Doctor insights on:
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?
Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more
So complicated: In short, no - migraines are not a hypoperfusive state. The old (not correct) understanding in fact was based on the observation that blood flow often increases with migraines. Like all things in the body, our understanding now is much more complicated. There's a complex interaction between the neurons (primary problem) and the vessels and surrounding structures (secondary). ...Read more
Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?
Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more
Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?
It can be: Sensorimotor peripheral neuropathies have many types and various causes. Some of them can be disabling, even long term in some cases. A thorough search will have to include blood tests and urine tests. In some cases spinal tab (lumbar puncture) can be necessary. In delineating the diagnosis. ...Read more
Behavior cer palsy: Behavioral problems are common in children with cerebral palsy. Child psychiatric disorders were found in 57% of the children, including 28 children meeting criteria for an attention deficit disorder, which was the most common (bjorgaas et al 2012) communication problem was significantly associated with having a psychiatric disorder. Early evaluation for children with CP may prevent severe behavio. ...Read moreSee 1 more doctor answer
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...Read more
It depends: Lupus can cause both reversible and irreversible changes to the nervous system, and these can affect personality, memory, and other basic aspects of patients' lives. That said, simply being sick can aggravate depression, sleep deprivation, etc. Controlling pain and other disruptive elements of the disease, can improve quality of life and help people be more who they would like to be. ...Read moreSee 1 more doctor answer
61healthy.MRIbrain..Multiplefoci of flairhyperintensityinbilateral subcortical whitematterare nonspecifi findingsoften seenwith chron vas isc chang
No: Autism is a complex neurobiological inherited disorder that is worsened by environmental toxins. Celiac disease is a digestive disorder that prevents absorption of gluten from the diet. There is no scientific evidence the two are related. Years ago, there was a flurry of thinking that malabsorption of gluten could lead to or worsen autism. This has been disproven. ...Read moreSee 2 more doctor answers
Lupus: Lupus comes in 4 major types: systemic, discoid (skin only), neonatal, and drug-induced. Some people who have an abnormality in their immune system and fail to make a body defense protein called complement are also at risk for developing lupus. It has been estimated that 1.5 million people in the US have one of these lupus forms. Women are 2-3 times more likely to develop this disease than men. ...Read moreSee 1 more doctor answer
Heart don't squeeze.: I suspect you are talking about a cardiac echo. Global hypokinesis means that the heart as a whole is contracting less well than would be expected. This could be the result of a cardiomyopathy, severe multivessel disease or any one of a number of metabolic or infectious causes. Best to see the one who ordered the test. ...Read more
CT-Thorax extensive mediastinal lymphadenopathy with central caseation ,tuberculous lymphadenopathy to consider skin test,blood cultural neg itisTB?
Common things common: In India, there is a high prevalence of TB. With those imaging findings, I would be very suspicious of that. Good you're en route to getting a diagnosis and treatment. Of course it could be other diseases, but TB would be at the top of my list. You are young and should be able to pull through this. Keep fighting! ...Read more
PSP: Progressive supranuclear palsy: the disorder's long name indicates that the disease begins slowly and continues to get worse (progressive), and causes weakness (palsy) by damaging certain parts of the brain above pea-sized structures called nuclei that control eye movements (supranuclear). It is central; demyelinating conditions occur in the peripheral nervous system. ...Read moreSee 1 more doctor answer