Doctor insights on:
Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?
Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read moreSee 1 more doctor answer
I take dilzem 240mg x 1, dilzem 120mg x 1, victoza (liraglutide) 12mg x 1, digoxin 250 micg, gliclazide 80mg x 1, allopurinol 300mg x 1 & warfarin do they interact?
Extra care: Several medications can interact with warfarin including Diltiazem and digoxin. It does not mean you cannnot take warfarin but your dose has to be regulated even more closely when a new medication is started. Also it is important to check digoxin level when a new medicine such as warfarin is started. In addition monitor your blood sugars more closely with new medicines so it is not too low. ...Read moreSee 1 more doctor answer
Ex-27wk, trach, bpd, 7yo. Meds: duoneb bid, Pulmicort 0.5 bid, hypersol 5% bid, singulair, (montelukast) vestpt 20min bid. Reason4 new atelectasis? Maybe doin biops
Permanent airway...: First, congrats on making to age 7 a preemie who has obviously had a rough time of it. Child is on great meds and therap. However, despite all of these, your child likely has permanent and possibly irreversible changes in his airways that all the meds in the world are not going to change. You optimize what he has left and work with that. New atelectasis likely mucous plugging in inflexible airways. ...Read more
Highly: Focalin (dexmethylphenidate) is the active half of methylphenidate (ritalin), so it is twice as potent as the latter. But it still is a stimulant, with same side effects and benefits. With well-diagnosed individuals with adhd, it should be effective and tolerated about 65% of the time (as are all stimulants). It lasts 10-12 hours with a single morning dose. ...Read moreSee 2 more doctor answers
Noticed in old 08 chst XR rpt aft p-mak insert "ill-defined
r basilar nod focus consid. Ct a/o cmp w/ prv xr"(3 weeks bfore) please translate. Even if there was an ok cmp is an XR or CT in order now?
Needs follow up : If you are referring to an issue that is already 5 years old, i would just get a chest x-ray for comparison. If there is no change, a yearly chest x-ray is sufficient to follow it. If the abnormality has gotten larger since 2008, i would recommend a chest ct scan without delay. ...Read moreSee 1 more doctor answer
Fast-to several wks: Some effects can be seen wiht first dosing. However, it can take several weeks to attain maximum therapeutic effect. ...Read more
Endoscopy confirmed gastritis, cat scan normal. Amoxcicillin, additional antibiotic n ppi triple therapy 14 days for h pylori. Lost 12 lbs, normal?
Normal?: No it is not normal to have gastritis. This may influence what you are able to eat. You may not be able to eat the foods you like or want, especially if they contributed to the gastritis. The antibiotics may also blunt your appetite . You should talk to your doctor as continuing to lose weight is not necessarily a good thing. ...Read more
Ins. Refused pet scan. Say mri/ CT w/o iodine (allergy). Just as good at finding problems? 2 yrs post hr re cc met. Pet oct.'12. See profile for dx.
I agree with: Insurer. U/s and mr of liver better than non-contrast ct. There are preps to try, but need contrast timed to check for liver metastais. Two year disease free interval is good for you. Pet scans are very expensive and not clearly more sensitive. I'd get mr. ...Read moreSee 1 more doctor answer
Imaging: X-rays can show early findings of subchondral sclerosis, osteophytes, and mild joint space narrowing in an early arthritis. Lower extremity films, such as knees, will tend to show more arthritis on weight bearing films. Ct and MRI sometimes fail to show all soft tissue and cortical changes in early arthritis. ...Read moreSee 1 more doctor answer
No: Metformin is not known to be toxic to the kidneys. The concern may be when a patient has naturally kidney function and they take metformin. That person may then be at (rare, but still documented) risk of a condition called lactic acidosis - a potentially dangerous, body-wide build-up of lactic acid that interferes with the delivery with oxygen. ...Read moreSee 1 more doctor answer
Pls explain difference between Metformin 500mg vs Metformin SR 500mg? Is Metformin SR 500mg equal to Metformin 500mg x 2 tablets?
2 yo male, intermittent back/abd pain/fever, ER visit per pcp=, ua, abd xray & ultrasound neg, cxr neg, wbc-15.6, crp-2, ENT clear, no n/v/d, thoughts?
Quick Fix?: Er visit is for emergency/acute reasons. Your child has something intermittent, primary care pediatrician is the best person to evaluate, find out cause, treat or do appropriate referral to specialist if needed. Most er don't have pediatric trained personal: doctor/np/pa. They do quick exam, many tests (including unnecessary ones), give emergency treatment, advise parents to go back to the pcp. ...Read more
New clubbing fing/toes, episcleritis, headache, parasthesias, joint/chest pain. Chest Xray, chest CT w/contrast, abd CT w/contrast, head ct, cbc, cmp, esr, crp, tsh, pft, ekg, ECG all normal!?!
Do Diclofenac 100mg per day(1st day X3) Impair bone fracture healing?my clavicle fracture not healed after 10days&indicated for surgery.stop?
Maybe: It may interfere worth bone healing. Keep in mind, it usually takes about 6 weeks the fracture heal. Would be better to stop the medication and take vitamin D 5000 units daily for 6 weeks to help the bone healing. If the bone is not well aligned, you may need surgery. ...Read moreSee 1 more doctor answer
High parathyroid related peptide and hypercalcemia with elevated ACE in 12 yr old. Clear pet scan, CT scan and bone marrow. On prednisone to control.
No period in a year. Mri does not show tumor. Have have endometriosis. Meds: fentanyl, crestor, reglan, metformin, modofinil, nexium, fenofibrate, effexor (venlafaxine)?
Check labs see Dr: I would first rule out a pregnancy.I would then do some blood work like a thyroid screen, prolactin, fsh for menopause, and then an ultrasound after having a physical done. Depending on those results, a laparoscopy may be indicated. If the pregnancy test is negative, i would suggest a short course of hormones to make you bleed. ...Read moreSee 1 more doctor answer
No: Dexmethylphenidate has a 4-6 hour duration of effect (a long-acting formulation, Focalin XR, which spans 12 hours is also available & has been shown to be as effective. It has also been demonstrated to reduce the symptoms of childhood ADHD, & ADHD in adults.] Typical daily doses of dexmethylphenidate are around 20-40 mg for children & 40–60 mg for adults. A maximum of 80 mg can tolerated. ...Read moreSee 1 more doctor answer
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?
For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
Klonopin (clonazepam) taper from .50mg x 2 daily > .25mg x 2 (5 days) > .25mg x 1 today. Was doing okay 'til today... Severe anx. And panic. Return to prev.?
Clonazepam taper : Could you give more information regarding your condition and the reason you are on a taper ? It is best recommended to do a taper with the guidance of your psychiatrist - since Klonopin (clonazepam) has a long half life - rebound anxiety is less common however it would be best advised to consult with your psychiatrist or pmd. ...Read more