with bad arterial disease wind up in a wheelchair or with amputations despite the best efforts of good doctors. Still, if you think your doctor made a mistake, you should certainly talk it over with him or her and consider seeing another doctor for a second opinion. ...Read moreGet help now ›
Friend has had cerebellar infarction, MRI is: pundate hyperintense area in bilateral inf. Cereblr region, hypointense on t1, hyperintense on t2, retriction on div i s/o aorta enfarct. Best treatment?
Time: This means the tissue has recently died in small areas (punctate) of the cerebellum. It is hard to tell (without examining, watching the changes, and knowing the history) to predict the outcome. ...Read moreGet help now ›
31/m c/o bilateral sharp CP x 6 mos., no known cause. Recent cta, ekgs, holter, echo, MRI chest, CT head are all negative. No prior history of any kind.?
Chest wall pain: A healthy 31 Y.O. Male with above testing all negative rules out most serious causes. What could be left includes a chronic pleurisy (perhaps part of a connective tissue disease), costochondritis (inflammation of the conncection between the bony and cartilage parts of the rib cage). Consider a routine dose of an anti-inflammatory medication with your md's advice. ...Read moreGet help now ›
What does carotid pulses +2/4 bilaterally mean with no bruit? Abdominal Aorta not prominent? Femoral pulse +2/4 bilaterally. Is that normal?
All normal: no worries. The 2/4 nomenclature is used by some people but it all sounds completely normal (in other words don't assume you are supposed to be 4/4). Someone did an assessment of your pulses and thought they were fine. ...Read moreGet help now ›
Cta abdomen w/ runoff: radiologist notes small lymph nodes at celica access; suggests short term followup needed cta abdomen w/runoff yields radiologist noting small lymph nodes at celiac axis; suggests short term follow up if clinically indicated. What w
Ok: There are always small nodes at celiac axis. So if no change- should not be an issue! it is an area where inflammation or malignancy can show and that's why we check. Why was the cta needed? That needs the followup? ...Read moreGet help now ›
Can you tell me what vascular calcification in the aorta and iliac vessels and pelvicaliectasis bilaterally mean ?
Vascular calcificati: It is depsoition of calcium in the blood vessels. It is an aging process. You are at risk for progression of blocks and obstruction of blood flow/peripheral arterial disease. ...Read moreGet help now ›
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