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Doctor insights on: Vs Hogan Apex Ftx

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Apex (Definition)

Apex normally refers to a peak. However in dentistry it actually is defined as the end ...Read more


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30 yo with 2 mm cervical adenocarcinoma on cone biopsy. CIS at margin (no invasion at margin). No high-risk features such as LVI. Trachelectomy?

30 yo with 2 mm cervical adenocarcinoma on cone biopsy.  CIS at margin (no invasion at margin).  No high-risk features such as LVI.  Trachelectomy?

Conservative treat: after cone bx, the findings of in-situ Ca suggests that there is residual prcancercous changes which can be handled by cryosurgery of the cervix region. This can then be followed by Pap smears and if no residual disease appears the condition can be followed. Reappearance of malignancy suggests eventual hysterectomy ...Read more

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Success rate for mastectomy retaining flap and nipple no sentinel node invasion stage 1b measures 8mm, margins good except anterior 1.5mm? Must chemo?

Tumor genetics: You could request a recurrence score which is a genomic evaluation of tumor cell gene s. 2 common tests in U.S. Are oncotype DX and mammaprint. ...Read more

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Inactive sarcoid dx.-12mm subcar. Lymph-1cm bil. Hilar. 1yr CT shows subc. Node is 1.5cm-rt bil. Hilar is 1.7cm, -left hilar is1.3cm. Active sarcoid?

Inactive sarcoid dx.-12mm subcar. Lymph-1cm bil. Hilar. 1yr CT shows subc. Node is 1.5cm-rt bil. Hilar is 1.7cm, -left hilar is1.3cm.  Active sarcoid?

Possibly: There are also questions of plane of focus for imaging. When you have the test taken, you may be a few millimeters off in your breathing or how you are lying. So, anything that has only a few millimeter change may not be significant. ...Read more

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Angiography report of dad lm- nor lad- proximal seg 90% stenois lcx- distal diseased. Ostial total occlu. Rca- domi, prox total advice cabg?

Angiography report of dad
lm- nor
lad- proximal seg 90% stenois
lcx- distal  diseased. Ostial total occlu.
Rca- domi, prox total
        advice cabg?

Sounds reasonable: Obviously many factors need to be considered, but the anatomy you are describing would be difficult to approach with stents. Other factors such as age, frailty, and other medical conditions play a significant role as well. Each decision should be individualized based on his situation. ...Read more

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14mmx8mmx13 mm smooth bordered pleural based nodule anterior left upper lobe demonstrates intermediate grade activity. SUV max 1.3g/ml. Treatment?

Time: The nodule should be watched carefully. If you are a smoker then may need much closer workup. If you have cancer you then may need a closer workup. If this has been there then tincture of time may be the answer. Get an opinion from a lung doctor as to the best way to work this up from here. Best wishes ...Read more

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My fathers medical diagnostic report. Evidence of multiple bulky (3-4cms) hypo-echoic lymphnodes along para aortic/aorto carval regions. What disease?

My fathers medical diagnostic report. Evidence of multiple bulky (3-4cms) hypo-echoic lymphnodes along para aortic/aorto carval regions. What disease?

Possible lymphoma: Large, bulky lymph nodes in the abdomen are concerning for a malignancy in the abdominal cavity, such as lymphoma or a cancer of an abdominal organ. Infections can also cause lymph node enlargement so that should be investigated. ...Read more

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Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?

Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?

See below: If you are in good health a radicl excision of this lesion is the first lien then i would depend on the surgeion, radiologist and oncologist to decide if more treatment is needed. This cancer can be cured. ...Read more

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Is docetaxel inferior or superior to paclitaxel for stage iii, er+, pr+, node+ postmenopausal patients?

Is docetaxel inferior or superior to paclitaxel for stage iii, er+, pr+, node+ postmenopausal patients?

Likely equal: Docetaxel is most likely equal to Paclitaxel in this situation. There are significant differences in side effects and method of administration; however according to the data every 3 week docetaxel is likely equivalent in effectiveness to weekly dosing of paclitaxel. ...Read more

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Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?

Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?

Depends: Much depends upon the status of her heart muscle health as determined by an echocardiogram or gated blood pool scan.. If her left ventricle has good strength (normal ejection fraction)and no evidence of past or present congestive heart failure, I believe survival odds can be good barring any further heart attacks which will cause myocardial damage. ...Read more

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Is mastectomy good for an invasive & in situ lobular carcinoma, stage 1b, sbr grade 2, 8 mm in size with good margins except anterior margin 1.5mm ?

Concern: The 1.5mm margin anteriorly is the only margin that gives me concern. For patients undergoing lumpectomy, obtaining at least a 2mm margin is associated with a decreased risk of recurrence. It would not be usual practice to take you back to surgery for a re-excision of this margin, however. ...Read more

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Age 76, stg IV ovarian cancer, debulking surgery, 3 chemos. Ca 125 normal. Is lymphnode dissection advisable? Comment on quality vs quantity of life?

Age 76, stg IV ovarian cancer, debulking surgery, 3 chemos. Ca 125 normal. Is lymphnode dissection advisable? Comment on quality vs quantity of life?

Quality of life: In end stage cancer quality of life is essential but patient 's decision is equally important. 76 yr old could be very healthy 76 , in stage IV some do respond well to chemo, will have quality & comfortable , remaining part of life , so choice should be left to the person. Also to follow the advice of doctors , if unsure to take a second opinion , treating md will be glad to refer. ...Read more

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Questionable right lower lobe lung nodule vs end on vessel a followup x-ray is recomended in 3 month to reassess.No acute anatomic finding. any wrong?

Questionable right lower lobe lung nodule vs end on vessel a followup x-ray is recomended in 3 month to reassess.No acute anatomic finding. any wrong?

Unclear: The lauded radiologist, whoever it was that issued the report, is uncertain as to whether a nodule was found in the lung, or if there was a confounding shadow from a vessel. That is why he/she recommends a repeat of the exam (X-ray) in 3 months. A malignant nodule would get bigger. A stable appearance suggests a benign anomaly or artifact. Without seeing the actual film, nothing more can be said. ...Read more

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Adenocarcinoma pressing on the left main stem bronchus. Pulmonologist recommends an endobronchial stent and/or targeted radiation. Thoughts?

Adenocarcinoma pressing on the left main stem bronchus. Pulmonologist recommends an endobronchial stent and/or targeted radiation. Thoughts?

There are >1 choices: Your case can be best managed by a team of oncologists working together. A medical oncologist can/ should coordinate your management. Radiotherapy alone or in combination with chemotherapy may be the best choice. Stenting is an option which is best kept to later use when there is no other treatment options. Right now you need treatment for cancer in addition to mechanical help which is all stent d. ...Read more

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Bonsoir, je veux savoir combien de pourcentage de goudron y a t il dans les poumons après de dix-ans DES cigarettes ? Merciiiiiiiii

Cigarettes & santé: Dur à dire. Quel type de cigarettes filtrées ou non? Combien de paquets par jour? Toute autre maladie pulmonaire? Les questions les plus importantes peuvent être comment cela a affecté la santé de la personne. ...Read more

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What does it mean when there's 11 degrees in your upper cervical Apex c-23?

Depends on the -: -place of the apex. Anterior, posterior, medial or lateral. Also there is no C-23. Try again! ...Read more

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Lordotic view shows minimal hazy infiltrates in the left apex. Consider minimal PTB of undetermined activity. Kindly explain it to me. Thank you?

Lordotic view shows minimal hazy infiltrates in the left apex. Consider minimal PTB of undetermined activity. Kindly explain it to me. Thank you?

Chest x-ray: The presence of the so-called hazy infiltrates in the the top of the left upper lobe has caused the radiologist reading the film to suggest that you may have tuberculosis. This is not the purview of a radiologist and their suggestion is only to make sure that the doctor ordering the film considers this in their diagnostic evaluation. Continue your work-up with your doctor. ...Read more

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What are infilitrates seen in a right apex?

What are infilitrates seen in a right apex?

Infiltrate rt apex: Isolated filtrate in any part of lung is a shadow seen on xrays which normally is not there.Most of the infiltrates are due to infectious process like pnumonia, tuberculosis or other infections.Some times you need more images and cat scan to define the shadow if it does not clear with standard therapy. ...Read more

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What is the meaning of densities in right apex?

What is the meaning of densities in right apex?

?TB ?Tumor: If you mean radiologic densities in the right apex of the lung, it warrants exclusion of tuberculosis or a tumor. ...Read more

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What is the meaning of this apico is equivocal remarks- spot film of the left apex suggested for further evaluation?

What is the meaning of this apico is equivocal
    remarks- spot film of the left apex suggested for further evaluation?

Don't worry too much: This means there is an area in the upper lung looks possibly abnormal, but additional views of the area are needed to clarify the situation. The additional views may or may not show anything of concern. Try not to worry too much, because it's very common for radiologists to ask for additional views. In the majority of cases the additional views show everything is normal and ok. ...Read more

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Why does tuberculosus lodge at the apex of the lungs?

Why does tuberculosus lodge at the apex of the lungs?

More oxygen at apex: There is more ventilation and less blood flow at the apex of the lung. Since tuberculosis is a strict aerobe it grows better in the better oxygenated upper lobe where less of the oxygen is carried away be the blood. The lower lobes of the lung have more blood flow and less ventilation so there is less oxygen to feed the TB because the blood carries more of the oxygen into the body. ...Read more

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Is it safe to take apex and vicodin?

Is it safe to take apex and vicodin?

Apex and vicodin: The only reference to apex i could find was that it is a medication syringe. Vicodin is designed as a tablet to be swallowed whole. It should not be crushed, or tampered with in any way. This is responsible use of medications. As a rule vicodin has to be swallowed whole and taken according to the md's strict instructions. ...Read more

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What typically causes heart apex problems?

Apex: apex is hard to see on imaging tests. Coronary artery disease is probably the commonest cause of abnormal apex reports ...Read more

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What does global hypokinesis at the septum and apex mean?

Reduced function: It means that the part of your heart supplied by the left anterior descending coronary artery is functioning at reduced efficiency. ...Read more

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What does dextroconvex scoliosis with apex at C7 mean? Is this common?

Meaning: It means that in the coronal plane (looking straight at your spine from the front- as opposed to saggital or from the side); you have a curve facing the right with the peak of the curve being at C7. The underlying pathology and many other factors can determine whether it is normal or not. ...Read more

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What is the consequences a small area of ischemia at the apex of the left ventricle?

What is the consequences a small area of ischemia at the apex of the left ventricle?

Old or new: If old, may be result of prior limited heart attack and collaterals if new, may be preliminary to heart attack and should be investigated and the "culprit" lesion treated by pci or surgery, . ...Read more

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To find out what diffuse reversible ischaemic in the apex means on my perfusion scan?

Demand not met: it means that there are areas of the heart that likely do not get enought blood when exercise. The demand for oxygen in the cardiac muscle are higher than what it is provided to them ...Read more

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What are the consequences of a small area of ischemia at the apex of the left ventricle?

What are the consequences of a small area of ischemia at the apex of the left ventricle?

Reversible?: It depends. Is the ischemia reverisble or irreversible? Was it detected on a nuclear stress test? Assume it's reversible as seen in a nuclear stress test.Such things seen on a perfusion scan are often referred to as apical defects.That said, along with other indications, i might suggest a clinical correlation via an angiogram or ccta. The consequences could not be determined without a cath or ccta. ...Read more

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Whats the meaning if the xray film shows that there s a infiltrates found at left apex ?

See below: Infiltrate simply means fluid. It is a sign of inflammation which usually means a developing or resolving infection. Treatment depends on your other symptoms and other medical conditions. ...Read more