Doctor insights on:
Poor Corticomedullary Differentiation Kidneys
I am 23 years old my right kidney and left kidney measures 12 7 5 2cm and 7 0 2 9 CM respectively left kidney with indistinct margins and complete loss of corticomedullary differentiation few cortical cysts are seen in left kidney as for usg report I am a
RENAL PROBLEM: It seems that you have enlarged kidneys with cysts. I hope you are under the care of a nephrologist or a specialist. Take care ! ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
If both kidneys r normal in size and reveal raised cortical echigenicity wid moderately reduced CM differentiation..Rs 9.7*3.7 & ls10*3.2cm.Is it risk?
Renal Echogenicity: The findings on your ultrasound are interpreted by a radiologist, they can suggest kidney disease and cannot diagnose its extent. You should see a nephrologist and have a 24 hour urine for creatinine clearance (cc) and protein and have some blood taken when you return the urine. That will give you a precise picture of what your kidney function is. Interpretations are subjective, a cc is objective. ...Read more
A multifocal area of loss of cortical meduillary differentiation was noted in my kidneys suggestive of pyelonephritis. What is this?
Pyelonephritis: If you are asking what pyelonephritis is, it is due to inflammation of one or more parts of the kidney. Generally it is due to a bacterial infection. If someone told you that you had pyelo. you should be treated for it with antimicrobial treatment. You should have a urine culture to determine the bacterial type and susceptibility patterns. This is serious stuff, get it taken care of. ...Read more
Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation.Mean?
Non-contrast CT report said increased density corticomedullary junction bilateral kidneys-suspect for tiny renal caluculi. Should i worry?
See below: The process by which cells become progressively more specialized; a normal process through which cells mature. This process of specialization for the cell comes at the expense of its breadth of potential. Stem cells can, for example, differentiate into secretory cells in the intestine. ...Read more
It is cancer: Adenocarcinoma is a cancer that originates from glandular epithelial cells. This is usually classified as poorly, moderately or well differentiated based on the resemblance of these cells to normal epithelium with the well-differentiated cells being most similar in appearance to the normal cells. The poorer the differentiation, the more aggressive and poorer prognosis. ...Read more
Bone Marrow Biopsy: Pancytopenia is a clinical condition that can be caused by a variety of diseases such as aplastic anemia, myelodysplasia, drug toxicity. Myelodysplasia is a clinical syndrome that may manifest itself as pancytopenia. A bone marrow biopsy is the only way to tell what is going on. ...Read more
There are a number of features that can be used to distinguish acute from chronic venous thrombosis.
In acute clot the lumen of the vein will be hypoechoic. The vessel will be enlarged and there may be peri-venous edema.
I chronic clot the intraluminal echoes will be hyperchoic. There may be evidence of recanalization. The vein may be contracted. ...Read more
Yes: endometrial cancer which begins in the endometrial mucosa, before invading myometrium or muscle of uterus is virtually 100% cureable. Even if D&C shows tumor cells spreading to blood stream this is not metastasis but cells pushed by curettage into the blood. Even early muscle invasion followed by hysterectomy with node diss. can be cured. ...Read more
Homework: Physicians are not in the habit of doing patients homework for them. It would be inappropriate for you to use any answers here as your own. Perhaps reading the chapter and then answering the questions in your own words would be wise. ...Read more
What are the advantages/disadvantages of imiqunoid vs surgical excision to treat differentiated VIN 2?
Imiquimod 5%: offers a noninvasive treatment for VIN. A major advantage over the potential scarring, deformity, and/or recovery from surgery. It provides complete resolution in ~75% cases. There is a ~25% risk of disease recurrence. Imiquimod works by prompting your immune system to fight the cancer. The inflammatory response to imiquimod can result in topical side effects, requiring breaks in treatment. ...Read more
What's the option for a patient diagnosed with poorly differentiated adenocarcinomas with mixed inflammation?
Options for Cancer: Need more information, such as where is it located (adenocarcinomas can be in many different organs), is there lymph node involvement, etc Important to remember that there is alway more than one option or approach, including choosing not to treat. Talk it over thoroughly with your oncologist, ask lots of questions, have someone with you to take notes, get 2nd (and 3rd) opinions if necessary. GL ...Read more
How are diagnoses of lysosome storage disorders differentiated from congenital disorders of glycosylation? References?
Difficult to differe: Lysosome storage disease, congenital disorders of glycosylation (cdg), peroxisomal disorders, smith-lemli-opitz are "single-gene disorders, most of which demonstrate autosomal-recessive inheritance. These 4 categories of metabolic diseases involve molecules important in cell membranes and share overlapping clinical presentations". (avery's diseases of the newborn, by w. Taeusch, 2005, p. 258). ...Read more
How long should I expect to be out of work (teacher) after a partial bilateral vulvectomy secondary to differentiated high grade VIN2?
Ans: As long as all goes well and no complications you should rest fir about 6 weeks ...Read more
What is the difference between cancer in situ and differentiated VIN3? What is the long term prognosis? VIN3 twice in 12 months with clear margins
VIN3 = appearance of: cells under microscope, judged to be most abnormal, "pre-cancerous appearing" yet not clearly cancerous; see: https://www.google.com/#q=VIN3. Cancer in situ simply means no other sites (metastasis) of similar cells have been identified/recognized to be present. The 2 key definitions of cancer are: (1) Invading adjacent normal cells &/or (2) also growing in other parts of body (metastasis). ...Read more
Will a moderate stroke from 1.5 years ago still show on an MRI?And do "old old" damage and newer old damage look alike, or can they be differentiated?
Stroke and MRI: New strokes look different on an MRI (depending on the type and stage / swelling / bleeding ) The best way to distinguish the difference is to compare to a previous study. Clinical assessment may not always inform you what has transpired as many strokes are clinically silent. ...Read more
What is the likelihood of DIFFERENTIATEZD VIN to progress to cancer? Is differentiated VIN 2 more likely to progress to cancer than undifferentiated?
Adenocarciom gastric moderately differentiated inflammatory low infiltrate of lympho-plasmocotar Large areas of metaplasia of incomplete type. How bad?
Needs staging/record: Your question should have been addressed to your oncologist. A second opinion can be obtained thru a Health Tap oncologist. ...Read more
Pattern or test: There are blood tests to differentiate the presence of the measles virus & antibodies from other infections. There is also the fall back to pattern of illness. Measles has some distinctive physical findings that differ from other illnesses & a trained observer can often make the diagnosis based on these findings. ...Read more
Safety: if you are new to weight lifting i would recommend speaking with a certified personal trainer first to prevent injury. machines are designed to promote proper technique. free weights, like dumbbells and barbells activate more muscles, but put you at greater risk of injury. I personally like to use high quality resistance bands. ...Read more
Cocaine pure/mpure: Cocaine in its purest form is a white, pearly product. Cocaine appearing in powder form is a salt, typically cocaine HCL. Street market cocaine is frequently adulterated or “cut” with various powdery fillers to increase its wt; the substances used in process are baking soda; sugars--lactose, dextrose, inositol, & mannitol; & local anesthetic. Pure C disolves in sulfuric acid with no coloration. ...Read more
Depends: Tooth whitening is the first non-invasive choice. You can selectively whiten darker teeth if you want. Stay away from the one hour in office whitening as it is the least effective, most expensive, most side effects. And the light used with it has no effect. In my office we also offer internal bleaching if root canal treated teeth. As a last resort porcelain veneers can be done. ...Read more
Both need Rx: Differentiated is clearly squamous, undifferentiated a more primitive type of cell. Both need to be managed, and both may be quite ugly cytologically (high risk) or relatively tame-looking. The pathologist can offer some guidance as to whether close observation / repeat biopsies might be appropriate. ...Read more
Can you tell me about woman is the default in fetuses, sexual differentiation opts for female sex?
How are AET and IST differentiated? HR not always high but sometimes much higher than should be with exertion and feel palps. up to 155bpm up stairs
Ekg: ekg shows different focus of beats which will do it ...Read more
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