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Doctor insights on: Patient Has A Huge Pannus

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Nutrition support for patient s/p Whipple.

Nutrition support for patient s/p Whipple.

Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed

Pannus (Definition)

A pannus is an apron of fat ...Read more


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What causes uncontrolled urination in elders ? P.S the patient has diabetes

What causes uncontrolled urination in elders ? P.S the patient has diabetes

Diabetes: Poorly controlled diabetes can affect nerves to the bladder. Patients have trouble urinating and emptying their bladder completely. This causes frequent urination.

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How can a clinician assess a patient’s pain?

How can a clinician assess a patient’s pain?

Exam and imaging: Pain is what you feel. What we diagnose is the cause of the pain. Most of us over the age of 50, and many younger, have back malformations that can cause pain. Some diagnoses are obvious to the trained ear, such as "my back hurts here and the pain radiates to there". Others need xrays or mri's so we can "see" inside you. See a trained specialist to get a diagnosis - before treatment.

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I am s depraishion patient wat I do to be happy&confidece.

I am s depraishion patient wat I do to be happy&confidece.

Simple...: Simple see a PMD. Depending on your situation....Antidepressant / CBT or both will help.

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I s am an existing patient, needing an apt ?

Online appt: It would be my pleasure to have a virtual appointment with you. Please go to the following link to set up an appointment or leave an inbox consult. Perhaps 9 am Tuesday morning or some other time would be good. However, I will not be available Wed morning this week. http://www.healthtap.com/drharoldmandel

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Can a patients 02sat be in the high 90's while the patients abg shows a po2 in the 50's ? And what could cause this?

Can a patients 02sat be in the high 90's while the patients abg shows a  po2 in the 50's ? And what could cause this?

Several issues: The po2 may not be accurate because it includes venous blood. The spo2 may not be accurate because carbon monoxide is read as o2. The oximeter has many potential errors. Motion, light and other issues can create abnormal values.

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How do you look after an m.S. Patient?

How do you look after an m.S. Patient?

Best approaches: Prevention here is worth a ton of cure. Make certain that the individual is followed by an ms expert, that the medication used is potent, such as either tysabri (natalizumab) or gilenya, or maybe tecfidera, supplement vitamin d, follow a low fat low sodium diet, do regular aerobic exercise, avoid smoking, and deal proactivally with stress.

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Can patients access state of new jersey p.D.M.P and if so, how?

Not sure: What P.D.M.P stands for. Re-post with full name and there may be an answer.

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What’s it like to be a burn patient? That must be agony!

What’s it like to be a burn patient? That must be agony!

Painful, difficult: You are right that burn patients usually are in terrible pain. If the burns are extensive and deep, serious medical problems such as nfections and fluid loss complicate treatment. Healing takes months to years and often requires many surgeries, and long, painful rehabilitation.

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With what medication should the wilson’s disease patient begin treatment? 

With what medication should the wilson’s disease patient begin treatment? 

Wilson's Disease: The problem is a build up of copper in the body, especially in the liver. Your doctor will prescribe a chelating agent that binds and gets rid of the copper, such as trientine. Once the levels are down, you will likely be given another medication to keep the copper levels low, such as zinc acetate.

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Hiv ag/ab combo : non reactive, patient s/co: 0.23 (ref : reactive >=1.0 s/co). What does this mean. After 1 year of exposure.

Hiv ag/ab combo : non reactive, patient s/co: 0.23 (ref : reactive >=1.0 s/co). What does this mean. After 1 year of exposure.

Not infected: S/co is a way of saying that your value is 23% of the cutoff that would make it positive. This does not mean you have a little bit of the virus, it's just the way that the test works in today's age of molecular medicine.

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I student studying medicine .. Just 3 years to be G.P This years we practice in hospitals and I meet a lot of patients .. So how can protect myself.

I student studying medicine ..
Just 3 years to be G.P

This years we practice in hospitals and I meet a lot of patients ..
So how can protect myself.

Universal precaution: They should be providing lots of education on universal precautions in your medical training. Wash hands with soap and water, wear gloves when examining patients, put on mask/eye protection/gown if splash of blood or bodily fluids is likely, follow any "isolation" rules for patient, and discard all waste/needles appropriately. Have fun.

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What is a progressive neurological disease that affects adults (in 30's or 40's) where the patient approximately 10-20 years after onset of symptoms?

Please clarify: There is a word or phrase or something missing from your question. "What is a progressive neurological disease that affects adults (in 30's or 40's)" is okay, but the rest makes no sense. You can see that, right? Please repost your question with clearer wording.

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What;s the best pain medicine for lupus patients?

What;s the best pain medicine for lupus patients?

Acetaminophen NSAIDS: For symptom relief of pain you can use Acetaminophen or NSAIDs like Ibuprofen or o Naprooxen or Cox 2 Celebrex Along wih Antimalarials (Hydroxychlroquin) and low dose steroids

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Can drs advice us on ecgs of our patients s i m a gp?

Can drs advice us on ecgs of our patients s i m a gp?

Ecg: I am not aware of a present mechanism for you to submit and ECG to healthtap and get a reading. You might suggest it to the healthtap management.

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Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic

Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic

Not sure, I don't : think anyone knows for sure if its okay for sure. No study has been done on those supplement with SLE. I would recommend stay simple supplement with multivitamin, Vit D, B complex. At the most, protein shake for post work out.

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What can a colosterol patient eat?

What can a colosterol patient eat?

Healthy: Eat a healthy diet, ideally all plant-based. Cholesterol is only in animal cells so if you don't eat any animal products (meat, poultry, fish, eggs, dairy), you cannot get exogenous cholesterol. You may have a genetic/family predisposition to high cholesterol anyway but medicine will treat that. For diet, eat lots of veggies, fruits, whole grains, beans, nuts. Exercise daily even walking.

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Acidity is bad for malena patient?

Acidity is bad for malena patient?

Malena is bad : Bleeding in the GI tract resulting in malena is bad with or without aciditiy and needs evaluation immediately. See this site for more info. http://www.ncbi.nlm.nih.gov/books/nbk411/.

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Patient has removed this question.

Patient has removed this question.

Not herpes: This cannot possibly be herpes if you have never had sexual contact with another person. And this doesn't sound like herpes anyway. On dry skin like the penis, herpes lesions go from red bump to blister to pimple to open sore to scab over 1-2 weeks. "Yellowish bumps" probably are normal, maybe just hair follicles or sebaceous glands that appear more prominent with sexual maturity.