Top
20
Doctor insights on: Scrum Explained

Share
1

1
How could these collective injuries (fractured skull, arms, pelvis etc) be assessed and treated by doctors?

How could these collective injuries (fractured skull, arms, pelvis etc) be assessed and treated by doctors?

ATLS: Trauma surgeons use a system for evaluating the multiply injured patient. We teach it in Advanced Trauma Life Support. We deal with the crucial areas of airway, breathing and hemorrhage control first. Then systematically examine the patient. We determine if surgery is needed and what other specialists are required. We use all sorts of neat tools to do this. ...Read more

2

2
Mild confusion unblanced.Negative ct blood work good anxious and emotionless . Neurologist said everything looked good could it be parasites?

Mild confusion unblanced.Negative ct blood work good anxious and emotionless . Neurologist  said everything looked good could it be parasites?

Get psych eval: Ask your pcp or OB for referral to a mental health professional to evaluate "mild confusion" and feeling "unbalanced." You say you're pregnant, so how you're feeling may have to do with pregnancy as well. Please don't delay. I hope this helps. ...Read more

3

3
Please explain why is computerised ECG report signed as unconfirmed report?

Please explain why is computerised ECG report signed as unconfirmed report?

Unconfirmed report: An unconfirmed computerized report means that a licensed physician has not reviewed the study and signed off/confirmed the accuracy of the study and its interpretation. ...Read more

See 1 more doctor answer
4

4
"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

Correct treatment: Patent ductus arteriosus (pda) is a congenital disorder in the heart wherein a baby's ductus arteriosus (connection between two heart chambers) fails to close after birth. A "thrill" is a vibration that tells the doctor that a PDA is present. When the PDA was closed, the thrill disappeared, meaning that the treatment was successful. ...Read more

See 1 more doctor answer
5

5
Had to redo mammogram because breast tissue wasn't compressed & looked suspicious. Caused great anxiety. Why not done properly 1st time?

Had to redo mammogram because breast tissue wasn't compressed & looked suspicious. Caused great anxiety. Why not done properly 1st time?

Yes, it is possible: Initial mammogram may have not had enough compression an area, or the overlapping structures may have caused a summation shadow. The original mammogram may have been performed well but the radiologist saw something and wanted extra views. Extra/spot views provide focal compression over the area of concern and spread out the tissues more, to make sure there is nothing of concern in that area. ...Read more

See 2 more doctor answers
7

7
Minor questions, anesthetic would numb everything, even your jaw, right?

Minor questions, anesthetic would numb everything, even your jaw, right?

Yes: General anesthesia works on the brain and will render you unconscious during any surgery. Local anesthetics work by numbing certain nerves, and will not affect your consciousness. ...Read more

9

9
New general dds took full mouth series radiographs. Checked pocket depths (few teeth) but not any edge margins where I have crowns. Incomplete exam?

New general dds took full mouth series radiographs. Checked pocket depths (few teeth) but not any edge margins where I have crowns. Incomplete exam?

Quick not thorough: Crown margins are visible on the x-rays, however the x-rays are 2-dimensional representation of a 3-dimensional object, so he/she should've checked in the mouth. Also, he/she should do a soft tissue oral cancer exam as well as checking the grooves of your teeth and integrity of existing fillings. There are several things that show up in the mouth that don't show up on x-rays. ...Read more

See 1 more doctor answer
10

10
Opth said floaters caused by aging but patient concerned neck injury to blame. Can opth tell floaters cause by exam? Dr. Didn't ask about injuries.

Opth said floaters caused by aging but patient concerned neck injury to blame. Can opth tell floaters cause by exam? Dr. Didn't ask about injuries.

You won't ever know: For sure what causes the floaters. Best to move forward. Be on the lookout for increased floaters, flashes or curtain blocking any part of the vision. ...Read more

11

11
I've read information saying that you shouldn't trust on paper that scattered fibroglandular densities are ok and should be followed up with ultrasoun?

I've read information saying that you shouldn't trust on paper that scattered fibroglandular densities are ok and should be followed up with ultrasoun?

Not usually needed: Fibrocystic breast tissue is normal. We have the benefit of several years and millions of mammograms and improved imaging to be able to decide if there's any abnormal findings. The radiologists have all the responsibility for locating any anomalies, and you can rest assured that they will order additional tests if there is any question whatsoever. ...Read more

12

12
L/4,l/5 laminect foot pain 1year later ,foot doc say normal,neurologist say s/1 caus,ortho surgeon say MRI good, neurosur say nerv itself Whoright?

L/4,l/5 laminect foot pain 1year later ,foot doc say normal,neurologist say s/1 caus,ortho surgeon say MRI good, neurosur say nerv  itself 
Whoright?

Very hard choice 2--: -make. Not often so many Md's with conflicting Dx. If your surgeon was a fellow ship trained spine surgeon, i would feel he/her Dx was correct. If not fellowship trained, I would recommend seeing such for a 2nd opinion. Both neurosurgeons and orthopedic surgeons can B fellowship trained. It means they took an extra year as a fellow at a spine program. Good luck! ...Read more

13

13
Why is informed consent overlooked when it comes to resident obstetric treatment?

Why is informed consent overlooked when it comes to resident obstetric treatment?

It shouldn't: All procedures should go through an informed consent process regardless of who is doing the procedure. You do not need to give consent to be seen by a resident. It is your choice to go to a teaching hospital. If you don't want that, don't go there. A resident is a licensed doctor who is undergoing specialty training. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
14

14
6yrs back skinbiopsy report was lividoid vasculitis now today reskinbiopsy report is leucocytoclastic vasculitis is it possible please explain?

Dr. James Lin Dr. Lin
1 doctor agreed:
6yrs back skinbiopsy report was lividoid vasculitis now today reskinbiopsy report is leucocytoclastic vasculitis is it possible please explain?

Here is ...: Microscopic exam can be widely examiner-subjective among all viewers even over time. Using different adjectives - lividoid or leucocytoclastic to describe vasculitis is not surprised. The bottom line is the concerned lesion is not cancerous. For detail, ask your treating Doc timely. Best wish ... ...Read more

15

15
A doctor said my inverted t-waves on EKG looked deeper when compared 2 a different ekg, i asked him 2 explain but i didn't understand the medical term?

T Waves: Inverted T waves can be (key words) sign of lack of blood flow to the heart muscle. However, some people have abnormal ECG's without any blockages. As long as you are without chest pain your ECG should not worry you. Your age and the fact that you are female it is highly unlikely that you have obstructive coronary disease. Hope this helps. ...Read more

See 2 more doctor answers
16

16
Bit by cat on hand,went 2 urgentcare next day.On antibiotics&got tetanus shot.Hand swollen&VERY painful,hard 2 open hand or make fist.how long 2 heal?

Bit by cat on hand,went 2 urgentcare next day.On antibiotics&got tetanus shot.Hand swollen&VERY painful,hard 2 open hand or make fist.how long 2 heal?

Weeks.: Unfortunatley, infected cat bites can take weeks to heal, even with proper antibiotics. Which antibiotics were you given? Hopefully not penicillin or 1 from the macrolide ("-mycin") class, as a common organism in cat bites is the bacteria called Pasteurella Multocida which requires Amoxicillin or Augmentin or a Quinolone (-"floxacin") for treatment. Ice reduces the swelling. Good luck, continue o ...Read more

17

17
MRI leg/ankle/foot-Tech screwed up images for series 7 & 8 and has scans of my 2 legs overlaying each other. Can radiologist fix or are scans static?

MRI leg/ankle/foot-Tech screwed up images for series 7 & 8 and has scans of my 2 legs overlaying each other. Can radiologist fix or are scans static?

Check with Radiolog-: ist as he might be able to make something out of it. I am sure they will get a repeat for you and most of them will do it free of charge if it was their tech's fault. Good Luck. ...Read more

18

18
Root canal discovered 3 enamel pearls, I have 3 canals, does this indicate anything and what causes them. 2 canals had nearly closed up.

Root canal discovered 3 enamel pearls, I have 3 canals, does this indicate anything and what causes them. 2 canals had nearly closed up.

Pulp stones: Enamel pearls occur on the outside of root surfaces of teeth and are developmental anomalies. Pulp stones occur inside root canals and the cause is uncertain. Canals close over time as the tooth's response to inflammation and as a reparative mechanism in response to decay and \or drilling of teeth. ...Read more

See 1 more doctor answer
20

20
Please explain what do filed down veneers look like?

Please explain what do filed down veneers look like?

Unsure of question..: If you are asking what your tooth/teeth will look like after "filed down" for a veneer, it varies. At times the surface mainly needs to be roughened. In other times older fillings need to be removed and replaced by the veneer. Dentists also vary in how much tooth structure is removed. If too much tooth structure is removed the resultant bond of the veneer to the tooth may be compromised. ...Read more

See 2 more doctor answers