Doctor insights on:
Confusing question: Your question makes no sense.Please submit appropriate basic facts and a clear question if you seek an answer.The questions are not linked on the site so each question should stand alone & be submitted as an open question, not to a specific person. ...Read more
RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read moreSee 1 more doctor answer
What is the question: Rickettsia typhi causes typhus and is what killed ricketts when he was about to leave mexico city after helping our neighbor with an epidemic. Have no clue what you mean by "possible mystery diagnoses". Is a mystery to me. ...Read more
How to diagnostically evaluate for groin lump?
What are the differential diagnosis? Examinations and investigations done to reach diagnosis?
Need to see your Dr.: When evaluating patients w/groin lumps, possibilities include hernias, enlarged lymph nodes, & fatty tumors, all of which may feel similar. The best place to start is with a primary care doctor. While ct scans and/or an ultrasound can be helpful, a careful exam by a general surgeon may be the only test needed. ...Read moreSee 1 more doctor answer
Too much to mention.: Fibromyalgia is a complex condition with associated allodynia or severe pain on pressure points which are widespread in the body, the differential diagnosis include depression, other types of myofascial pain stress related muscle spasms . Rather tan differential diagnosis, fibromyalgia is associated with a lot of somatic conditions like tmj. It usually is associated with sleep disturbances. ...Read moreSee 1 more doctor answer
Two dermatologists: If the opinions of two separate dermatologists in separate clinics are the same, then the diagnosis is pretty certain. If still worried, one can see a third dermatologist in another clinic, or get some type of skin biopsy through one of the dermatologists. That means one should have ppo insurance or better, which allows one to have a larger choice of doctors to go to for second or third opinions. ...Read more
6 sxs not to ignore!: Go get help immediately if: 1) Heart attack symptoms--chest pressure, pain, discomfort; pain radiating to back, arm, neck, jaw; sweating; nausea/vomiting 2) Stroke symptoms--weakness; unilateral numbness; confusion; slurred speech; dizziness; trouble seeing or with balance 3) Excruciating headache (worst ever) 4) Unconsciousness of any duration 5) Trouble breathing 6) Severe abdominal pain. ...Read moreSee 2 more doctor answers
History: these codes are compiled by the symptoms of millions of patients. The diagnostic codes are created around a constellation of symptoms by doing it this way the risk of mis diagnosis is lessened. A patient is not diagnosed by one symptom but a series of them all adding up to a diagnostic criteria ...Read moreSee 1 more doctor answer
How accurate is the first dsm psych test? Diagnosis was bi-polar & bpd? Is it accurate enough to diagnosis & start med? Other testing needed first?
"Reliability" of Dx: Most dsm diagnoses r made using a clinical/diagnostic interview - by talking w/ person (a) 2gather history of symptoms s/he's experiencing &(b) 2ask specific q's re: those symptoms. A doc's diagnosis may not correspond exactly (or at all) 2another's. Sometimes symptom scales r used 2lend support 2a diagnosis. An assessment by psychologist trained 2use formal psych tests can help pinpoint diagnosis. ...Read moreSee 1 more doctor answer
Often it is: Mitochondrial diseases can present from any organ system at any age. Diagnosis can be made by specific clinical criteria (symptoms, brain MRI imaging, muscle biopsy, elevated lactate in blood) or, by finding a genetic mutation either in mitochondrial dna or one of the hundreds of other genes that cause mitochondrial disease. Latter is a more accurate diagnosis. ...Read more
Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?
Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read moreSee 1 more doctor answer
Unexplained body aches, weightloss. I've seen many specialists (1 medical mystery diagnosis md), lots of bloodwork done. Nothing found. What md next?
Could be depression: Please get a psychiatrist on the team . Some people have symptoms of depression like diffuse achiness and weight loss but do not feel depressed because they have alexithymia, which is an inability to read your own mood. Antidepressants can still help, as can psychotherapy. Let me know how it works out. Thanks. ...Read more
POEMS: Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes. All cases have peripheral neuropathy and a monoclonal plasma cell disorder. Absence of either of these make the diagnosis suspect. Other criteria are osteosclerosis, elevated VEGF and lymph node hyperplasia. Thanks for trusting HealthTap! ...Read more
For many: Not for every condition in the GI tract but it is definitive for many such as celiac disease, crohn's disease, peptic ulcer disease, h pylori infection, eosinophilic esophagitis, many cancers....Ask you GI which diseases can be definitively diagnosed for the symptoms you are experiencing. ...Read moreSee 1 more doctor answer
Some Doctors on Healthtap have difference of opinion on Diagnosis of
DLE some say no Lab workup needed.
Others say Biopsy is needed for diagnosis?
Serology=Yes: Not sure what your exact question is, are you referring to Lupus? You would always need serology to diagnose lupus, other skin lesions can mimic lupus malar rash. As for biopsy, a trained dermatologist or rheumatologist wouldn't need a biopsy of the rash on the face, especially because the rash isn't treated buy the underlying Lupus. ...Read more
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