Doctor insights on:
Protocol For Diagnosing Benign Pvcs
Multifocal PVC for years, done mri, 3 echos, multiple holters, stress test, no structural heart problems. Benign. Now many recovery pvc.Significance?
Mum, 92, 2cm cancerous lump found in scan for gallstones. Waiting for colonoscopy & CT results, what treatment options are for such elderly patients?
Depends: Mostly depends on the person's overall health and activity level, not just age. Where is the lump? How is it known to be cancerous on only a gallbladder study? Would need more detailed information, but if it is a cancerous tumor that is contained or localized, then surgery should be fine depending on the overall health status (and depending on what organ may have the tumor). ...Read more
Flutter paplations with unconfirmed diagnosis of wpw and unconfirmed left bundle block, two drs said two different diagnosis. How can they find out?
If you can share: your EKGs on Health Tap we can interpret them for you. Alternatives are to make an appointment with an Electrophysiologist for evaluation. There are some relatively noninvasive tests (Adenosine A/V block, stress test, etc.) that could be used to confirm the diagnosis as well as invasive electrophysiology studies if needed. ...Read more
Mammo Prescription and it as DX Z12.31- encounter for screening mammogram for malignant neoplasm of breast what is DX is it for a routine mammo ?
ICD-10 code: Doctor's have to come up with codes for billing purposes - especially when we order tests. This system is called ICD-10. It is the 10th generation of the International Classification of Diseases if you really want to know. "Dx" stands for 'diagnosis', and Z12.31 is a breast cancer screening code for the mammogram. I'd ask the doctor more questions if you're still not sure. ...Read more
Had Hida scan for gallstones & months later multiple mammos for stereotactic biopsy (calcification-benign)-dangers to all this radiation?
The danger is tiny: The risk of induced cancer from a HIDA scan and dozens of mammogram images is incredibly small. In fact, some would claim the risk could barely be calculated reliably. See: http://www.riainvision.com/exams/hida_scan.aspx Note, we all get x ray radiation naturally every day. There is real risk with repeated studies such as CT scans. For instance, one CT study of the chest equals 100 chest x rays. ...Read more
Will a 2nd opinion on path report be helpful to colon/rectal surgeon for treating crc? A few friends are misdiagnosed b/c inaccurate n staging, common?
Watch the watchmen: As a pathologist, i appreciate having a second pathologist read out the glass slides and special studies, and in fact my teachers always had a second pathologist review all cancer cases. No pathologist can accurately review just a report. I suspect your friends' issue is with past work in which pathologists have found too few lymph nodes; there's little to do at this time. Good luck. ...Read more
Yearly mammo showed stable rgt breast nodule consistent with benign etiology (BR-RADS 2 Benign) stayed the same for 2yrs im confused YESorNO be worry?
For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?
Depends: on left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. www.thepmc.org ...Read more
Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?
Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read moreSee 4 more doctor answers
Prescription say Procedure OT,Mammo ,both DX V76.12-screening Mammogram NEC my Mammo from last year said Bi-rad 2 is these codes a routine Mammo?
Many tests ordered by cardiologist.He found "atrial tachycardia" on 48 hr holter during symptoms.All other tests good. What does this really mean?
Abn heart rhythm: Paroxysmal atrial tachycardia is an abnormal heart rhythm propagated by a variety of mechanisms. The HR typically is 170-240 but exceptions occur. It usually causes palpitations and, if prolonged, may cause shortness of breath and/or dizziness. The albuterol you take can precipitate it. It can occur in otherwise normal hearts. Meds or ablation can prevent it. ...Read more
Echocardiogram, CT heart scan or cardiac mri. What does each one test for and how accurate are they? Holter results less than 1% of beats pacs an pvcs
Imaging tests: Echo uses sound waves to image cardiac structure and function. Ct scan uses computerized x-ray examination to do similar imaging and MRI uses yet another technology. Echo gives real time wall motion imaging while the other two are almost real time. They are all very accurate and each has its own strengths and weaknesses. We choose depending on what specifically we need in information. ...Read more
After Sinus Tachycardia ECGwas fine
Cardiologist "Cardio perspective You are in an excellent condition"SVE found on Holter.NoAfib is Afib
easy 2 find?
A FIB: is generally easy to diagnose when it is sustained...PAROXYSMAL A FIB is a litt.e harder to find but Holter study generally shows this condition as well. I think you should be pleased by your Cardiologist's conclusion! Hope this is helpful! DR Z ...Read more
Can MRI without contrast still be effective in deciding about benign vs malignent (God Forbids) liver lesion?
MRI WITH contrast...: Even an MRI WITH contrast won't be completely accurate in distinguishing a benign or (God forbid) malignant liver lesion. The GOLD STANDARD way to determine malignancy is by biopsy. Now, some liver lesions are deep & cannot be biopsied without risky surgery. Not everyone can undergo surgery. MRI with contrast can help determine whether or not to take this risk, but by itself is not diagnostic. GL. ...Read more
In layman's terms what does this mean: "study for detecting pancreatic cancer states: sensitivity of mrcp with respect to diagnosis PC was 84 percent and specificity was 97%." A study done on detecting PC.
Screen vs Confirm: Sensitivity means that if you had 100 people with biopsy proven PC, then 84 out of the 100 people with PC had a (+) test. Specificity means that if you had a (+) test result there is a 97% probability that you have PC and a 3% probability that you have a "false positive" (which means you do not have PC). High sensitivity tests are used to screen for a condition whereas high specificity confirms. ...Read moreSee 1 more doctor answer
What is a common differential diagnosis for a questionable small angiomyolipoma found on renal doppler ultrasound?
That may scare you: The common lesions in kidneys are cysts and kidney cancers all of which begin as small densities and then it is a matter of checking them for any changes or further growth. Stay calm and follow your doctor's instructions and get followup ultrasound in 6 months(if you a re very much worried) or in one year which i think is adequate. ...Read more
Yes for acute: The accuracy of cholescintigraphy (nuclear scan) for diagnosis of acute calculous cholecystitis has been greater than 95%, and the accuracy for acute acalculous cholecystitis is only slightly less. A normal scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. ...Read moreSee 1 more doctor answer
What are methods practised for staging papillary thyroid cancer? Not about my single fna test "suspicious for malignancy" (category 5) but more info.
Age, Tumor Size, LN: Staging of papillary thyroid ca is dependent on age (cutoff: 45), tumor size, lymph node involvement, and presence of cancer elsewhere in the body. Most of this information requires surgical evaluation and post-op scanning before a definitive stage is reached. However, the chance for cure is very high with these types of cancer, especially when younger than 45. ...Read moreSee 1 more doctor answer