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Doctor insights on: Moderate Meconium

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Is meconium plug syndrome only associated with cystic fibrosis?

Is meconium plug syndrome only associated with cystic fibrosis?

Not only, but often: No. Certainly patients with meconium plug have a higher risk of CF and must be tested, many babies with this do not have cf. Hirschsprung's disease should also be tested for. ...Read more

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What does Degenerative change,greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

What does Degenerative change,greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

Foraminal compromise: Implies the 6th cervical nerve root may be compressed ( leading to potential muscle weakness in the upper arm and or radicular pain down to the thumb or index finger ) Further information is needed ( exam findings ) to sort out the significance of both this and the central canal stenosis ( I would discuss this with your neurologist or neurosurgeon ) ...Read more

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At what point does "moderate" use of alcohol become alcohol abuse?

At what point does "moderate" use of alcohol become alcohol abuse?

Alcohol abuse: When a person starts to lose control of his or her drinking, and develops other symptoms related to alcoholism. Here's a link that can help to see other symptoms: http://www.Webmd.Com/mental-health/addiction/understanding-alcohol-abuse-symptoms it would also be a good idea to consult with an addictions' specialist. ...Read more

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Is o2 sat of 93 or 94 ok? 92 with mild hypertension and previous mild chf

Is o2 sat of 93 or 94 ok? 92 with mild hypertension and previous mild chf

Generally yes: Anything over 90% is considered acceptable for most people at rest. Below that level supplemental oxygen may be prescribed. If your sats drop dramatically with any exertion or during sleep, you might still need oxygen for those activities. If you are short of breath even with the 93-94% readings, discuss it with your doctor. ...Read more

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How long does cocaine stay in a newborns meconium?

How long does cocaine stay in a newborns meconium?

Up to 3 days: As long as a baby hasn't pass all meconium, it can be in there. Please, don't use Cocaine or other drugs during your pregnancy for the reason of possibility of neonatal abstinence syndrome in your baby. Your baby might suffer from the bad withdrawal same way as adults do, but worse, since he/she couldn't do anything about it and they are just victims of maternal drug use. ...Read more

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Can mild to moderate aortic stenosis affects infant's growth?

Can mild to moderate aortic stenosis affects infant's growth?

Shouldn't: Babies with this diagnosis should grow normally. If the valve leaks a lot, that could be a better reason. First step is to count calories by recording the daily intake. Most causes of growth failure, even if the heart is the culprit, are due to poor calories. Take these results to your pediatic cardiologist and discuss it. ...Read more

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Right. Can a term fetus die of cystic fibrosis?

Right. Can a term fetus die of cystic fibrosis?

Yes: Although rare, infant deaths from CF do occur every year, either from bowel impact ion leading to perforation and sepsis or overwhelming respiratory infection. ...Read more

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Will drinking moderate amounts of alcohol (500ml or less) twice a month, cause permanent ED?

Will drinking moderate amounts of alcohol (500ml or less) twice a month, cause permanent ED?

Unlikely: It's unlikely that drinking 2x/month will lead to erectile dysfunction. However, moderate alcohol consumption is up to 2drinks/d in men and up to 1drink/d in women. 500mL = 17oz but 1 drink = 12oz beer = 8-9oz malt liquor = 5oz wine = 1.5oz 80proof spirits. Check out http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/standard-drink. In general, ED is performance anxiety in 16yo ...Read more

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What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

Spinal stenosis : You have arthritis in the mid back (thoracic level 9/10). The joints that connect one level with the next are overgrown and compressing the spinal cord and pinching the nerves as they exit the canal. It is important to see a neurosurgeon for an examination to ensure that there is no neurological problems from this arthritis and to develop a treatment plan for pain relief. ...Read more

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Lipase wk 1: 30 (16-120), wk 2: 15 l (16-120). Is this indicative of cystic fibrosis? No other symptoms.

Lipase wk 1: 30 (16-120), wk 2: 15 l (16-120). Is this indicative of cystic fibrosis? No other symptoms.

Are you symptomatic?: Isolated lab results (particularly essentially normal ones like the lipase levels you describe) are relatively meaningless unless taken in the context for which they were ordered. As a child, was cystic fibrosis suggested as a possible diagnosis? Why are, and what makes, you concerned regarding this disease? More specific testing is appropriate if suspicion of CF is warranted. ...Read more

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How long does cystic fibrosis jaundice in newborn lasts?

CF: If your child as been diagnosed with CF please find a skilled health care practitionner to help you manage all the issues surrounding cf. ...Read more

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Urine analysis - detected (trace) ketones and bilirubin (detected trace) means what?

Urine analysis - detected (trace) ketones and bilirubin (detected trace) means what?

Nothing: Especially if you're hungry, you can have +1 ketones and it's normal. You say you have cirrhosis and it is no surprise if you've got a bit of extra conjugated bilirubin in your blood spilling into your urine. I hope the cirrhosis can be addressed; if it's hepatitis C, perhaps you can get a cure with today's meds; if alcohol, perhaps abstinence can reverse it. Be strong & stay proactive. ...Read more

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Does Broad based diffused disc osteopyte complex of c5-6 w/o spinal or foraminal stenosis w/ mild effacement of the ventral CSF cause severe pain?

Depends: Everyone is different. Many people have radiologic findings of severe spinal stenosis without symptoms and vice versa-so there's not so much of a correlation between back pain and radiologic findings. ...Read more

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Had a chest X-ray - Mild apical pleural thickening with minimal interstitial process- have ankylosing spondylitis. Pleurisy 4x last 6 months.Serious?

Had a chest X-ray - Mild apical pleural thickening with minimal interstitial process- have ankylosing spondylitis. Pleurisy 4x last 6 months.Serious?

Rarer finding: Fibrocystic changed in apices of lungs common pulmonary manifestation of ankylosing spondylitis. Pleural and pericardial effusions are less common. Effusions usually respond to steroid therapy if they do not clear spontaneously. AS is inflammatory disease with not uncommon apical fibrocystic lung disease. ...Read more

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2 y/o w/ mucus stool with a few flecks of red blood after 3 days of mild diarrhea. Hydrated, not in pain, acting normal,no mass.Emergent or watch?

2 y/o w/ mucus stool with a few flecks of red blood after 3 days of mild diarrhea. Hydrated, not in pain, acting normal,no mass.Emergent or watch?

2yo blood diarrea: WFernandez ~ when tiny tots get diarrea its often viral like rotavirus infection and it often can be tinged with some blood. This is because the virus covers the wall of the small or large bowel and the secretory diarrea that follows can be blood tinged. As long as he is drinking, and less diarrea and alert and interactive and getting better, its ok. If not take him to ER. thanks ...Read more

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What do MRI results mean - at t4-5, disc osteophyte complex has mass effect on ventral cord and causes marked narrowing of right neuroferamen - thanks?

What do MRI results mean - at t4-5, disc osteophyte complex has mass effect on ventral cord and causes marked narrowing of right neuroferamen - thanks?

This means that the.: Disc and bone spurs on the right side of your spine at the 4th and 5th vertebrae are putting pressure on you spinal cord and the hole that the nerve comes out of to the right side of your body. I imagine that this is causing you some pain or dysfunction. ...Read more

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Does drinking in 4 weeks of pregnancy effects baby in any way? Such a alcohol syndrom?

Does drinking in 4 weeks of pregnancy effects baby in any way? Such a alcohol syndrom?

No alcohol: The drinking of alcohol when pregnant, especially in the first trimester, but also all throughout pregnancy is not recommended. If you had one drink by mistake, that would not cause fetal alcohol syndrome. ...Read more

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An MRI of my C shows cord parenchyma reveals abnormal signal intensity & heterogeneity and moderate to severe left C5 foraminal narrow. Interpret?

An MRI of my C shows  cord parenchyma reveals abnormal signal intensity & heterogeneity and moderate to severe left C5 foraminal narrow. Interpret?

Tricky: cannot interpret without report in front of me. And, cannot give specific information AND.... while multiple sclerosis, infection, tumor CAN give heterogeneity (tumor and infection would generally have a LOT more on the report) REGULAR DEGENERATIVE disease causes the cord to have inflammation and scarring. Often a reason for surgery. ...Read more