Doctor insights on:
Multiple Sclerosis Prognosis 2010
Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?
Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read moreSee 4 more doctor answers
Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?
MRA report. Nonvisualization right A1 &P1 segment. Rt anterior cerebral artery. Congenital or acquired occlusion. What does this mean ?
MRA report: The correct thing to do is to ask the physician who ordered the test to explain the findings to you ...Read more
Emg & ncv2 unit test result:sensory polyneuropathy & possible bilateral c8, t1, l4& L5 rediculopathy.What does that mean? Not alcoholic nor diabtc & hiv
Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?
Resect if possible: Liver metastases are an unfortunate consequence of some cancers. Sometimes they are can be removed with surgery if the patient can tolerate it. Many times surgery is not possible, so patients need to take chemotherapy. Chemotherapy would be chosen depending on the original cancer. Combinations of surgical removal and chemotherapy have led to long prognosis in colorectal cancer, for example. ...Read more
Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient
Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read moreSee 1 more doctor answer
Whats this mean? No dr to see, ordered b/c painful breathe. Multiple bilat noncalc pulm nod 3-4mm. Favors granulomatous process (disease wrote above)
Got mi, ef 26%, creat 1.5, scar of 10% @ infrolateral seg, ischemia 3%, reversible defect 5% @ antro segs, 3 blocked arteries. Dou recommend angioplasty?
6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago
Lung nodules: Based on the size and the risk factors, i think a follow up approach with serial ct chest for a total period of 2 years would be recommended and is evidence-based. The second ct chest would be in 3-6 months. ...Read more
Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog. What are some possible explanations?
Labs not helpful: These are generally unrelated problems. Chronic sinusitis and post nasal drip are likely one and the same. Arthritis may be just that. The ANA and ESR are nonspecific and may be "normal" although elevated. The list of things that can cause fatigue and brain fog is rather extensive and is probably best answered in person with your doc. ...Read moreSee 1 more doctor answer
What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?
Regular follow-up: Smoldering myeloma is a pre-malignant condition with about 10% people developing myeloma/year. You correctly defined your condition as smoldering myeloma. There is need to do repeated blood tests every 6-12 months. Please follow you doctor's advice. ...Read more
35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?
Fibrous dysplasia involving clivus on CT report. Chronic pain/33y f/ cushing's disease. Can fd be all over body too? Neuro said fd report was normal?
Rarely.: Fibrous dysplasia very rarely involves the entire skeleton. Usually one or several bones are affected. ...Read more
Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?
Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more
Been diagnosed with peripheral neuropathy blood test showed high immunoglobulin m w/polyclonal gammopathy. Kappa/lambda increase. Possible meaning?
PlasmaCellDIsorder: May have plasma cell disorder/multiple myeloma. Plasma cells are a type of white blood cells that produces immunoglobulin(antibodies). Multiple myeloma is a cancerous or excessive proliferation of these plasma cells which may lead to excessive high levels of calcium/bone pain/renal failure/anemia (low blood counts). Need to see hematologist (blood doctor specialist). ...Read moreSee 1 more doctor answer
Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?
Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more
What condition has a better pronosis: Parkinson's disease or schizophrenia with negative symptoms?
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