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What Test Should All Patients With A Altered Mental Status Have
Mental Status Exams: As i mentioned earlier, the basic domains of a person's mental state include: appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perceptions, cognition, insight, and judgment. These vital signs of a person's mental status are typically assessed during a mental status evaluation. Other domains may also be assessed, and specific tests may be done when needed. ...Read more
Have you ever had a patient who had body tremors and other physical symptoms such as lightheadedness with all normal work up?
Serious sign: Lightheadedness on mild physical exertion is a serious sign. See your family physician, perhaps also a cardiologist. Echocardiogram (in addition to a 12- lead ekg) is indicated. Your cardiologist may also consider a stress test, if everything else is normal. Never exercise if you are dehydrated. ...Read more
Does everyone with any grade of microtia have hearing loss? Also should they have their hearing tested regularly and should they all have an abr test?
No, not always: Microtia refers to abnormalities of the external ear, and not a direct cause of hearing loss. However, hearing loss can be associated with microtia, particularly if atresia (an absence of the ear canal) is present. Regular hearing tests are a good place to start. An abr may not be necessary. Early identification of hearing loss is always important, particularly if both ears are involved. ...Read moreSee 1 more doctor answer
Are their mutltiple ways to determine if a person has experienced or "has" hepatic encephalopathy? I have chronic act hep b and cirrhosis of liver and a slew of other health related problems. I have had spells lasting 30 minutes of confusion, disoriented,
GI & skin: Typical reactions include nausea, vomiting & diarrhea. These are seen at times with all vomiting. Skin reactions include allergic hives and more severe immune responses including erythema nodosum, erythema multiforme, & stevens-johnson syndrome. The typical target lesions of erythema multiforme are shown in the image. Another rare reaction is protracted joint swelling. ...Read more
Can a total bilirubin level of 4.5 make someone have a change in mental status even with normal liver functioning?
Bilirubin: This answer would depend upon the underlying cause of the bilirubin elevation. It is certainly possible with cirrhosis and liver failure to have altered mental status. If there is an infection such as cholangitis (bile duct infection) it is also possible to have altered mental status. If it is due to a condition such as gilbert's syndrome then it is less likely. ...Read more
Hi. Can a person loose their qualifications for a kidney transplant if they are diagnosed with a mental illness such as depression and anxiety?
I have a test result question.My internist ordered bloodwork and I have the results, can you make sense of these two:RFactor - HighANA- neg.but there are other autoimmune issues listed by percentage? So...what does it maybe mean?
Matched to symptoms: The lab results indicate that you probably don't have Rheumatoid Arthritis however you may have another autoimmune condition but only if you have several of the other signs & symptom criteria to match this result. Your internist can help sort this out with you or may decide to refer you. ...Read moreSee 1 more doctor answer
I have been hired to take care of a patient with prolonged neurological paralysis. What special considerations should I know to give the best care?
Comprehensive care: Long-term care needs patience and knowledge: important points are: attention to care of mouth, eyes, skin, bladder and nutrition. Avoid dvts that may be a source of embolism. Avoid decubitus ulcers. Watch nutrition. They may need a peg if they have dysphagia. Prevent falls. If iincontinent use pampers or condom catheter. Treat pain. Move from side to side every two hours. Pe will facilitate all. ...Read more
Can a low iron saturation be a cause of fatigue in someone with healthy red blood cell counts and related statistics? I have had some disputes between my endocrinologist and other physicians on this matter. Perhaps I need a hematologist to confirm.
Are needed regular neurological controls at inborn hydrocephalus if inever had problems with this and i lead normal life like otherwise health one?
Hi doctor, I have a question regarding being dizzy in the shower and feeling very nauseous. I do have many medical diseases such as kidney disease and blood disorder, however never had this happen before as I've dealt with these problems for 4 years and r
Evaluation warranted: Lots of possibilities here, which can be addressed by a physical exam & appropriate testing. Migraines for example can affect both head & gut. Please however don't contribute to your stomach upset by taking excessive nsaid's aimed at alleviating distress. Given your multiple co-morbidities, please get checked to rule out anemia, autonomic dysfunction, & more esoteric pathology. ...Read more
I need a new doctor, and I have Hemiplegia cerebral palsy and some health issues. Which doctor would be best suited for my particular condition of CP?
What is available ?: In general, specialists do not gear their practice around providing the primary care you need to the point they keep no supplies in their office to deal with them.The best fit is to find a generalist who will arrange and coordinate any specialty care when you need it. ...Read more
What type of physician does a patient see if they have nerve damage post a dental procedure? My mom's sense of taste and smell are abnormal since.
What procedure ?: It is very, very rare to have nerve damage following any dental procedure. And abnormal in what way? Can she not taste or smell anything, or are her sense altered? The only thing I can think of is the placement of a maxillary denture, but that's not uncommon, and her dentist can explain that to her. ...Read moreSee 1 more doctor answer
With a family history of lupus and 7 out of 11 symtoms, can you still have lupus if after 2 positive ANA and anti DNA you have a negitive result?
If i were new to your practice as a patient age 56, what tests would you order in general to see what my over all health status was?
Does being preg with anxiety disorder increase the risk of having a child with mental health issues and if so mental health issues like what?
Question for MDs that have actually treated a patient with POTS: what intervention did you see the best results from for symptom management? Symptoms: Fatigue, Brain fog, Memory Recall, Exercise Intolerance, Occasional Swallowing/breathing issues;
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