Doctor insights on:
Rest Excluded Clinical
Bilateral cross adductor reflexes notices in neuro clinical exam what does this mean? Rest of exam was good no hoffmans no babinski emg and ncv good.
Usually Normal: It means contraction of the adductor muscles of the thigh and inward rotation of the leg elicited by tapping the sole of the foot. It is an upper motor neuron sign that can mean there is some damage to the spinal cord when it is severe. It is often slightly increased in normal people, the other signs (hoffman's and babinski's negative) suggest that it is a normal finding in you. ...Read more
Can a normal ecg, bloodwork and X-ray rule out myocarditis? Ecgs show only episodes of sinus tachy w/ normal resting rate.
Had a hysterectomy 12 days ago & this morning I started hurting in top left thigh....should I go to er to rule out blood clot or just rest & call dr i?
Found small lump below inside of ankle. Painful to walk and hurts during rest. Doc ordered MRI to rule out tpd or mass. Could I end up in a cast?
Depends on results: Depends on the results of mri. With tibialis posterior dysfunction, immobilization may not be enough, surgery may be necessary and then casting. Plus there will be a need to address the flat footed ness. If a mass consistent with a ganglion, have it drained as an in office service. Ask if they can remove it, as an in office service if not successful. If other mass, have removed. ...Read more
Ecg, cardiac echo, heart enzyme, chest ct, cardiac angio ct, all ok. Still resting heart pulse 53-62.Increase when move. Exclude cardiac issue?
Normal: Low heart rates w/out symptoms can be nl in healthy active individuals. The fact that ur hr increases w/ movement is helpful and points towards normalcy. ...Read more
I don't understand!: I'm sorry, I don't understand your question. Wrap or bandage what? Your wrist? Did you hurt it? If so, how and when did you do it? Please ask again and clarify! There's a 150 character limit for your question, including spaces and punctuation, so keep it brief but complete. ...Read more
Unsure?: Leg pain, cramps, creepy-crawly feelings, ever ending need to move the legs, & other lower extremity symptoms are common place and very uncomfortable and disturbing. Get seen checked out in general and perhaps have some electrolytes checked (sodium, potassium, magnesium, calcium and others. Most importantly, you may need to see a sleep specialist. A sleep study may be needed. Restless legs? ...Read more
Good idea: It allows the body to recover and rebuild. ...Read more
Pulse of 66: A pulse of 66 is normal at rest. If your pulse increases during exercise, that is walking around, you have no problem. If you cannot increase your pulse rate during exercise or feel weak when do so, see your physician. Good luck. ...Read more
44 BPM is slow: That blood pressure is normal for a healthy woman in her 30s; however, a resting heart rate of 44 is slow. In a very fit, active woman, there might not be anything wrong. However, it could indicate a problem, such as thyroid disease or a heart condition. If you don’t typically have a low heart rate or haven’t talked with your doctor about this before, I recommend you do so. ...Read more
If you are: Lean and healthy, this is entirely normal. If you have concerns or it's due to medication, check w/your doctor. ...Read more
The Best Rest: Choose a time you find the most convenient in your schedule and find the activity or non-activity that makes you feel relaxed and rested. Activities like reading, listening to classical music, and drawing are portable, easy to do and have limitless variety. Depending upon your disability you may have to choose a time also convenient to your caregiver so try including them in the activity. ...Read more
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Wash, wash, wash: The number one way to keep from getting cold-type illnesses is frequent hand washing and avoiding handling what your sick family members have touched (door handles, keys, utensils, etc) if someone sneezes/coughs try to avoid being in the same room as them for a couple of minutes after the event. I am a fan of vit c and taking extra during the cold-flu months can help. ...Read more