Doctor insights on:
No Acute Process Identified
Can IgA and resolving post-infectious glomerulonephritis be differentiated without biopsy?
Also, can the acute onset of post-inf gl be asymptomatic?
Chest xray reports impressions: pulmonary hyperexpansion. No acute process is identified. What should I do?
Are you symptomatic?: Lung hyperexpansion can be a sign of obstructive pulmonary disease (copd), asthma or just artifactual appearance on radiograph. If you are experiencing shortness of breath (and no other symptoms like chest pain), the best way to know whether you have something that causes truly hyperinflated lungs is to do a lung function test. If your lung function is abnormal, you should see a pulmonologist. ...Read more
Biopsy from terminal ileum during colonoscopy showed "focal ileitis with superficial erosion. No granulomas, no specific cause identified" ?
Yes: If you had it and it was cured, you had tuberculosis. Cure does not give you a clean slate. There are some conditions where a patient considered cured may re-activate. It would also be an important historical feature when they consider doing any form of TB screening. If they don't have the proper information they may treat you as a new case of TB. ...Read more
Pancreatitis: Yes time will cures usually.Get a more detailed answer ›
"there is an accompanying mild perivascular & interstitial acute & chronic infiltrate." what does that mean in layman's terms? (vulvar biopsy)
Not much: It's a little bit inflamed & has been for some time. These mild changes may be more helpful to the dermatologist who may be trying to make a specific diagnosis -- or just a tipoff on "nothing to worry about." your physican will give you the final word. ...Read more
Can autoimmune encephalitis triggered by past infection be insidious unlike acute disseminated encephalomyelitis?
Rasmussen syndrome: There are several others that are even less common ...Read more
Is this negative KUB question. For abd pain . No obstructive gas pattern seen. No extraluminal gas is identified. No suspicious soft calcification?
Negative Xray result: A KUB is a plain film xray of the abdomen, which includes the kidneys, ureters, and bladder. Other important organs that are visualized in a KUB include the liver, spleen, stomach, small intestines, and colon. The xray is commonly done in the evaluation of abdominal pain. Negative KUB means there were no abnormal (positive) findings in the xray. Everything you mention is a normal finding. ...Read more
Supportive care: The good news is that trali is treatable. Prevent more damage by reducing the tidal volume on a ventilator and gradually reduce oxygen to minimum. Reduce amount of water. Keep the lungs dry. The lungs will recover with rest. There is no specific medicines. ...Read moreSee 1 more doctor answer
Complex: Depends on where the hemorrhage is located and why it occurred. If a subdural or epidural, surgical evacuation may help. Intracerebral location or subarachnoid hemorrhage may be difficult but if aneurysm or avm, might be useful to repair. However, coma may be sign of increased intracranial pressure, and rarely can this be shunted or decompressed. More often supportive care is best. ...Read more
PG deficiency: The pathophysiology of side effects in the stomach associated with use of NSAIDs is related to COX 1 and 2 inhibition and a resultant prostaglandin (PG) deficiency. In this way, NSAIDs cause damage to the stomach’s mucosal lining, leading to ulcers and increased acidity in the small intestine, which may be treated by drug classes like the proton pump inhibitors PPIs (e.g., omeprazole). ...Read moreSee 1 more doctor answer
The modified ny criteria for diagnosing anspon includes clinical symptoms. Does acute chronic iritis count as a clinical condition?
Atrophy testis: Unfortunately this cannot be reversed. The affected testis will be atrophic and small when compared to the normal side. ...Read more
Sent to ER for 105F fever, CT discovered fatty liver (non alcoholic), 18CM spleen, and 3CM splenic cyst. Cause of fever unknown, broke after 8 days (thought to be viral, fever decreased). Should I be concerned about the cyst? No known trauma prior.
Cysts and: fatty livers are common. Fatty liver occurs in about 10% of the population and higher in diabetics and heavy drinkers. Spleen cysts are rare UNLESS there has been previous trauma. It's hard to say about mononucleosis and spleen cysts. Cancers are generally solid, but have to grow unregulatedly to be cancer. Follow up imaging can determine if something is growing. Spleen cysts from infectn need bx ...Read more
Multiple organ fail: Peritonitis means INFLAMMATION of the peritoneum, the inner lining of the belly. Sometimes this starts with bacteria, viruses, fungi, parasites, or inflammatory conditions like lupus. Once the inflammation starts, it makes all the major organs (heart, lungs, kidneys, liver, brain) work much harder than normal. Sometimes those organs can't do the work, and fail one at a time, causing death. ...Read more
Is kidney failure linked to bone marrow cancer and if treated is kidney process reversible. Biopsy report says 17 glo.Nonglobally sclerotic 4 ischemic?
It varies: Most cases of kidney failure caused by one of the blood cancers are reversible if detected early and treated promptly. But your biopsy indicates this may have been ongoing for quite some time. I would have you be patient and be hopeful at least for 4-6 weeks before you will know if this is going to improve or not. ...Read more
Splenic cyst, 16-17cm, no other symptoms, extensive bloodwork, no parasitic infection, no malignancy, can't conclude if hydatid or of what kind. ?
Leave it alone: Benign cysts like this are uncommon, mysterious, and a non-problem. They're probably little developmental things, like dimples only involving the spleen, and that grow over time. If you're confident that you don't have echinococcus (travel history is key), forget about it. ...Read more