Doctor insights on:
Tests For Vertebrobasilar Insufficiency
What test do you use to detect vertebrobasilar insufficiency? Is vertigo its only symptom? Is it life threatening if left untreated?
Vertibrobasilar: Usually in older, it is atherosclerosis/stenosis. Can have visual disturbances, balance, auditory issues, spinning while still, drop attack, dizzy when turning head, strokes. It is diagnosed via MRA (magnetic angiogram), Likely your ringing is from allergies and middle ear congestion. Would anyway check your lipid profile, take meds if HTN and no smoking to avoid risk factors. F/u w/ doc
Quite the contrary: Vertebrobasilar transient ischemic attacks and strokes are not uncommon, and hopefully are recognized, and diagnosed in a timely fashion to prevent further damage.
I was rear ended in a car accent today and all the sudden have symptoms of vertebrobasilar ischemia. Do I go to ER asap?
Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?
Smoking is making me have attacks. I think I might have a blockage in vertebrobasilar artery secction. Ischemia caused by vasoconstriction. Tia?
Need more info: In order to give you an informed answer, any physician would need more information on what you mean by attacks that are triggered by smoking.
MRI vertebrobasilar hypoplasia right side there's robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?
Normal variant: The arteries at the base of the brain can course in several different patterns but ultimately get the job done, that is, supply brain tissue. Your pattern is like your fingerprint. Some more unusual patterns have an increased association with aneurysms, but this would have likely been described if present and vertebro basilar hypoplasia, as in the picture, is pretty common.
If your 44-year-old female patient who had been seen by Cardiologist for 16 years, and diagnosed consistently over those years with 413.9, small vessel disease aka female pattern coronary heart disease, and vertebrobasilar spasms --> vertebrobasilar TIAs
There is no: Question to answer here, it may have been cut off, there are only 400 characters to use. Please re-ask we don't need the ICD 9 code.
Primary vs secondary: The fault may lie in the pituitary which may produce too little acth. The adrenal responds normally to acth stimulation. If the gland is defective, there is impaired response to acth. In both there are low levels of corticosteroids in blood and urine, and similar electrolyte disturbances, e.G, high potassium.
Many tests, see REI: Reproductive endocrinology md will confirm poi - pregnancy test, fsh, lh, estradiol, amh, thyroid and prolactin tests, pelvic ultrasound. Test for genetic causes: karyotype looking for turner's syndrome, fragile x premutation testing, fish test for sry (y-chromosome material). Test adrenal antibodies which cause addison's disease. Screen for diabetes, thyroid antibodies, and parathyroid disease.
Can convergence insufficiency be the cause of my daughter's nystagmus? It only presents when looking near and all her tests have came back normal.
No: Convergence insufficiency is a common cause of visual complaints such as the following list on a standard screening questionnaire. * one eye drifts or aims in a different direction than the other (this can be subtle). This is significant even if it only occurs when tired or stressed. * turns or tilts head to see * head is frequently tilted to one side or one shoulder is noticeably higher * squinting or closing or covering of one eye * excessive blinking or squinting * short attention span * daydreaming at school/work * poor handwriting * poor visual/motor skills (often called "hand-eye coordination") * problems moving in space, frequently bumps into things or drops things * clumsiness While reading or doing close work: * holds the book or object unusually close * closes one eye or covers eye with hand * twists or tilts head toward book or object so as to favor one eye * frequently loses place and fatigues easily * uses finger to read * rubs eyes during or after short periods of reading * reversals when reading (i.e., "was" for "saw", "on" for "no", etc.) * reversals when writing (b for d, p for q, etc.) * omitting small words * confusing small words * transposition of letters and numbers (12 for 21, etc.) * loss of place when reading, line to line and word to word. * child's ability to learn verbally surpasses his ability to learn visually. Frequent complains of: * only being able to read for short periods of time * headaches or eyestrain * nausea or dizziness * motion sickness * DOUBLE VISION! It is not a cause of nystagmus. If your daughter has true nystagmus she should have an examination by an ophthalmologist to determine the cause. One can have both conditions but the CI does not cause nystagmus.
Specific test: Adrenal insufficiency may not be detectable independent of stress. A morning corisol/acth level may or may not give you some clue. A low/high dose acth stimulation test would really be a good way, particularly for secondary adrenal insufficiency. An Insulin tolerance test would also work. Adrenal crisis would not require further testing as long as cortisol and acth levels measured at the time.
Is it possible to have adrenal insufficiency enough to cause symp's, but not enough to test positiive for addison's disease? Would meds still help?
Can you get home tests that tell you if you have adrenal insufficiency or problems with the gland?
No: An endocrinologist needs to be involved in order to diagnose adrenal insufficiency. Usually stimulation testing is necessary. If your pituitary gland is involved then other hormones will also be checked. The adrenal makes lots of different hormones. If the source of insufficiency is because of congenital adrenal hyperplasia or autoimmune disease, testing is a little different.See 2 more doctor answers
I did vitamin d test and it was insufficiency what should I do? And what are the symptoms of this case?
Take D3 because:: Low vit d can cause fatigue, muscle pain/ weakness, headaches, depression and increases risk of infections, heart disease, cancer and risk of dying! Most adults need 5-8000 iu of d3/day; avoid d2! see http://www. Drfranklipman. Com/symptoms-diseases-associated-with-vitamin-d-deficiency and http://articles. Mercola. Com/sites/articles/archive/2008/11/01/vitamin-d-is-a-key-player-in-your-overall-health. Aspx.
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