Doctor insights on:
Evaluation Of Hld
What are possible causes of PAD in a 35 y.o. w/ pre-HTN? Mild ED is only sx. ABI and penile doppler borderline. What should my cardiologist look for?
More info.: Your profile lists you as a 37 year-old female. Assuming you're a male, the borderline testing results for PAD, and absence of more typical symptoms of PAD, leg and calf pain, as well as the absence of risk factors, tobacco use, diabetes, older age, make the diagnosis of PAD much less likely. There's likely another cause for the ED that an urologist or your PCP may better help with. ...Read more
Hello sir , 51 yrs old lady blood report showing ALP increases 179mg/dl and Hb lower 8.9, all other values are normal what is the diagnosis of this?
Need to know more: Alk phos may be high for "no reason" or subclinical Paget's or the circumstances of testing especially if nonfasting. However, Hgb 8.9 is anemia, this is serious and it needs to be worked up properly. I am dismayed that her physician did not address her concerns and explain directly the appropriate follow-up, and I trust she will be proactive in pursuing the cause. ...Read more
For 57+ F are WBC (or any of its components), Pt & ESR supposed to go above the normal range in case of kidney/liver disorder and/or tumor ?
Labs: The WBC has no relationship to kidney/liver or tumor ...Read more
My 4 yr old son got immunoglobin e level around 2800 what is the procedure to attain normal what type of diagnosis is needed and what is the treatment?
No procedure: The appropriate way to allow natural reduction in a serum antibodies is to first determine what is causing it to be elevated (treat the root cause). Elevated IgE most commonly indicates some sort of allergy, or less commonly, parasitic infection. ...Read more
I keep getting tonsillitis, despite X 2 Penicillin V prescriptions. AOS blood tests "upper range of normal" what treatment would help?
Don't overtreat: Penicillin won't prevent future attacks, and is appropriate only if there's good reason to think this is strep throat. Antistreptolysin O titers are useful only if actual rheumatic fever is a consideration; don't over-interpret these or any other labs especially when they're in reference range or you'll go crazy. Ask about tonsillectomy given that there's variable evidence / thought. ...Read more
I have an outstanding lipid profile (total, hdl, ldl). The doctor says it is one of the best he's seen. I have a family history of heart disease by age 60. Any need for lipid nmr?
Apparently,YES.: This profile is a special test that uses nuclear magnetic resonance or NMR to observe the amount and type(s) of your LDL particles in your body, along with vldl and hdl. With this, your doctor can make more accurate treatment decisions. You might want this because about 50% of heart attacks occur in those with good readings, and if you have other issues like diabetes, your risk goes up. ...Read moreSee 2 more doctor answers
Comprehensive eval: There are no specific pathology tests for cp. The choice of tests would be dictated by the clinical findings, e.g., if the child is not eating well, one may wish to test for nutritional deficiencies. A multidisciplinary team of paediatrician, neurologist, nutritionist may consult the pathologist as needed. ...Read more
Why can't GP
Neurologists Professors agree on
what is Normal and what is Low B12 Levels? mine155ng/L 130-800ng is treatment of Symptoms the Goal ?
See below: The desirable level of B12 is determined in part by other health conditions. Your is low by any standard. If you have problems with absorption of B12 you need to get regular injections. See this site for more information. http://www.nlm.nih.gov/medlineplus/ency/article/003705.htm ...Read more
26 yo m with history of progressive venous insufficiency failed one year of conservative management. + family hx. Is delaying surgery a good idea?
Complex: This is somewhat complex and will not all fit in 400 characters so I am creating initials. 1. Ischemic cardiomyopathy, i.C., with ejection fraction, ef, >30% but <35%, nyha class ii or iii, and >30 days post mi/revascularization. 2. Ic, ef <30%. 3. Ic, ef between 36-40% with inducible ventricular fibrillation or tachycardia, 4. Non-ic with ef <35% and nyha class ii or greater. ...Read moreSee 1 more doctor answer
7mm echogenic focus seen at left kidney (not sure of calcification)at upper pole.no hdm.
wat could be the reasons and treatment suggested?
More info is needed: To deduce what is needed for you in facing a 7-mm echogenic cyst, one needs to review & analyze your detailed clinical profile, although this small focus should carry no clinical significance and urgency at this time although worthwhile to be closely followed with repeating a same imaging study. How to done correctly? Follow instructions in http://www.formefirst.com/onDealSickness.html. ...Read more
My son's complete blood picture shows total leucicytic count of 2800/cmm where the mentioned range is 5000-13000 , is this acceptable or should to do ?
Not enough informati: Without knowing his history & physical exam, it really is impossible to comment. Many things can cause a low leukocyte count. The most common being a recent viral infection. Your child's physician should be able to answer this question for you. ...Read more
What type of specialist do I need to see? Lab results from annual physical and it shows several areas of high risk: hs-CRP, Fibrinogen, and insulin.
Your own physician: As a pathologist, I'm skeptical of these new labs that are being ordered supposedly to identify people at increased coronary risk. Nobody really knows what to do with the numbers, or with the fear that they generate. I'd suggest you continue to pursue a healthy, fitness-focused lifestyle, consider any Rx's your own doctor recommends, and remember you're a person, not a bunch of numbers and "risks" ...Read more
Can a diagnostic/interventional neuroradiologist give a comprehensive consultation including the evaluation of the radiological images (ct, mri) and physical evaluation? Or is his/her consultation limited to the evaluation of the images only?
Absolutely. I : Absolutely. I am an interventional radiologist and perfrom many diagnostic and therapeutic procedures. I frequently see patients in my clinic and perform a comprehensive consultation. I also follow my patients after their procedure. Additionally, i spend some of my time as a diagnostic radiololgist. Most diagnostic radiologists do not perform comprehensive consulations. However, an interventional neuroradiologist will certainly see patients and perform consultations in anticipation of a possible procedure. ...Read moreSee 1 more doctor answer
I have a problem of deposit of cholestrol above eye pls detail about treatment both eye were covered with cholestrol deposit and make a skin problem ?
Cholesterol Deposits: It sounds like you are referring to Xanthelasma. There are multiple treatment modalities available for this condition, however none of them are consistent. Treatment options include Monochloro, Dichloro and Trichloroacetic Acid as well as CO2, Erbium and Argon Laser. Electrodesication, Cryosurgery as well as surgical excision can also be used. All of these treatments may cause scarring, however. ...Read more
A 5 y. O. Child with shortness of breath & clearing her thoat, X-ray showed high density lung tissue markings. What is it? Pls recommend a tratment.
I am facing with the problem of increased triglycerides to the level of 228 mg/dl and decreased level of HDL to the level of 31 mg/dl. Please suggest.?
Lipids: High triglycerides are related not only to the fat in your diet but also the simple sugars, so need to reduce both of these. Hdl is more difficult to increase, it is not due to diet, but can be improved with aerobic exercise. In women a low HDL is a significant risk factor for cardiac disease, so try to improve that. ...Read moreSee 1 more doctor answer
A history & physical: Exam to check: 1) velocity of growth (length, weight, head circumference & wt.-for-length) 2) neurological status & development, using standardized screening tests + autism-specific screens 3) age-appropriate diet of table foods, 16-21 oz./day of milk & milk products/day & juice 0-4 oz./day from an open-mouthed cup 4) antecedents & consequences of the behaviors 5) further studies as indicated. ...Read more
Scan report of right kidney hydro-uretero-nephrosis due to vuj stricture. And advice the treament and seriousness age 34 years?
Need more info: If you could provide us with more specific details, we would be better able to help you. There are several conditions that affect the nervous system and have skin features. Please describe your symptoms. ...Read more
Microscope: Basically we look at your cervix thru a special kind of microscope, and if we see anything that stands out, may collect a little tissue from that area for testing. Usually not very painful but not a bad idea to take 800 mg of Ibuprofen 1-2 hrs beforehand and ask whether your gyn might use a local anesthetic if a biopsy is needed which we have started doing and the patients prefer. ...Read more
Match and health: Tissue match is certainly needed for donation to make sure the recepient will not reject. Also, the health of the donor is evaluated to make sure the donor will not be hurt by donating his kidney. Also, a final stage is evaluation of the anatomy of blood vessels that will be operated upon. Along the way, a psychosocial eval makes sure the donor is actually interested & not pressured to donate. ...Read more
No good answer: Any reasonable mental evaluation used for legal or other purposes would need to be conducted by a licensed physician, preferably board certified in psychiatry, or psychology on a face to face basis. A mental evaluation by an out of state physician, conducted on line would borderline as malpractice. ...Read moreSee 1 more doctor answer
Depends: That would depend on the joint (deep joints will require equipment to accurately enter the joint, adding to cost) and what tests are done. These tests vary in cost from lab to lab. The actual cost is often less that the amount charged due to contractural arrangements. ...Read more
Battery of tests: A psychological eval usually starts with a clinical interview in which the examiner works to develop a history on the client, gather the client's perception of current dysfunction, and develop rapport. This may be followed by self-report and/or examiner administered tests. The types of tests will depend on the referral question. A report is generally written and feedback provided to he client. ...Read moreSee 2 more doctor answers
Pdychological: A psychological evaluation is conducted by a psychologist and usually involves asking about a person's history and symptoms and performs psychological tests. Usually there is a question, symptom or problem ti which the psychologist is trying to find an answer and make recommendations. ...Read more
Screening only: There are online screening tools for many mental health conditions. But the best resource for a full psychiatric/psychological evaluation is in person with a live professional interacting with you. Some areas may have telemedicine resources available with doctors. In these, the evaluation is "online" on camera, through a protected internet connection (not through email). ...Read more
Home safety.: A physical therapist can help identify safety issues in the house. Are there slippery throw rugs around the house? Where's the refrigerator in relation to the sitting areas? How many steps need to be climbed in the house? And most importantly, how can we make this house safer and this person stronger to be more mobile within the home. ...Read moreSee 1 more doctor answer
Best place for complete mental and physical evaluation in the us. No doctors can figure out what's wrong with me.
Exam: For the rare and difficult cases, it's best to be seen in a tertiary medical facility. Good luck. ...Read more
10m old baby.has hiccupps 4 times a day for last 2 days.everyone lasts 19 mins max.baby seems normal.is it normal?medical evaluation needed?
I kind of want a 3 day mental evaluation. But im worried they will force me to take some drug. I only want to take what i agree to take. Suggestions?
See a psychologist: or psychiatrist. Why do you want this? Start with outpatient tx. Mental eval's can be given without hospitalization or forcing meds on you. Are you worried about the effect of STD's (mentions them in the "Conditions" section of your question)? Sounds like you might have significant anxiety... ...Read moreSee 2 more doctor answers
Can i cancel a petition that was the 72 hour psych evaluation but hasn't taken effect yet cuz patien waiting for bed to open it in a psychevevfacility?
Doubtful...: If you filed an emergency petition and the local police became involved along with an emergency department and "psychiatric team" it then is taken out of your hands and you can't say..."oh, never mind". These actions need to be taken very seriously and once started are extremely difficult to stop. Keep in mind that they can result in long term consequences for the individual involved. ...Read moreSee 1 more doctor answer
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