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Doctor insights on: Which Treatment Is Given In The Case Of Constrictive Pericarditis

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Which treatment is given in the case of constrictive pericarditis?

Which treatment is given in the case of constrictive pericarditis?

Generally surgery: Once diagnosed and confirmed. Risks are assessed and surgery suggested. ...Read more

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Dr. Steven Sahn
46 doctors shared insights

Constrictive Pericarditis (Definition)

Constrictive pericarditis is a condition where there is inflammation of the pericardium, the fibrous sheath (outer covering) around the heart. This inflammation makes the pericardium more stiff and constricts the ...Read more


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What is the best treatment for a mild case of constrictive pericarditis?

What is the best treatment for a mild case of constrictive pericarditis?

Depends: Constrictive pericarditis is a thickening of the pericardial lining of the heart. It can cause reduced filling of the heart and lead to heart failure in severe cases, along with decreased blood flow out of the heart to the rest of the body. In "mild" cases, cautious use of diuretics and medicines to lower the pressure inside the heart can successfully avoid heart failure. ...Read more

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Dr. Ray Holt Dr. Holt
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What is the leading cause of pericarditis for the elderly?

Dr. Ray Holt Dr. Holt
2 doctors agreed:

Viral: The leading cause is a viral infection, namely the coxsackie or echovirus. Some other causes include hypothyroidism or kidney failure. A good portion of the time a specific cause can't be determined, we call that "idiopathic". ...Read more

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What is the implication of cocci being found in the lungs of someone with severe copd? The patient is extremely confused & agitated most of the time

What is the implication of cocci being found in the lungs of someone with severe copd?  The patient is extremely confused & agitated most of the time

Quite concerning: Could well be pneumonia, but confusion and agitation could well be due to hypoxia, and this needs immediate attention. The confusion could be due to other causes such as medication rxtns, or alzheimer's. See your doctor today! ...Read more

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Can a personality change be caused by the medicines given in the treatment of lung sarcoidosis?

Can a personality change be caused by the medicines given in the treatment of lung sarcoidosis?

Yes: This would be fairly common with significant steroid doses but the changes are mild for most patients. The other meds don't tend to affect personality. ...Read more

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Which is the best drugs used in the treatment of systolic hypertension?

Which is the best drugs used in the treatment of systolic hypertension?

ACEI ; carvedilol: Acei = angiotensin converting enzyme inhibitors were first ; continue best track record to reduce mortality rates for congestive heart failure (1 result of HTN ) but commonly do not improve heart function, just slow decline. Fat soluble ones, e.g. Perindopril best. Adding on carvedilol, with care (along with aggressively txing drivers of arterial disease) usually improves heart function over time. ...Read more

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Which treatment for the pain of neuropathy is the very best?

Which treatment for the pain of neuropathy is the very best?

Multiple treatments: Many medications can help, including neuromodulators like Gabapentin or lyrica, (pregabalin) anti-depressants like Cymbalta or effexor, and modalities such as contrast baths. Topical pain creams, especially ones containing ketamine which may effect hypothesized peripheral nmda receptors. Manage the underlying issues, like sugars to help slow or stop progression, but most likely will not change the currentpain. ...Read more

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What is the efficacy of having a pericardial biopsy to determine the exact autoimmune cause of non specific onflammation. Reoccoring effusion?

What is the efficacy of having a pericardial biopsy to determine the exact autoimmune cause  of non specific onflammation. Reoccoring effusion?

They may be: Your doctor may want to identify what exactly is going as there are other conditions that can cause pericardial effusions besides autoimmune diseases. ...Read more

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What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?

What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?

Variable by case: Only your doctor can determine the type and duration of treatment. Followup studies are needed to monitor progress. Often the dose can be tapered after the urine protein loss declines and other factors normalize, but all depends on your individual response to therapy. ...Read more

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What is the treatment of pulmonary hypertension in neonates?

What is the treatment of pulmonary hypertension in neonates?

Pulmonary HTN: Treatment of pulmonary hypertension in young children involves treating or reversing the cause which may involve surgery to close congenital heart issues or treating lung disease. ...Read more

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How is digoxin used in the management of acute pulmonary edema?

How is digoxin used in the management of acute pulmonary edema?

HR control: Digoxin is sometimes used to help control inappropriate tachycardia typically in the face of uncontrolled atrial fib. This might help if someone has acute pulmonary edema from the fast hr but if the patient is unstable then electrical cardioversion is usually preferred perhaps in combination with meds to control the rate. ...Read more

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Dr. Willam Lau Dr. Lau
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What is the name of the type of pneumonia caused by immobility in hospital?

Dr. Willam Lau Dr. Lau
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What is the name of the type of pneumonia caused by immobility in hospital?

Hypostatic: Hypostatic pneumonia usually occurs when the patient is not mobile enough to expand the lung by deep breathing so that the atelectatic or collapsed lung segments can develop into pneumonia. ...Read more

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In case of paralysis of a leaf of the diaphragm, is a surgical procedure needed or can it be treated by medicines only?

In case of paralysis of a leaf of the diaphragm, is a surgical procedure needed or can it be treated by medicines only?

Surgical procedure: If only one side of the diaphragm is paralyzed, and the muscle is so thinned out it is pushing on the lung, sometimes a procedure to plicate the muscle is performed. This should be done by a general or thoracic surgeon with experience in this technique in a minimally invasive fashion - thoracoscopiccally, or laparoscopically. I am not aware of medication that will work for this. Hope this helps! ...Read more

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What is the worst area of the heart to have a mod-large pericardial effusion?

What is the worst area of the heart to have a mod-large pericardial  effusion?

Pericardial effusion: There is no particular area as almost all effusions affect the heart function. However, that being said the worst would be any restriction on ventricular function. ...Read more

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What is the treatment for inflammation of the spinal cord?

What is the treatment for inflammation of the spinal cord?

Depends on disease: Myelitis- inflammation of the spinal cord is treated in several different ways depending on the reason for the inflammation. It could be treated with steroids, antibiotics, antivirals, antifungals, and several therapies. ...Read more

Dr. J. patrick Tokarz
210 doctors shared insights

Pericarditis (Definition)

A condition where the pericardium (two thin layers of a sac-like tissue that surround ...Read more