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Doctor insights on: Pericardial Window Creation

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SEMEN REPORT GOOD?:LIQUEFACTION not accured at,30min,1,24hrs,VOLUME 1.25,COUNT 224 million,NORMAL 70%,MOTILITY ACTIVE 30%,VIABILITY 3hrs active 25% :

SEMEN REPORT GOOD?:LIQUEFACTION not accured at,30min,1,24hrs,VOLUME 1.25,COUNT 224 million,NORMAL 70%,MOTILITY ACTIVE 30%,VIABILITY 3hrs active 25% :

Here are some ...: Glad to hear good semen report while concerning infertility. The reported poor liquefaction of semen is observed outside the destined genital tract so it's not necessarily the condition inside the vagina. Therefore, check post-coital vaginal fluid for in-vivo confirmation. Besides, the causes for infertility are many directly from both male at 30 % & female at 50%, and from both in 20%. So, see. ...Read more

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How could diffusion across a biological membrane differ from diffusion across dialysis tubing?

How could diffusion across a biological membrane differ from diffusion across dialysis tubing?

Diffusion difference: Diffusion (D) is the process of passive (without loss of energy) movement of any substance from higher concentration to the lower concentration of that substance. D depends on the membrane and varies from membrane to membrane. There is no diffusion across dialysis tubing. Dialyzer (D) membranes vary as well so they is no accurate way to correlate the rate of D from a biological membrane and D. ...Read more

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What structural damage do transudates create within pleural space?

Transudates: unlike Exudates are generally re absorbed by the body leaving NO permanent damage!...both are basically FLUIDS... Hope this helps Dr Z ...Read more

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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

In  65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest  method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more

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Uterus wit right margin filling defect normal on UltraS. What does opacified fallopian tubes with bilateral intraperitoneal spillage of contrast mean?

Uterus wit right margin filling defect normal on UltraS. What does opacified fallopian tubes with bilateral intraperitoneal spillage of contrast mean?

Tubes are open: It sounds like you had an HSG to test if your fallopian tubes are open. From the way you describe the report, it sounds like they are. However, it also sounds like you may have a polyp or fibroid inside the cavity of your uterus. ...Read more

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What does subtle diastolic septal bounce indicate. Trace fluid in pericardium. Resting pulse 95-104. Winded walking 2 blocks. 3 months post window?

What does subtle diastolic septal bounce indicate.  Trace fluid in pericardium. Resting pulse 95-104.  Winded walking 2 blocks. 3 months post window?

Septal bounce: The septal bounce is a paradoxical motion of the interventricular septum initially directed towards and then away from the left ventricle during diastole. Typically seen in constrictive pericarditis & cardiac tamponade due to ventricular interdependence, but can at times be seen in right ventricular dysfunction. Pericardial window was done presumably for drainage of accumulated pericardial fluid? ...Read more

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How bad is pericardial effusion (fluid around the heart) if temporary?

How bad is pericardial effusion (fluid around the heart) if temporary?

Pericardial effusion: Most effusions are temporarary and of no great concern as they occur in the setting of inflammation around the heart. Effusions become a problem if the fluid collection is large impeding the filling of the heart by having pressure in the pericardial space that is higher than within the heart during diastolic filling . This reduces cardiac output and can cause hypotension or tamponade. ...Read more

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What is organizing fibrinous pericarditis diagnosis from tissue obtained during a pericardial window? What are the short term and long term implications?

What is organizing fibrinous pericarditis diagnosis from tissue obtained during a pericardial window? What are the short term and long term implications?

Likely inflammatory: The most likely possibilities are viral, idiopathic (meaning we don't know), rheumatologic (ie lupus or rheumatoid arthritis), cancer or other infection. If it's not cancer, then it is most likely inflammatory. It should be treated with anti inflammatories and observation. It should be monitored long term by a cardiologist. ...Read more

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What does 'small inferior apical wall defect demonstrating reversibility affecting less then 5% of the total myocardium' mean?

What does 'small inferior apical wall defect demonstrating reversibility affecting less then 5% of the total myocardium' mean?

Small cardiac insult: A small area of ischemia (reduced blood supply) to apical wall without perment damage or infarct. Coronary artery narrowing of branch vessel can cause this finding. ...Read more

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What is a 0.7cm pericardial effusion at posterior lv wall 1.4cm around rv and RA wall with a layer of echo dense material do I need surgery. thank you.

What is a 0.7cm pericardial effusion at posterior lv wall 1.4cm around rv and RA wall with a layer of echo dense material do I need surgery. thank you.

Pericarial effusion: A pericardial effusion greater than 1.0 cm in thickness is significant. As to the trreatment and the significance of the echodense material, you need to call your cardiologist for an interpretation and an assessment of its clinical significance. ...Read more

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Goodmorning. Which are the differences between pleural effusion end pulmonary edema on lung auscultation?

Goodmorning. Which are the differences between pleural effusion end pulmonary edema on lung auscultation?

Opposites: B"sd yes decreased or absent Breath Sounds with effusion, rales and rhonci with edema at least in the old days - However, I hardly auscultate these days. ...Read more

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Possible vomit in eye from et tube during resuscitation. What is the HIV risk?

Possible vomit in eye from et tube during resuscitation. What is the HIV risk?

Low: It is theoretically low. Risk of HIV infection is dependent on the amount of viral load and the method of transmission. Unless it was bloody emesis, the viral load should be low. Although the eye is covered by mucous membrane, there are antibodies in the tear film that theoretically can help prevent viral . Contact your infectious disease service and ask what prophylactic medication you should take at this point. ...Read more

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Uterine cavity is normal,bt retroverted in appearance. bilateral falopian tube visualise, no evidence of free peritoneal spill on both sides.explain m?

Uterine cavity is normal,bt retroverted in appearance. bilateral falopian tube visualise, no evidence of free peritoneal spill on both sides.explain m?

Need more info: Was this an ultrasound or a hystersalpingogram? Usually, the uterus points forward. In about 10% of women, it points backwards. This is considered a variation of normal. I would need to know what study this was to explain "free peritoneal spill" to you. Re-state your question, stating what study this was. Best wishes! ...Read more

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Bth fallopian tube shw mild dilatation of d distal 3rd due 2 fimbrail adhesions with forced peritoneal spillage in keeping with bilateral patent tubes?

Bth fallopian tube shw mild dilatation of d distal 3rd due 2 fimbrail adhesions with forced peritoneal spillage in keeping with bilateral patent tubes?

Infection: Mild dilation and fimbrail adhesions and forced peritoneal spillage all are evidence of tubal infection. This will put you at high risk for ectopic pregnancy. When you get pregnant you need to be watched closely. ...Read more

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Can force of fluid in chromopertubation open faliopian tube ?

Can force of fluid in chromopertubation open faliopian tube ?

I've seen it work: I perform hsg's on all of my own patients, and have been doing so (with water based contrast) for over 20 yrs. Many of my patients conceived right after the hsg was done! ...Read more

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What does mildly enlarged cardio mediastinal silhouette &mild enhancement anterior and inferior pericardium I am 3 months post pericardial window?

What does mildly enlarged cardio mediastinal silhouette &mild enhancement  anterior and inferior pericardium  I am  3 months post pericardial window?

It depends what your: Previous x ray looked like. For definitive answer, you will probably need to repeat echocardiogram. Ask your doctor for recommendation on when you should get this test. ...Read more

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Should you be in worse pain after a pericardial window surgery? Is this normal?

Should you be in worse pain after a pericardial window surgery? Is this normal?

Window: you should let your surgeon know what your symptoms are. The person who performed the procedure is best equipped to judge whether you should be having pain. ...Read more

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How long does a pericardial window last? Does it stay open the rest of your life or close quickly?

How long does a pericardial window last?  Does it stay open the rest of your life or close quickly?

Variable: And depends on how much localized inflammation is there which scar area and lead to reclosure. ...Read more

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What is organizing fibrinous pericarditis diagnosis from tissue obtained during a pericardial window? What are the short term and long term implications?

Likely inflammatory: The most likely possibilities are viral, idiopathic (meaning we don't know), rheumatologic (ie lupus or rheumatoid arthritis), cancer or other infection. If it's not cancer, then it is most likely inflammatory. It should be treated with anti inflammatories and observation. It should be monitored long term by a cardiologist. ...Read more

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Is it possible for fluid to reform 2 1/2 weeks after having a pericardial window?

Window: You should discuss with your care team. In some circumstances one could have fluid reaccumulate but not common. ...Read more

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How dangerous is a pericardial window. Also how dangerous is getting put under. THANKS?

How dangerous is a pericardial window. Also how dangerous  is getting put under. THANKS?

Tamponade: Pericardial window is performed to drain fluid accumulated around the heart ( blood, serous, pericarditis) as it builds up constricts the heart, and prevents normal filing of the cavities. On inspiration, the pulse amplitude decreases, the heart is pumping empty and on expiration the pulse amplitude improves. The drainage, depending of the severity can be done with a large bore needle, OR,live an underwater drain and the patient stay in the ICU, until the drainage reduces in volume and the hemodynamics are normal. This procedure is frequently performed in the ER, post cardiac surgery, post viral infections or post MI. ...Read more

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What are the chances of pericardial window closing done on Left side VAT. If it did close could it w/in a week or wold it take longer?

What are the chances of pericardial window closing done on Left side VAT. If it did close could it w/in a week or wold it take longer?

Not meant to close: The pericardial window is not meant to close. It should provide a path for fluid that is building up around the heart to drain into the thoracic or abdominal cavity, where large volumes can accumulate & be gradually reabsorbed without threatening life. If a window closes because of scarring or other problems, fluid can accumulate again. Even small amts of fluid around the heart cause big problems. ...Read more

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When a pericardial window is done for chronic pericarditis, where does the continued fluid/blood drain? How is it re absorbed?

When a pericardial window is done for chronic pericarditis, where does the continued fluid/blood drain? How is it re absorbed?

Into the chest: If done correctly, the pericardial window will open the enclosed pericardial sac and allow it to drain into the left or right plural space. Usually left. The layer of cells in the plural space in the lung has absorptive capabilities to absorb water and extra fluid.. ...Read more

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My normal pulse rate is 73-78. Since having pericardial window 3 weeks ago rate has been 94-99. Still winded and pain under left breast. Why?

My normal pulse rate is 73-78.  Since having pericardial window 3 weeks ago rate has been 94-99. Still  winded and pain under left breast. Why?

Depends. : There are many causes of pericardial effusion, some of which might require a window for treatment and/or prevention of recurrence. Depending on the underlying cause or possible complications, pain might occur/persist afterwards which can be worse with breathing and may therefore contribute to shortness of breath. I would recommend follow up with your physician. ...Read more

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I had a chest tube 4mths ago for pericardial window & now I have pain in that area. Scar tissue? Adhesion? Is pain normal to start this far out?

I had a chest tube 4mths ago for pericardial window & now I have pain in that area. Scar tissue? Adhesion?  Is pain normal to start this far out?

It would not be: surprising to have some residual discomfort due to adhesions, retractions or scarring. It is unlikely to be infection. If the discomfort persists it would be worth a visit to your health care provider to be examined. ...Read more

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I had a pericardial window 4 years ago(pericarditis,pericardial effusion/tampenade -1 liter blood ). Could chronic pericarditis cause frequent anemia?

I had a pericardial window 4 years ago(pericarditis,pericardial effusion/tampenade -1 liter blood ). Could chronic pericarditis cause frequent anemia?

Not exactly: Amy, there are medical conditions that can lead to both a pericarditis and to anemia but pericarditis in and of itself should not cause anemia. I'd recommend checking with the doctors who treated your pericarditis as they likely did some tests to find the root cause before they drained it and performed the window.
...Read more

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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more