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Doctor insights on: Infection Control Guidelines 2012

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Dr. Creighton Wright
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


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Male, 40yrs, 72kg, 5'7", ser cholstrl 214, triglycerds 387, HDL 36, LDL 98, vldl 77. Good diet, salt n sugar contrlod. What is causing prob?

Male, 40yrs, 72kg, 5'7", ser cholstrl 214, triglycerds 387, HDL 36, LDL 98, vldl 77. Good diet, salt n sugar contrlod. What is causing prob?

Bad Cholesterol: People who have poor lipid profiles despite having a good diet and regular exercise may have a family history of abnormal cholesterol. These patients tend to have a profound improvement with medication intervention. ...Read more

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Dose dalacin c 300 mg works correctly for infection ?

Dose dalacin c 300 mg works correctly for infection ?

Depends . . .: Whether any given antibiotic works depends upon whether the infection is caused by a sensitive bacteria. For instance, common cold is caused by a virus and thus won't be affected by any antibiotic. Anyway, dalacin c is a brand not sold in the states. Whether the generic Clindamycin will work "correctly" depends upon what caused your infection. Ask your doc for culture & sensitivity. ...Read more

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Bloods normal 2013 despite being diagnosed with pcos in 2012. 12 months regular period, nw 13 days late, 3 -tive hpt, 1 -tive blood test. Worried?

Bloods normal 2013 despite being diagnosed with pcos in 2012. 12 months regular period, nw 13 days late, 3 -tive hpt, 1 -tive blood test.  Worried?

Not necessarily: It's not unusual even for a normal menstruating woman to have an irregular cycle once or twice a year. It just happens without good explanation. This may be that one abnormal cycle for you. Hopefully you'll revert back to normal regular cycles after you start this one. ...Read more

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Grandmother on 4 blood pressure medications - still having a fluctuating blood pressure reaching 200/100+. Any ideas?

Grandmother on 4 blood pressure medications - still having a fluctuating blood pressure reaching 200/100+.  Any ideas?

Add meds.: Keep adding medicines until pressure goes down over time. Give appointments every week. Monitor BP at home. Use Clonidine to lower BP higher than 200/100. Even consider Clonidine patch. Refer her to a hypertension specialist, or to a nephrologist ( kidney). Rule out pheochromocytoma. ...Read more

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51 yo male. Mild chf, ef of 50. Kidney failure caused by meds. Creatinine returned to 1.6 after meds stopped. Are my kidneys severely damaged?

51 yo male.  Mild chf, ef of 50.  Kidney failure caused by meds.  Creatinine returned to 1.6 after meds stopped.  Are my kidneys severely damaged?

Some damage: Stage 3 of chronic renal failure consists of egfr 45-59 (3a) or 30-44 (3b).Rememember that egfr is an estimate (more info on egfr) and may require a correction for (black) race. Most patients with stage 3ckd are older and only a minority go on to get more serious kidney disease.Increased rate of heart attacks, strokes. Need to be closely followed by physician.Stage4, 5 are more severe renal failure. ...Read more

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According to atp-iii guidelines hdl-c >59 mg/dl is considered a negative risk factor for chd. What does this mean?

According to atp-iii guidelines hdl-c >59 mg/dl is considered a negative risk factor for chd.  What does this mean?

It's good: It means that it's a positive marker, that if your HDL is that high it's a move away from coronary artery disease. So it's a good thing. Exercise and certain essential oils can get your hdl's up. ...Read more

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Hypertension for 1yr, 110-160. Feel dizzy. Urine routine, high URO, epithelial cell(2+) and BIL(2+). Is Routine related to hypertension? How to cure?

Need more tests: Dizziness and elevated bili along with high blood pressure could be sign of end organ damage . I would certainly try to get more tests (Cbc, serum chemistries , liver function tests, and kidney ultrasound). Also, will need medications for blood pressure in all likelihood . ...Read more

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Blood: creatinine 1.80; GFR 41. Follow-up labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Blood: creatinine 1.80; GFR 41. Follow-up  labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Kidney down briefly?: Both are a bit high for a man in his mid-40s especially if your bodybuilding days are over. Might you have been recovering from a subclinical bout of Ibuprofen nephropathy? It's very common and causes partial renal shutdown. Drink plenty of water if you use nsaids nad consider a follow at your next regular appointment. ...Read more

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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more

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Hcg level 4/14 1299, 4/16 1288, 4/21 1490 & transvaginal ultrasounds on 4/14 & 4/21 show irregularly shaped fluid collection & no signs of pregnant ideas?

Hcg level 4/14 1299, 4/16 1288, 4/21 1490 & transvaginal ultrasounds on 4/14 & 4/21 show irregularly shaped fluid collection & no signs of pregnant ideas?

Miscarriage: What you have is an abnormal pregnancy - a miscarriage. Bleeding will begin, but it may take a few weeks more. You can't do anything yourself to make a miscarriage happen, and you can't do anything to stop one. About 1 in every 5 pregnancies miscarried - usual when there is something wrong with baby. ...Read more

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I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

More information: Why were the tests done? Was specimen drawn after an overnight fast? If so the triglycerides are high and so is the blood sugar. Hdl is low. None of the findings are diagnostic of a disease, except, that blood sugar suggests a pre-diabetic state. It is best to discuss the results and treatment with the doctor who ordered the tests. ...Read more

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I had borderline high C-peptide 1.9 ml (lab norm: 0.7-1.9).I stopped taking carbohydrates and in 2 months result was 1.06.Problem or risk of diabetes?

I had borderline high C-peptide 1.9 ml (lab norm: 0.7-1.9).I stopped taking carbohydrates and in 2 months result was 1.06.Problem or risk of diabetes?

Other risk factors: Per your medicine list, you take dexamethasone. Steroids can impact your blood glucose levels, increasing your risk of diabetes. I think the change in your diet was a good thing, and seeing the commensurate decrease in your C-peptide level is promising. If you stay on a lower carb diet, your risk of diabetes will remain low. ...Read more

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3 year history of persistent sinus drainage in 75 y/o, male, meds are warfarin and metropolol for A. Fib. . what sinus treatment is suggested.

3 year history of persistent sinus drainage in 75 y/o, male, meds are warfarin and metropolol for A. Fib. . what sinus treatment is suggested.

Sinus drainage: 3 year history of persistent sinus drainage in 75 y/o, male, meds are warfarin and metropolol for A. Fib. . what sinus treatment is suggested. ANS: need you to define what you mean by sinus drainage. Which sinus? Assume in nose. At your age if you are taking about runny nose then need to know if you are taking meds for BPH. Avaibable for 2nd open now. ...Read more