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My 84 yrs. mother suffering by herpiese since 30 sept.2010. First of all so many blisters formed at left side of stomuck & back.By the consultation of Dr. we have given a course of Herprex Tab.and locally applied Herprex cream for 8 days. Again Dr. started Tagrital tabs for 10 days. Now top skin is completly dried and became blackish, but very qute pain occuring inside the skin that is untolrable to her. You are requested to guide us how to prevent this.RegardsRK TYAGI0911-11-0000 |
What is the history and what are the symptoms of elliptocytosis in cases that are inherited? |
Hello, Im 31 years old, i had a tooth removed 3 days ago, i am in absolute agony still, no amount of panadene or Nurofene even touches on the pain, i have a high pain threshold normally, but this pain is radiating threw my lower jaw and neibouring teeth. Is this normal? Do you have any suggestions, please.
it OK to get pain after teeth removal ? |
my sisters daughter get very hateful and mean and they put her on medication .I am no way a doctor but I do know doctors put kids on meds that I don t think they take the time to see whats really wrong1 medication is risperidone she takes in the morning and I highter dose at night 2 one is sertraline 3rd one is benzonatate 1 tab as needed |
My 14 year old son picks his skin around his fingers layer by layer, sometimes till they bleed He also touches his head, stroking his hair at least 3-4 stokes each time. He has recently told me he hums and talks to himself while at school and alone - he seems worried about it and says he is mad. He has not yet hit puberty either and is small for his age say around 12 year old size.
king skin on fingers till they bleed, stroking hair, humming and talking to himself |
For the past 4 months Ive been having excruciating sharp constricting pain in my right upper abdomen/costal angle & the corresponding area in my back. The pain is shooting & refers to my right shoulder/neck/ shoulder blade. The pain is worse with deep breathe & I have to breath shallow. My X-ray & ultrasound came up clean on everything but my right kidney was discovered to be dead/ non functioning. (left kidney only functioning at %50). No high bp/no diabetes).Docs suspect pain is pleural rubbing but not certain. Thoughts ? |
I just had a tooth extraction tues n the pain n sickness I feel is indescribable! I hv pain n my neck, ear throat n head only on the left side where the tooth was extracted. Im taking amocicilin 500 mg n they seem to not b working. It feels like my whole left side of my face n throat is infected. Help me please!!!! |
This is a bit embarrassing to say, but i recently found a small hole-like opening in the crack of my butt the other day. it doesn't hurt, but it bleeds about once a day with a watery-blood type substance. i am sure this isn't normal, but i was wondering if i should see a doctor for this. by the way i did some research on my own and it seems to be something called a fistula. i am a little worried it could get infected.
ld a small bleeding hole like opening in the crack of butt indicate fistula? |
I m 19 and just lost my last baby tooth, will my permanent tooth still come in? My mom said it may not and I m kind of freaking out. |
I m 20yrs old...I m taking ipill as a regular basis after each sex..I come to know the side effect of ipill.As I m studying so ryt now I don t want to become pregnant for 3yrs..so would u suggests me any long term contrAceptive device suitable for my age????
there any long term contraceptive other than ipill that can be taken on a regular basis? |
What is chronic renal disease, and how can this condition lead to the development of a secondary hyperparathyroidism syndrome known as Renal Osteodystrophy, which is characterized by bone lesions due to increased bone resorption (from elevated PTH)? |
Doctor, I have been experiencing skin swelling around my jawline and it seems to be getting worse. Can you please tell me what could be causing this? |
My sister , age 30, got kidney failure, (doc describes as ARF). This happened after she delivered baby thru c-section. She has been struggling for more than 7 weeks and has gone thru number of dialysis till date. 1 week ago she shifted to big hospital in Calcuta. what are the chances of getting out of this. If needed I can send the respective doctor a soft copy of the latest report. Please suggest and guide.
kidney failure be cured? |
Hi doctor, My grandfather is 82 years old. He has diabetes as well as Alzheimer's. He had a heart attack before 15 days. Doctors are confused whether to go in for angioplasty or bypass considering his age and diabetic history. He had congestion in the lungs and had breathlessness and sleeplessness when admitted to the hospital. Herewith I have attached his laboratory reports. Please suggest a suitable procedure.
My grandfather had heart attack. Please suggest a suitable treatment for him. |
About 4 times a minute my heart beats really hard. I have had this for many years but it didnt used to happen this much. I also have realized when I do physical activities it doesnt happen. But when I am resting or just normal activitiesit happens all the time. |
Hello sir, Well my name is Rinku and I am 28 years old with 5'7'' and 78 Kg. Sir from last 3-4 weeks I am feeling very lazy during whole day. It seems that I should sleep throughout the day. Negative feelings have attacked my mind. I dont take interest in my work also. Bodyache and Headache are always there. Also I dont feel hungry. These all I am feeling from last 3 weeks. Sir I am in great stress and felt lazy and dizziness throughout the day. Please help me.
gest remedy for mental health problem |
Which serotonin uptake inhibitors are most effective in treating comorbid anxiety and depression? |
My 20 year old daughter has scoliosis and has just been diagnosed with a Chiari I malformation. Is there a way we can get a doctor at the Mayo Clinic to see her or do we need a referral. We d are considering surgery as her headaches are getting more frequent and more intense. |
What are the symptoms of Tetralogy of Fallot? |
What are the specific genes that can have activating mutations that are commonly associated with adenocarcinoma of the lung? |
Hi, I have two lumps on top of my mouth. One the size of a grain of rice just over top of my molar that you can see if I lift up my lip, and used to be a white now reddish colour. The other is a larger lump on the back side of my gums on top of the molar and is painful to touch. Sometimes when I press my tongue against this lump it sends puss out through the small lump on the other side. About a year ago this molar was filled. Since then that molar sometimes feels wiggly and is hard to chew on. What do you think is happening? |
scrotum hanging lowHello I am 23 years old and unmarried . My scrotum is hanging low . When I go to toilet my scrotum is tight. I did not fell any pain in the. Scrotum . Is there any treatment to make my scrotum tight. One of my friend suggests to undergo scrotal liftt or scrotum reduction surgery, Is there any side effects in future by undergoing these.surgery . And how far its good and there are any risks in it. I want to know is these surgery can be performed by urologist or cosmotic surgeon Thank u in advance |
the past 2 weeks Ive been extremely disoriented and dizzy. Ive also been getting this tingling sensation in my fingers, lips and left leg. but not a numb feeling. it happens at random moments when Im standing still or moving around. am i just tired and stressed? should i be worried? |
I have been a ocd sufferer for over a decade now i did not know of it for many years but later on underwent therpy for close to 2 yrs i was prescribed F-tin along with certain occupational therapies And it helped to certain extent but came a time when i realised that no pill is cut out for my specific forms of symptoms & i stopped Now the prolem is that though i am aware of my problems but can not help much Actually its hampering my studies by making my productivity low I have been trying a lot but pl tell what should i do as per your insight |
i am having ejaculation within 5 minutes of insertion of penis inside vagina, sometimes it is very erotic and exciting experience so i can not push and wait and act for more longer pleasure. I had undergone circumcision before 5 years. I think it has helped also me and i can have more control than the previous. But still i need to have longer control time in which i can satisfy my wife (as women tend to get excitement slowly and orgasm few times and mostly the male ejaculate before the woman reaches the pick). I would like to controll till the woman reach orgasm or say alteast 15 minutes of to and fro push while acutal intercourse . I also tried sqeeze and jelqing and keegels exercise to have more control ,long size of penis or say thick(mine is 13 cm long).Please give me advise |
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
How long should my husband and I wait to try for a baby if we did cocaine? |
my friend has been in a medically induced coma for a week and a half now following a car accident, she was dead at the scene, dr.s trying to wean her off meds but her body couldnt handle it. she has recently opened her eyes and has dialated pupils, reacts to pain and moves her arm from time to time and when certain people talk to her, her icp goes up. what does all this mean and how does it affect her outcome. They are doing tests tomorrow to see how bad her brain injury really is. First diagnosis was severe brain damage . |
Hello, I have a question. I started taking ortho try cyclen lo birth control about four months ago I believe. I didn t have a period the whole month of january which is understandable because they said it would be normal to miss one the first 1-3 months. My period then came right on the first of february. It then ended but for some reason around the 27th or 28th of that month I was spotting and it lasted for a while. I was very confused. I took two pregnancy tests and they both said negative. I went to the clinic and they changed my birth control. I haven t had my period this month yet. Should I be worried or okay since both tests were a negative? |
recently (about a montth ago) was treated for a kidney infection. hospitalized a new days and given cipro which was finished. Now again having the same pain on right flank and urine has white tissuey and white stringy particles. no blood. 29 yr old female. could infection have returned
t is the remedy for Kidney Infection? |
What is a diamond bur used for in dentistry? |
What are the mechanisms by which statins reduce cardiovascular events in patients with chronic kidney disease? |
Hello doctor,I have got round dark spots on face. It was light initially and became darker later on. Give me advice on how to remove it. |
Which side effects of diphenhydramine are most commonly reported in clinical practice? |
Doctor, I have been experiencing blood in my urine. What could be the cause? |
Answer the following question from the document below.
##Question:
What was the patient's renal status and treatment plan?
## Document:
74yoM with ESRD on HD, h/o CVA s/p CABG; returns to ICU where he is
well known for recurrent aspiration and mucus plugging. Over last
several days has had increased work of breathing requiring more
frequent suctioning. Early this morning he was found to have
infrequent breaths with significant WOB which did improve after
aggressive suctioning but still required intubation.
Respiratory failure, acute (not ARDS/Gould)/
Assessment:
S/p respiratory arrest 2-14 mucous plugging, intubated on floor prior to
transfer to MICU; on PS 40/5/12
Action:
Suctioned for small to moderate amt thick white secretions,, becomes
dysynchronous with stimulation, bolus sedation with Fentanyl
Response:
Sats 99-100, RR 20
s, secretions unchanged
Plan:
Wean vent settings as tolerated, likely will not extubate today
Hypotension (not Shock)
Assessment:
On arrival to MICU, SBP 160s-140s on Propofol, then dropped to 70
s, on
Levophed and dopa via midline for several hrs; has remained off for >12
hrs
Action:
Continuing to monitor BP, dopa remains off
Response:
Unchanged, SBP 130-90
s with MAP 60-70
Plan:
Continue to monitor
Ineffective Coping
Assessment:
Family mtg 12-30 to discuss goals of care; POC to wean pt from vent,
will offer trach to allow family to take pt home, and minimize invasive
treatments; of note, family member found loosening ETT tape on
patient
s face; pt with poor prognosis
Action:
Provided support for family, redirected family members when found
manipulating medical equipment
Response:
Family appropriate
Plan:
Continue to provide support, update family on pt condition, POC
Altered mental status (not Delirium)
Assessment:
Pt s/p stroke now with ? neurosyphilis; pt does not follow commands, no
movement left arm, able to lift and hold right arm, does not open eyes,
withdraws to painful stimuli, coughing on ETT when stimulated,
otherwise appears comfortable; right cataract present, left pupil
unable to assess
Action:
Continue on 14 day course ceftriaxone, continue to monitor mental
status
Response:
Unchanged
Plan:
Continue abx, follow MS Patrick
Martinnal failure, End stage (End stage renal disease, ESRD)
Assessment:
ESRD on HD,
Action:
Response:
Plan:
|
Hi Doctor, Which anthelmintic medicine would you recommend for a treatment for a possible parasitic infection (worm)? Is it Albendazole? If yes, for how many days? I do have some itchiness around my anus area and cannot get a doctor appointment here.
Which medicines are used to treat parasitic infection? |
Have a hard mass in knuckle part of hand. Very painful and throbs, bringing tears to my eyes at times. Had xray and MRI. Shows bone erosion. Could missing bone be bone cancer? I am 41 with no family history of bone cancer. Dr. Has not seen this before and doesn't know what it is.
ld bone erosion in X-ray/MRI indicate bone cancer? |
I have had major spinal surgery called octonomy not sure I've spelt it correctly I have extensive nerve damage causing pain plus 3screws from metal work sticking out at my back near my rib cage my surgery is very new it was done because I have scoliosis my spine was shaved to gve me a s shape as from previous surgey my spine was flat and I was stopping badly have just come off tramadol as has a severe reaction was taking it from April when I had my surgery can you recommend natural pain relief am doing meditation and having acupuncture
major spinal surgery called autonomy, extensive nerve damage, scoliosis in spine. Suggest natural pain relief? |
My daughter s baby tooth was struck when she was 2 and it darkened ever so slightly. Her pediatric dentist said not to worry about it, and it might fall out prematurely. Our pediatric dentist is no longer practicing, and our new dentist wanted to extract the tooth. She has since developed a small painless lump above the tooth - not complaining of any soreness or other signs of infection, like a fever. What do you suggest - could we try antibiotics in case there is infection, or does the tooth have to come out?
y tooth struck and darkened. Premature fall? Try antibiotics? |
Which laboratory tests are essential for the initial workup of suspected giant cell arteritis? |
Doctor, I've been experiencing nailbiting, hip pain, knee lump or mass, and back pain. What could be the problem? |
My 4yr old has been throwing up only in the morning for the past 3 mornings. Thurs was 5am, Fri was 4am, and this morning was 2am. He seems fine all day long, eats and plays. He had runny poop today but other than that, there are no other symptoms.
my 4 years old is vomiting in the morning? |
Hi, may I answer your health queries right now ? Yes, my daughter injured her finger and it was swollen around the finger nail. It went down some but now it has swollen again and a little farther back. Is there anything I can do at home?
to treat swelling in injured finger ? |
I have adenoid cystic carcinoma with numerous large lung mets. The original site (bartholin gland) has not had any recurrent disease. I have had a chronic cough for a long time. Recently, coughing jags are followed by an unexpected small vomit. The first vomit seems to be almost burped up, then the gagging/coughing continues. I am end stage and am short of breath when I go up stairs or walk any distance. Is the vomiting a result of progressive disease or more likely have another cause. I am not undergoing any treatment at this point. Thank you, in advance, for your response.
s frequent vomiting mean progression of adenoid cystic carcinoma? |
college son having panic attacks when testing, otherwise a happy respectful responsible kid. Is a casual marijuna user. Concerned about him taking anti-depressant Ativan and side & long term effects. Praying he isnt looking for the next high after pot. As i understand it an Rx for Adivan is in same category as Xanax, which I understand to be addicting? Thank you. |
Can you provide insights regarding the analgesic efficacy and adverse effects of pregabalin for chronic neuropathic pain in adults? |
How do steroids interact with other immunosuppressive therapies in the management of autoimmune diseases? |
Hello. I have some sort of nerve inflammation near my knee. No redness or swelling, but when I kneel or brush over it it has a lot of surface type pain, almost like a stinging burn. Not on the kneecap, lower, more like the upper part of shin on right leg. There is one spot that triggers it |
Hello doctor ! My name is rashmi.. I am 20 years old ..i am a female. I have thinning of hair Jus above my forehead and i am losing hairs frm forehead..I had very beautiful hairs 2 years ago but now i feel its leading to baldness....i cannot afford costly treatments...so please suggest me any solution or medicine that can be show results in a month or so....nd i feel itchy and then in the mornin i find there is hair loss , i get hair while i itch wit the root :-( i am losing my good looks too pleas please help..
gest medication for thinning and losing of hair from forehead |
Which systemic therapies are recommended for patients with moderate to severe eczema? |
My boyfriend had a big pimple on his scrotum. He had been messing with it and eventually popped it an only blood came out. The next day it was back he popped it and puss came out now it is an open sore that has two holes that you can see into. Theres is no blood and you cant see the end of the holes in the sore |
Iam having very bad pain in my right shoulder that has gradually gone down the arm to my hand. I ve been using heat to help and taking acetaminophen, but no releif. I don t know wht to do.b sleeping is out of question cause I wake in the middle of the night in tears. Can you help. |
Last year I suffered with Polymyalgia Rheumatica. This seemed to follow an episode of tempory loss of vision and paralysis in the legs following taking Doxazosin for my blood pressure. My rheumatologist and blood tests show that I don t have the polymyalgia rheumatic any more but although I have upper arm movement back my legs feel weak and give way. Are there any other tests my doctor can give me to check if it is lupus, lyme disease (I was bitten by something that had hooks into me a few years ago) or a specific type of consultant to go to to check other than my rheumatologist. Have also had a few falls due to the weakness too. Bladder function seems more frequent but passing less. |
Hello doctor,I feel as if I may have a neurodegenerative disease. My symptoms are as follows:More forgetful than normal.Battle to find the right words.I get very bad pains and pressure in my brain.When driving, I battle with judging my following distance.Please, could you provide any tests that I could take? If it is a neurodegenerative disease, what is the progression rate, that is, the timeline between each stage? |
i m a 29 yr old unmarried woman.few months back i had heavy periods. after tht my hemoglobin went down......now my periods r normal after taking some ayurvedic medicine.but my haemoglobin in 11...i feel weakness, short breath, loss of apetite,..can i take ranbaxy revital women......will it help in increasing haemoglobin.
t causes a decline in the hemoglobin? |
AFTER HAVING SURGERY TO HAVE SCREWS AND A PLATE PUT IN MY WRIST AFTER FALLING AND BREAKING IT , IS IT NORMAL TO HAVE A LARGE CYST ON THE TOP OF MY HAND AND EXPEIRENCE SLIGHT NUMBNESS ON THE TIPS OF MY FINGERS THREE MTHS LATER , AND FOR THE NUMBNESS TO THE TIP OF FINGERS DOES SHOCK STUDY NEED TO BE DONE? |
Im having extreme lower abdomen right hip pain for the last two weeks.I thought it was a female issue so I went to see my GYN he found a little blood in my urine tol me to see my urologist . I went he found a kidney stone in my left kidney and this is not causing my pain. I have made an appt to see my gastroenterologist . I dont know which way to go now. any advice. |
I am having severe jaw pain along with extreme sensitivity to the upper teeth. Earlier this week the bottom teeth also hurt. Hot or cold shot severe pain thru my mouth. I do know that I have TMJ, and problems with my shoulders and neck. Can any of these be the reason for the pain? Or is there something else that can cause it. My sinuses bother me a lot but I haven't been checked for allergies, just the diagnosis of TMJ.
t causes pain in jaw? |
Which biomarkers are currently being studied for their role in diagnosing psychotic disorders? |
What to expect if I have Acanthosis nigricans (Outlook/Prognosis)? |
What are the long-term management strategies for patients with recurrent venous thromboembolism despite anticoagulation therapy? |
I have a small painful lump in my cheek and bruising in my eye socket - there has been no impact to my face and to begin with I thought I was just getting a spot but I have since not had anything show and the bruising is getting worse.. along with the lump not decreasing in size. I am a 28 yr old healthy female, |
Hi Doctor, Today I visited my clinic in regard to my blood test for Hepetitis. The doctor said the test result is good. But I think he said I have hepetitis b antigen. But the thing is that as much as I remember i havent had a vaccination for hepetitis before. So im worried that how come i have antigens and if i havent been vaccinated??
od test for hepatitis results good. Can hepatitis b antigen be present in body without been vaccinated? |
I have a upper respiratory infection, and sinus infection, extreme coughing, phelm is bright green and hot, this has been going on 3xdys now. suddenly today I felt like I couldn t breath, body started aching severely, dizzy. The only relief I could get was stretching my body out and soaking in hot water, I got extremely cold and chilling. It lasted about 30 mins. still feel achy however not as severe. My calf muscles are jumping constantly. I take Lisinopril, Cymbalta, the only new medication is a antibiotic, decongestant, and water pill. Any ideas, should I go to emergency room? |
What is the correlation between hypertrophic cardiomyopathy and cardiac disease during pregnancy? |
What are the common diagnostic tests used to evaluate hematuria? |
Hi, my friend fell against a door corner and developed a lump in her breast. This was 3 years ago and has been getting bigger recently - it is now the size of a golf ball. She experiences pain, this is relieved by ab's. She will not go to the dr's again, at her initial appointment she was referred to specialist who advised it could be cancer. If ab's help the pain, does this eliminate cancer as a possibility?
t is the treatment for lump in the breast? |
Hey I have this circle rash on my leg kinda looks like ring worm but it's a faded circle with a while bunch of little dots had it about a month now spreading my upper thighs r now covered with huge red dots that look like bites n just noticed more now on my lower back that weren't there earlier went to doctors today they have no idea thought it could have been fungal but it is now spreading within a couple hours it is not itchy at all
e rash on leg which is spreading now. No medication till now. What to do? |
Yes, I had spine surgery 2 months ago and my hands and the bottom of my feet are numb. I am in pain all the time not only the numbness but the pain. I was told that the nerve ending would take up to four to six months to heel and maybe even up to eight months to a year. I am not sleeping at night either - wait up every night around 1:30am and cant get back to sleep most of the time. Your suggesion. |
I had a wisdom tooth removed about a year ago and its been fine but recently I feel like the hole opened up. Its sore and feels like hamburger. I dont know what I did but chewing back there on accident makes it worse. I started swishing with salt water last night. Any advice? |
Hi, I recently took an antibiotic for an intestinal infection and since have had a feeling of extreme hunger and nausea with a constant horrible taste in my mouth. I have had an endoscopy and been tested for h pylori both of which were fine . I am male in my early 30 s |
Sir, i had been suffering from backpain for last 11 years. now it has become intollerable specially in the neck region and lower back. The pain is radiatin to my both legs. Doctor at apollo hosp delhi suggested 2 tablets of myopaz daily. Some other doctor suggested omnicortil + goldcal + painkiller. What is the best treatement. Can it be controlled by exercise and need not go for surgery. Please help. |
I have had severe neck pain but also affecting my collarbone and neck where it joins the collarbone. an xray shows loss of normal lordosis and spondylotic chnages at c5/6 and c6/7 - doc says i have what is called anxlyosing spondolitis however i know my own body and i am sure that the collar bone issue is totally unrelated and may be something to do with lymph nodes
to treat anxlyosing spondolitis? |
could tetanus be a cause of death? |
Had a broken tooth and a filling that had come out. I went to the Dentist on Tuesday and he was able to save my tooth without doing a crown and just filled it with a permanent filling and filed the broken part down a bit. I was having pain in that tooth prior to going in to get it fixed. Now I am all achy (arms and legs) and exhausted. Could it be from my broken tooth? |
What percentage of colorectal cancers arise in patients who have a positive family history of the disease? |
Hello, A few months ago, my belly button became itchy and flaky. When I scratched it, it became red. Also, I don t really clean it as often as I should so there is a lot of black build up in my belly button. However, there is no discharge; just itchy (when I aggravate it) and flaky. I ve just read an article saying that a dermatologist had a flaky belly button and it ended up being cancer. I have set up an appointment with my doctor but just wanted to ask someone on here first what it could be. Thank you for all your help! |
Hi, may I answer your health queries right now ? Please type your query here...My 9 yr old had her ears pierced 4 months ago. She has kept the same starter earrings in the whole time and keeps them clean with the cleaning solution she was given. However she now has a large blood blister behind both ears. We have taken the earrings out and cleaned them again but if we leave the earrings out for too long her holes will close. My daughter really wants to keep her ears pierced. Do you have any suggestions for us? I m I causing more harm by leaving the earrings in her ears?
gest remedy for the blood blister due to ear piercing |
Hi I have arthritis in my neck I also have terrible fatique dry eyes and mouth no standard of living are these connected what medication would you suggest I also had a lot of stress and over thinking marriage breakdown broken heart would this have made arthritis worse |
Hello doctor,I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily.Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130.My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike? |
What is the first immunoglobulin that is produced in response to an infection? |
Answer the following question from the document below.
##Question:
What was the patient's blood pressure response after receiving Captopril and Lopressor?
## Document:
75 F w/ CAD, PVD, TIA in 6-/2125 (significant R sided ICA stenosis),
s/p 3V CABG 2124 p/w CP & progressive DOE as a transfer from Mowrystown city hospital Hosp for cardiac cath on 2127-12-4. Cath showed critical AS w/
aortic valve area 0.68cm, marked systemic HTN w/ SBP 310 & elevated PA
pressures w/ PCWP 29. Cardiac enzymes Neg. BPs intially tx
d w/
Nipride gtt-- DCd 12-5 -- converted to PO antihypertensives. Diuresed w/
lasix in cath lab. R fem venous and art sheaths DCd 12-6. OF NOTE: L
subclavian steel- significant difference in arm BPs, L<R. Non-compliant
w/ cardiac meds 12-30 financial restrictions
s/w consulted and following
Hypertension, malignant (hypertensive crisis, hypertensive emergency)
Assessment:
SBPs ~200
Action:
Captopril 100mg TID and Lopressor 75mg TID given as ordered
Response:
SBP 180-190s. HR 55-70s Sr/1^st degree AV delay/BBB. No
dizziness/lightheadedness
Plan:
Continue BP manangement, goal SBP ~150-160s.
Aortic stenosis & CHF (Acute diastolic)
Assessment:
Critical AS per cardiac cath- Eric Shah Mann consulted 12-5. Echo 12-5 showed EF
>55%. LS clear. No SOB
Action:
. Pre-op AVR w/u in progress
Response:
Stable overnight
Plan:
Needs Panorex and carotids check
CHF management--2L Fluid restruction, low Na+ diet, daily
wts, strict I&Os
Impaired Skin Integrity
Assessment:
small area of crack skin note @ gluteal fold/coccyx. Mepilex placed 12-5
Action:
Pt turning self independently in bed
Response:
Improving
Plan:
Monitor area closely- prevent further breakdown
NEURO: A&Ox3. Anxious r/t being in ICU. Expressed frustrations re: freq
BP checks and not being able to go to the bathroom in room or shower.
Stated,
I am not taking anymore pills, I
ve taken 25 pills today
Slept well overnight, startles when woken up by RN for nsg
interventions.
Just leave me alone
. Emotional support provided
Get
OOB, ^ activity as tolerated. ? DC foley
|
Hello doctor, I have attached the PFA and the blood test report of my wife who is 29 years of age. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? She has got the blood test profile checked just as a general checkup and not specific to any illness. We get it checked once every two years.
Please advise on the exceeded values of the blood report. |
Hello My husband has had severe psoriasis since age 17; and now is 77.He sometimes can keep it under control;but at the present time is going through detox (through Doctor) for stomach problems. He is not halfway though the detox and has had a severe flareup of the psoriasis. Tries to get admitted to a hospital; but that seems impossible anymore as in our area they say they treat as outpatient. Any suggestion on how to getadmitted for observation and tests? Thank you. |
I am suffering from a severe depression. For a week I could barely drag myself out of bed and when I did I found myself staring at the walls for hours. I would try go sitting outside and that did not help at all. My husband tried to take me on a car ride and I thought I was going to get sick to my stomach I was so anxious and depressed. My anxiety seems as worse as my depression. Three months ago I suffered an eye stroke at the age of 48 and it has been a nightmare since then. I saw my family dr. last week and she upped the dose on my Lexapro from 20 mg to 30 mg and put me on Klonipin. It seems to be helping, but this is the second major depressive disorder I have had in 6 years and I am scared it will come back. What are some things I can do to make sure I stay away from it??
to get rid of depression? |
So I am 18 years of age and I have struggle with social anxiety, lack of self esteem, poor memory, I am easily frustrated and lack any sort of attention span these problems have been around since I was a child. I was at a friends house one night and my friend thought it would be funny to give me his adderall 30mg instead of the headache medicine I had asked for being as I had never seen an adderal before I took it and waited. And I m not gonna lie it worked wonders it didn t twist me up it cooled me off and I felt better about myself like I don t even know how to describe it i guess I felt normal for once is it possible I have ADHD? And I ve never been check for this before because my parents don t believe in mental disorders like ADHD |
Which systemic diseases are frequently associated with dry eye syndromes? |
I am female 23 years old. For the past month I have been having stomach pain, nausea, headaches, frequant urination, "sweet" smelling discharge, dry and itchy rashes all over my body, im always tired i never have any more energy like I used to, ive been getting bruises on my legs and arms with no apparant reason, and im breaking out! Please help!! |
hi,i have a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body. |
What is the recommended treatment for a mother who had a prior baby with invasive GBS (Group B Streptococcus) infection, in every subsequent pregnancy? |
When to seek urgent medical care when I have Papillary thyroid cancer ? |
Lately, for short periods of time, usually 2 or minutes, my lips, gums, face and even my fingers on my right side only, get very tingly and kind of numb. I have had 7 back surgeries... but all in the lumbar area. I am getting a bit concerned. Thanks for your help, Todd |
Hi doctor, I have found that I am very protective over my clothing, food, and friends. I grew up in a household where the food we bought was either on sale or a big deal, despite having money now, when someone eats food I was looking forward to the fact that I get inexplicably angry. My step sister steals my clothing and it makes me have nightmares about hurting her. Something else concerning is when my best friend ignores me for other people it hurts me a lot as I place so much value in everything. I have seen a psychiatrist regularly but this is a question I have never had answered. Is there a way to trace this behavior to my upbringing or prevent it from affecting my life? I am currently prescribed Zoloft and Adderall.
Why am I very protective over clothing, food and friends? |
Our 6 month old (corrected age 4.5months) suddenly won t let us put him down to sleep as he cries and cries and then vomits. He has lots of mucus in his nose and had a dry cough for the past few days. He is usually a very smiley baby so this angry crying is very strange. Is it an ear infection with a cold? His temperature is 38.5. We have given nurofen for babies 2.5ml but I think he vomited it up 40 minutes later when he was crying.
t causes colic in a child along with vomiting? |
What is the diagnostic significance of echocardiography and ultrasound in determining myelofibrosis? |
right varicocele pain for more than 3 years, can surgery be delay? hi im 22 years old, im suffering for right varicocele for more than 3 years, it has mid pain but it is tolerable :) . My doctor advised me that surgery is NOT necessary. he advised me that i can have surgery after marriage, when fertility is issue, my question is that can i have surgery after 5 more years? im am suffering varicocele more than 3 years now. is my doctor advise right? thanks! : |
For the last several months, I have been having lower dack pain . I went to the doctor and he sceduled me to have an MRI . He told me my L4 and L5 disc were abnormal. He sent me to a neuro specialist, which when he read the MRI, He started I had a dark spot on my spine near the affected disc.. I now have to take a bone scan and I an extemely anxious about what this could be. What do you think? |
What are the common clinical signs and symptoms that suggest a diagnosis of pulmonary embolism? |
After having appendicitis and having them removed successfully I have been having really aggressive night sweats around my neck, chest and back of my head. Although I am 61 yrs old I am reasonably fit. I dont have a temperature through the day and my wound is healing without any infection. Is there any axplanation. Thank You, Gordon |
What are the common side effects associated with the use of amoxicillin-potassium clavulanate? |
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