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 ...Read more
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. ...Read more
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. ...Read more
MRI vertebrobasilar hypoplasia right side there's robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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.
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
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Is it possible to get home tests which tell you if you have adrenal insufficiency or problems with the gland?
I did vitamin d test and the result was insufficiency its 21. What should I do. And what are the symptoms of vitamin d shortness.
Take Vit D: Generally, most people will not have any symptoms until vit d levels are very low (under10). Your level is only mildly low, but can have some long term effects on the bone if not corrected. You should take about 1000 iu of vit d daily to correct it. ...Read more
What tests can cousin do to know if his serum cretanine that came 1.4 is due to renal insufficiency caused by diabetes. Takes meds for last 15 yrs.
Do patients with cyclic cushings have symptomatic adrenal insufficiency between episodes? Also, can cyclic cushings be diagnosed by a stimulation test?
Acth stim test for secondary adrenal insufficiency. What to expect? Feel better if positive? Feel worse if negative? And why?
Maybe 2: For secondary adrenal insufficiency we will sometimes do a lo/hi dose acth test using two doses to elicit a response from adrenals. The Insulin tolerance test is another good way to determine cortisol insufficiency as well as gh deficiency which can be seen with acth deficiency. If you're deficient in acth you'll get steroid replacement which will make you feel better. ...Read more
Hormones/it depends,: This can have many tests that are off, primarily hormones like cortisol and aldosterone. Others can be affected as well like sodium and potassium, due to the lack of aldosterone. If the cause is from the hypothalamus, then acth can also be off and this tests is often used in the diagnosis of the kind of adrenal insufficiency. It would be best to see your doctor for these tests to find the cause. ...Read more
Most helpful test: The 24 urine cortisol testing is one of the most sensitive tests and gives a better picture over the course of the day instead of just getting a sample from you a single time. There are blood tests and saliva tests which can be falsely be falsely elevated or falsely low depend L depending on your other medications and the time the test is performed. The best is to see an endocrinologist to help. ...Read more
Low cortisol. Low acth but normal stimulation test. Could I still have secondary adrenal insufficiency?
Yes: Without more information, I can not say for sure you have it, but this is essentially the def of secondary adrenal insufficiency. Secondary AI is a condition where the adrenal gland still has function, but is not being told to produce cortisol by the pituitary gland. There are other tests, but initial dx usually made by low baseline cortisol with ACTH injection causing nl cortisol by adrenal gland ...Read more
Saliva cortisol test says low in mornings, normal day, elevated at night is this adrenal insufficiency?
After acth stimulation test confirms adrenal insufficiency does it always need to be treated and/or followed up and how often?
Yes: Adrenal insufficiency means that your body is not able to produce enough steroids. Depending on the cause of adrenal insufficiency, you can be deficient in more than one steroid (cortisol and/or aldosterone). Your body needs these hormones, so it is important to follow-up with your dr. The frequency depends on how stable the disease is for the patient. ...Read more
I show symptoms of adrenal insufficiency. I did an acth plasma test which showed 25.00 and serum cortisol that showed 145ng?
ACTH stim: I don't understand the units of measure for either acth or cortisol. If there is any question of addison's disease I would expect a very elevated acth level. Secondary adrenal insufficiency concern might merit a low/hi dose acth stim test. If you have secondary adrenal insufficiency you may also need a MRI of your brain and pituitary in addition to looking into other pituitary hormone deficiency. ...Read more
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