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Doctor insights on: Digital Mammogram Pain

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Digital rectal exam lithomy position?

Digital rectal exam lithomy position?

May depend on doctor: A good position for a rectal exam is a one where the anus is accessible to the doctor's finger, and the doctor feels he is able to get a really good exam: lying on the side, bent over the examination table, or lying down with feet in stirrup (lithotomy position), etc... The position is not that important. What's important is that the dr. Is able to reach and feel everything he wants to examine. ...Read more

Dr. Barry Rosen
667 doctors shared insights

Mammogram (Definition)

A mammogram is the "gold standard" screening test for breast cancer. It's well established that yearly 'grams will DX cancers well before they are palpable, leading to earlier diagnoses and saved lives. All experts agree to begin yearly mammograms by age 50; many (including myself) believe the pro's outweigh the con's to begin at 40. Regrettably, less than half of all women ...Read more


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Would mammography or mammogram procedure hurt?

Would mammography or mammogram procedure hurt?

You're overdue : It may be somewhat uncomfortable but tolerable and well worth it. Mammography has decreased breast cancer mortality by up to 50%. If you get one every year rather than every other your chances of dying from breast cancer go down 30%. 20% of cancers are in women in their 40's. What have you been waiting for? ...Read more

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Is lady's digital rectal examination uncomfortable?

Is lady's digital rectal examination uncomfortable?

Shouldn't be: This should be a gentle component of a vaginal examination and while a bit of a shock the first time, should not be a lasting issue. If there is no pathology in this region, there is nothing to cause deeper pain. ...Read more

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Bi rads 0 mamm. Going for fu tomorrow. Is a x-Ray digital mamm better or ultrasound better for dense breasts? No family history of breast ca.

Bi rads 0 mamm. Going for fu tomorrow.  Is a x-Ray digital mamm better or ultrasound better for dense breasts?  No family history of breast ca.

Mammography is: still the standard of care for screening, even in dense breasts. However, it is true that the sensitivity of mammography for detecting cancer is decreased in dense breasts, and there is some evidence that adjunct sonography may be useful in this setting. The role of sonography is evolving. ...Read more

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Lesion on mammogram. Nodule on xray. Clear ct. Swollen lnodes. Likely cancer? Lump w/o mobility nor pain. Pain @ site of nodule. Biopsy? Smoker 20 yr

Lesion on mammogram. Nodule on xray. Clear ct. Swollen lnodes. Likely cancer? Lump w/o mobility nor pain. Pain @ site of nodule. Biopsy? Smoker 20 yr

Hard to tell: whether these findings are related or not. All need to be evaluated. Is the mammo lesion the same as the lump? What is the radiologist's recommendation? Is there a lung nodule? Speak with your doctor about all of these results, and the next steps. ...Read more

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Do nurses give prostate digital rectal exams?

Do nurses give prostate digital rectal exams?

Specialty training: A specialty urology nurse, nurse practitioner or general nurse practitioner performing a screening physical can perform a digital rectal examination. Dres are important in assessing the rectum, prostate, pelvic floor disorders and stool for blood. ...Read more

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45 yrs. right breast and armpit pain and tnderness. Extremely dense breasts. Mri shows 6cm non mass enhancement regional asymmetric.birad 4. Cancer?

45 yrs. right breast and armpit pain and tnderness. Extremely dense breasts. Mri shows 6cm non mass enhancement regional asymmetric.birad 4. Cancer?

This type: of MRI-only(i assume) finding needs to be biopsied, but there is probably at least an 80-90% chance that it will be benign, assuming that there are no other suspicious MRI features. ...Read more

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1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

A grouping: of amorphous calcifications is probably not appropriate for BIRAD category 3(probably benign). Although they are still likely going to be benign, stereotactic needle biopsy may be more appropriate management, and BIRAD 4 a more appropriate category. Breast MRI is generally not that useful in the imaging work up of microcalcifications. ...Read more

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Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Depends...: Depends upon radiologists degree of suspicion. It seems as if the radiologist wants to better evaluate the area of focal asymmetry, especially if there are no prior mammograms for comparative evaluation. Does the surgeon have any information which the radiologist does not? For a definitive pathological evaluation, a stereotactic core biopsy would give the best answer, without a diagnosis delay. ...Read more

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Will the following imaging study show scapular bursitis: XRay SHOULDER RT 3 VIEWS COMPLETE - Axillary, AP, and true AP views?

Will the following imaging study show scapular bursitis:  XRay SHOULDER RT 3 VIEWS COMPLETE - Axillary, AP, and true AP views?

No: Plain xrays will not show soft tissue problems like bursitis. Usually a physical exam is all that's needed to make the diagnosis. Occasionally MRI is needed. ...Read more

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Mammogram, ct, MRI and ultrasound tests for breast cancer - what is best?

Mammogram, ct, MRI and ultrasound tests for breast cancer - what is best?

Situational: For screening: mammograms are the most valuable. For diagnosis (palpable mass, mammographic density): ultrasound can be very helpful. Mris are the most sensitive test for breast cancer, but their prohibitive cost makes this unaffordable for large-population screening. It is best used in high-risk patients, those with very dense breast tissue, and for evaluating the extent of a known breast cancer. ...Read more

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Bronchitis, lupus and dull, achy pain above right breast..Slight swelling to collarbone. Xray, mammo and us all neg...35 yr female?

Bronchitis, lupus and dull, achy pain above right breast..Slight swelling to collarbone. Xray, mammo and us all neg...35 yr female?

Hmm. I'm not sure.: The area above your breast and below your collarbone has muscles, blood vessels, lymph nodes and breast tissue. Your lupus puts you at risk for blood clots, so that's one thought. You have bronchitis, and if you're coughing you could have muscle pain/spasm of your pectoral muscles. Inflammation of lymph nodes in that area is also a possibility. Make sure the ultrasound checked for a blood clot. ...Read more

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Sharp prostate pain for 2 days/prostate and jaw lymph node pain after masturbation/fatigue/weight loss. Any diagnosis? Blood tests normal. Seen doc

Sharp prostate pain for 2 days/prostate and jaw lymph node pain after masturbation/fatigue/weight loss. Any diagnosis? Blood tests normal. Seen doc

Please see your: Doc. You may have a prostate infection or systemic infection. The weight loss and fatigue need to be addressed also. A thorough exam will tell you a lot if you tell the doc everything. Peace and good health. ...Read more

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Head numbness and tingling to left fingers? What diagnostic tests appropriate, CT scan or MRI?

Head numbness and tingling to left fingers? What diagnostic tests appropriate, CT scan or MRI?

Depends: Physician should consider your overall medical history and perform a good neurological exam before deciding on appropriate imaging modalities. ...Read more

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Mammogram yearly @ 65? Since 35, diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Mammogram yearly @ 65? Since 35,  diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Calcifications: Microcalcifications of the breasts are suspicious findings and usually require a minimally invasive breast biopsy. The majority of the biopsies will return a benign result but we can't assume that based on mammogram. MRI use in the US is very user dependent and should be reserved for high risk individuals or those with a proven cancer. ...Read more

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Mammogram showed normal. Ultrasound normal. Fluctuating pain in breasts and right armpit. Sporadic sharp nipple pain on right. Advice please.

Mammogram showed normal.  Ultrasound normal.  Fluctuating pain in breasts and right armpit.  Sporadic sharp nipple pain on right.  Advice please.

No worries: It is unlikely that your symptoms are due to breast cancer or significant breast disease. If the symptoms persist, however, you should see your doctor for evaluation. ...Read more

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