Doctor insights on:
Lupus And Chf
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?
Difficult to manage: The description given puts this person in a very critical situation. What is described appears to have overwhelming infection that is overwhelming the body's ability to sustain itself. There is hope if the patient did not damage the brain when the heart stopped and the infection can be eradicated. Even if this person should recover, the long term prognosis would be poor for good quality of life. ...Read moreSee 1 more doctor answer
Not necessarily: This can be seen in the setting of lupus but with other autoimmune diseases as well as some patients can positive for it and not have any associated diseases with it. ...Read more
Probably yes: There is no reason why Lisinopril cannot be used to treat high blood pressure in patients diagnosed with lupus nephritis. In fact, it may be the drug of choice in lupus patients who are also spilling protein in their urine. It may be need to be used with some caution in those patients with more advanced cases of lupus-related kidney disease as it may contribute to high levels of potassium. ...Read more
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?
Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
Yes: You need to discuss this with your doctor, Don't get your medical information from friends, tv or internet scams. ...Read more
Probability for lupus w/ seizures, peeling rash on hands, arthritis, low WBC and rbc, kidney/liver symt, and anticardiolipin antibodies and fam. Hist?
One canlead to other: Hypertension can cause changes in the heart like overgrowth of the heart muscle or weakening of the muscle through plaque build up in the arteries that feed the heart or degradation of the heart valves. These changes can then cause the pump to fail, and when it doesn't pump well, fluid tends to build up in places like the lungs and we call that congestive heart failure. ...Read moreSee 1 more doctor answer
Many rhythms: Patients with congestive heart failure are at risk for several different abnormal heart rhythms, including life threatening and more benign rhythms that can affect quality of life. The most common arrhythmia is called atrial fibrillation - it is treated with blood thinners, medications to control the rhythm, and sometimes procedures. An implanted defibrillator (icd) can protect from sudden death. ...Read moreSee 2 more doctor answers
Ana positive strong family history of lupus. Lupus symptoms. Could it be sarcoidosis instead of lupus.
Maybe: ANA positive diseases are related. Diagnosis is based not just on serologic testing, but also on your clinical symptoms. You should be evaluated by a rheumatologist in order to receive an accurate diagnosis and then receive the most appropriate treatment. ...Read moreSee 1 more doctor answer
CVD CHF: Cvd is a general term to describe a spectrum of condition when arteries cannot provide enough oxygen to tissue (brain, heart, kidney, liver, all your organs), this can make you prone to strokes, heart attack, leg amputation, kidney failure, emboli, blood clots, heart failure (heart's inability to pump blood efficiently to body, so you feel weak, tire, short of breath). ...Read more
Ana 160:1 with u1rnp 5 u/ml. Other lupus screens negative. Pulmonary hypertension, Renal failure reverses with bicarbonate (sodium bicarbonate). Can it be mtcd/sjogren?
Not necessarily: Although many people with lupus have lupus anticoagulant not all do. And most people with lupus anticoagulant do not have lupus. Patients with lupus are more likely to develop the lupus anticoagulant than the general population so it is one "marker" for the disease. ...Read moreSee 1 more doctor answer
May be confusion?: Lupus can affect the respiratory system in a variety of ways, but I am not clear what is meant by this phrase "lupus emphysema" and suspect that there may be a misunderstanding here. Lupus can be associated with inflammatory reactions of the lung tissue or lining of the lung, lung scarring ("fibrosis"), or diaphragm. A consultation with a pulmonologist (lung specialist) may be needed to clarify. ...Read moreSee 1 more doctor answer