Doctor insights on:
How Do You Differentiate Between Lymphoma And Myeloma
I had not heard of "kahler's disease" until seeing multiple questions on healthtap. It is multiple myeloma (mm). "multiple" is from the often seen "multiple" bone lesions (especially in advanced disease). Mm is a cancer of plasma cells [highly specialized b white blood cells (lymphocytes)] that produce antibodies. Sx are crab: hypercalcemia, renal insufficency, anemia, ...Read more
Cells: Different cell lineages. They are all lymphomas - derived from lymphocytes, but hl and nhl are from different variants of these cells. Both diseases tend to spread through lymph nodes, but the treatments are different (ie different chemo regimen) and they tend to occur at different ages in patients. Not enough room here to go into that much depth of discussion. ...Read more
Pain, tenderness.: Usually, epididymitis is painful while testicular cancer presents classically with a painless mass. Fever, tenderness and swelling can also be present. The major cause in heterosexual men < 35 years old is chlamidya trachomatis, accounting for 70% of cases. A course of appropriate antibiotics clears it up. Testicular cancer can be worked up by taking AFB and b-hcg levels, chest x-ray, and ct. ...Read moreSee 1 more doctor answer
Genital ulcers: Herpes, syphilis, donovanosis and chancroid cause genital ulcers. In the us, genital herpes is the most common. A diagnosis of chancroid is a little tricky b/c test not widely available. Having both a painful genital ulcer and tender swelling in the groin raises the possibility of chancroid (in setting of negative syphilis and herpes testing). Hiv test should also be done. See md for evaluation. ...Read more
See below: Pneumonia causes cough, fever, sometimes shortness of breath and chest pains. Rales are heard on auscultation of the lungs and an infiltrate is seen on chest x-ray. Tb is a more chronic illness characterized by cough, night sweats, weight loss, a positive PPD skin test or gamma interferon release test with apical infiltrates on cxr.Sputum smears and cultures are + afb/tb.Tb can cause a pneumonia. ...Read more
How can you tell the difference between lymph nodes and thyroid cancer since both are hypoechoic?
Hints no clear rules: Alzheimer's usually impairs recent memory initially, with preservation at first of distant memory and other cognitive functioning. Eventually more global deficits occur. Often ad is a "diagnosis of exclusion" i.e., the most likely possibility after other causes are ruled out. It can only be diagnosed for certain with brain tissue samples, which is generally only done after death. ...Read moreSee 2 more doctor answers
I would not try: if you feel pain or a mass in your testicle, you should see your family doc or better yet an urologist. Please do not self diagnose. ...Read more
Cancer & Cells: Cancer cells are single or clusters of abnormal cells with big dark nuclei found in fluids like blood, bile, cavity fluids, urine, sputum or scrapings in a cytology glass slide. Cancer itself has to be a nodule or a mass arising from a tisuue which has the same large dark nuclei compared to the adjacent normal cells. The cancer can be in-situ(no signs of invasion) or invasive. ...Read more
Is no ovarian blood: menstrual bleeding occurs due to sloughing of lining of uterus secondary to hormonal changes on a monthly basis. Ovarian tumors do not bleed. They can spread to uterus but that is in the metastatic phase of disease when spread has probably involved omental fat pad and is secondarily associated with peritoneal ascites.. ...Read more
Important: Bipolar 2 disorder most often presents as depression because patients often don't come in for their hypomanic symptoms because those are not often troubling. For this reason, many people with bipolar disorder have been treated as though they are unipolar. It is important for the treating clinician to do a thorough history to rule out periods of hypomania. Treatment is very different for the two. ...Read moreSee 1 more doctor answer
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