Doctor insights on:
1) etiology = what's the cause?
2) idiopathic = "we don't know"
3) petit mal is a specific form of epilepsy only seen in childhood where a person briefly (seconds) blanks out usually without a convulsion. However, sometimes the term is wrongly applied to the symptoms in adults, where it can be another kind of epilepsy, or a non-epileptic medical/psychiatric condition. ...Read more
Unknown: As dr. Dretler has suggested, this is a medical definition of a condition which may be due to numerous causes. Usually the best way to resolve this is to be evaluated by an infectious diseases expert. ...Read more
In a problem of unknown etiology, a prediagnosis by the dr for the radiologist is bad b/c then the radiologist is prejudiced and misses imp info?
Not necessarily: Radiologists are trained to be as objective as possible when reviewing imaging studies. Yes, it is possible for the radiologist to be biased by an established diagnosis, but most radiologists are taught to be very thorough and come to conclusions based on the imaging findings regardless of the clinical information. In most cases, clinical info is helpful to narrow down differential diagnosis. ...Read more
My testicular length has shrunk from 5 to 3.4 cm. How can I reverse this? I do not use steroids but have chronic epididymitis of unknown etiology.
Testicular size: There is nothing you can do to increase the size of your testicles. My biggest concern is why you have chronic epididymitis at age 21. Have you been exposed to std's? Have you had mumps? I would recommend a urological workup to rule out other possible causes of your problem. ...Read more
Possibly: Some immunomodulators can cause low platelet #s which can lead to bruising as well as bleeding. ...Read more
If you have a disease of unknown etiology that could possibly be contagious, could the CDC test the individual for pathogens? Would u b quarantined?
It's complicated: Excellent question- first, your primary care doctor will test for common diseases; if no diagnosis, your doctor will refer you to a specialist- for tough cases, an id specialist is recommended. If no diagnosis, then you can be referred to the national institutes of health rare diseases section. Unless others around you get ill, quarantine is not needed. ...Read more
Leg pain and swelling of unknown etiology. Doctors are calling it chronic. If it was never properly diagnosed how does it go from acute to chronic?
More consults???: Consult with a Vascular Surgeon, Functional Medicine specialist, Nutritionist. What is your BMI? What is your BP? How active are you. Do you sit long periods at a time. What is your diet like? Has lymphedema been ruled out. What are the results of your plasma proteins, plasma osmolality/osmolarity? There are many factors to consider. ...Read more
Have appt for 2nd opinion on ruptured septated mass of unknown etiology. Current options=lupron or surgery, no other testing done. Can cause be found?
Surgery: If you have a complex mass that is ruptured, it poses a problem. First of all pain and or infection can results. Second of all it could be a tumor or some sort, cancerous or not cancerous. If it is endometriosis and ruptured then it can be a real problem. So most doctors would recommend a surgical diagnosis if the mass is persistent and especially if it is rupturing. Could cause long term problems. ...Read more
How about patient with cough, stuffy nose, and fever < 7 days, given antibiotic because of unknown etiology virus or bacteria?
Antibiotics: Overused and abused, but cannot tell you whether or not you needed these, because did not see and examine you. From what you say in your question it sounds like a viral illness for which you do not need antibiotics, but your doctor may know better. ...Read more
PID: Salpingitis is an inflammation of the fallopian tubes and uterus, also known as pid or pelvic inflammatory disease. This is most commonly caused by chlamydia and is generally a sexually transmitted disease. This can cause a lot of pain and, if not treated, permanent scaring that can lead to infertility and/or ectopic pregnancy. See you doc right away if this is you! ...Read more
Replication error: Most changes in dna come from errors in the duplication of the dna. But changes can occur in the structure from radiation and some chemicals especially those used in chemotherapy. Most mutations are harmless, some are tracked down by your normal reparative mechanism but a few can cause trouble including cancer. ...Read more
Severe Pre Eclampsia: Hellp syndrome is a form of severe pre eclampsia that is characterized by elevated blood pressures +protein in the urine, he - hemolysis (the breakdown of red blood cells), el-elevated liver enzymes and lp-low platelet count. Patients may experience severe headaches, blurred vision, abdominal pain, nausea, swelling... Most often this occurs late in the pregnancy. The cause for hellp is unknown. ...Read more
Multifactorial: There are a number of medical conditions preexisting in the mother that can increase risk of iugr, including hypertension, lupus, kidney disease, and sickle cell; fetal conditions such as abnormal chromosomes; twins or more; infection, placental disorders, smoking, and poor diet, as well as history of iugr in a prior pregnancy. ...Read more
Life-threatening...: These are a few of the life-threatening causes (does not have to be very severe pain): 1) heart attack or impending heart attack, 2) aortic dissection (tearing of the aorta) which can lead to sudden death, 3) pulmonary embolism (blood clot in the vessels of the lung), and 4) booerhave's syndrome (rupture of the esophagus). ...Read more
Chronic inflammation: Asthma pathology is ongoing inflammation (swelling, mucus) in the small airways of the lungs, twitchy airways that constrict leading to cough and wheezing. Asthma is more common in people with allergies, children exposed to cigarette smoke, children who had RSV virus, low birth weight preemie infants, certain occupations with chemical/allergen exposure. Exact etiology is still being investigated. ...Read more
Lattice reviewed 2 days ago- no vitreoretinal etiology found. Last night I noticed flashes in peripheral vision during (not after) hard cough. Normal?
Depends: Lattice can be a site of weakness with retinal jiggling causing the light flashes. If it only happens when you cough, and not in between and you see no new floaters and the vision remains good, then you can wait it out. If the flashing is continuous or the other factors appear, then have your ophthalmologist (you are not of course seeing an optometrist for this-right?), check it out again. ...Read more
Wish I knew.: There is some evidence that excessive exposure to chemicals such as benzene may lead to an increased incidence of chronic myeloid leukemia, and excessive exposure to radiation has also been implicated. Cllhas been linked to pesticide exposure in some-but not all-studies. In animals, diseases like cll are usually caused by a virus. In practice a doctor rarely finds the cause of a patients leukemia. ...Read more
Eating Disorders: The underlying reason for eating disorders in my experience is usually feelings of inadequacy and fear of conflict. Best. ...Read more
No single answer: We still lack a detailed understanding of exactly what autism is, in terms of the parts of the brain affected and the causes for those effects. Researchers continue to explore lots of different leads, and genetics certainly plays an important role. Environmental causes are much more controversial but probably play a role too. It is clear there is not single cause. ...Read more
NOT vaccines: > 30 known genetic syndromes have autism & intellectual disability in their developmental profile. Copy-repeat errors are found on genetic microarray in ~15% of people with asd. Epigenetic factors, e.g., ? maternal folate (folic acid) levels, the flu, rubella, alcohol & drugs change the function, but not the structure or sequence of fetal genes. Unknown factors trigger the expression of these altered genes. ...Read more
Can an astigmatism become slightly worse without the presence of another etiology? Am correctable to 20/20.
What could be the etiology of a 30 year-old white male redhead be suffering from if he coughed up a little blood?
Myriad: While being readheaded likely has nothing to do with it, this could be anything from a nosebleed to lung infection. See your primary care doc for a general physical +/- chest x-ray. ...Read more
Not sure: Cannot think of connection between bypass surgery and tracheomalacia. .. May have already had undiagnosed tracheomalacia, but diagnosed by anesthesiologist or intensivist while intubated for your bypass surgery. .. Also prolonged mechanical ventilator support, with prolonged intubation may have caused inflammation of your trachea that may have caused some weakening of your tracheal cartilages. ...Read more