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Answer this question truthfully
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What are phasic contractions of GI smooth muscle and how do they occur?
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Phasic contractions of GI smooth muscle refer to the periodic contractions and subsequent relaxation of the muscles that line the gastrointestinal tract. These contractions help to move food and other materials through the digestive system, and are an important part of the process of digestion. Unlike tonic contractions, which are sustained contractions that help to maintain tone in the muscles, phasic contractions occur in a rhythmic pattern that is controlled by a complex interplay of neural, hormonal, and local factors. While they are generally considered to be a normal and healthy part of digestive function, there are certain conditions that can cause phasic contractions to become irregular or excessive, which can lead to symptoms such as abdominal pain, bloating, and diarrhea.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I had been diagnosed with bronchitis back a few months ago during the winter but I still have a chronic chough, usually at night but occurs at other times as well like when laughing, and I have a metallic taste in my mouth when Im coughing. What could this be?
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Thanks for your question on Chat Doctor. I can understand your situation and problem. Cough at nighttime and with emotions like laughing is mostly seen in asthmatic bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If this is suggestive of obstructive airway defect than you need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti-allergic Chat Doctor. So consult pulmonologist, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have five herniated disks in my neck from on the job injury and have developed vertigo when performing job functions that require frequent up and down movement of the neck. I work for TSA and am under workers comp treatment but not for the vertigo as it has not been determined by a professional that it is related to the herniated disks in my neck but i as the injured person know it is. I need to find a Doctor that can help me as I am out on disability leave without pay and need to know if it is permanent or temporary condition so I may return to work or not
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Hi, It is a common misconception that herniated discs cause vertigo and reality, herniated discs in neck cause neck and arm pain. So, we still need to find the cause of vertigo. With proper evaluation by a vertigo specialist, the underlying cause of vertigo can be found. After that, correct treatment can make you symptom-free. You may not need a disability certificate after that. Hope I have answered your question. Let me know if I can assist you further.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Sir,my father is 68 years old & have CKD, both the kidneys have failed ,have sugar level high & on dialysis. Last few days he become rest less, not even sleep for a moment, severe body pain,movement of limbs is stopped or even very pain full,his Hb at present is 5.6 & we have tranfuse at least 12 unit blood in last 3 months ,pl. advise what ido .
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Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your father has end stage kidney failure, which can be treated with dialysis or a kidney transplant. Anemia is usual in CKD and low blood level, is treated with a packed cell transfusion, erythropoietin injection, and oral iron tablets. His He, creatinine,FBS,A1C,LFT, platelets,and Na, K,is done with 3 days gap. His He, sugar,creatinine and electrolytes must be under strict control. If you've any doubts, send all the reports to me, as a direct question. Chat Doctor. Manga.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I am a 46 y.o. female that has been experiencing (since yesterday morning) pains in my stomach(above the belly button right below the rib cage). It feels like someone is squeezing my inside with gradual intensity, reaches a peak then releases (kinda like a contract). I had a hysterectomy 7 years ago, so pregancy is not a possibility.
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Hi. Thanks for your query. You have got the pains above the belly button. The most probable reason in your case looks to be Cholecystitis, meaning inflammation of the gall bladder. Your symptoms fit well into this diagnosis. This can be confirmed by a simple ultrasonography. It will also rule out other possibilities like liver abscess, pancreatitis and other conditions related to the upper abdominal area. If the gall bladder is infected, it can be corrected by laparoscopic removal.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I think I have systemic scleroderma, symptoms are legs feel tight and hard up to below the knee, under the left rib cage feels hard and blocking, digestion is not so good.., queasy stomach, right side feels hard...constipation more than normal, I have systemic raynaulds turn purple head to toe since a toddler. Just found out the pcp has been not documenting my concerns for sometime. Pcp has been writing continue as usual. I need to find a rheumtaogist that will take me with poor documentation from pcp.
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Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Tightness cannot be treated as such, but symptomatic relief you can get by applying a lot of moisturizers locally. Also, a good systemic treatment you should take, that would slow the progression of the disease and skin tighteningThis is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD
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Answer this question truthfully
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In metachromatic leukodystrophy, which substrate tends to accumulate in the lysosomes?
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Cerebroside sulfate is the substrate that tends to accumulate in the lysosomes of patients with metachromatic leukodystrophy.
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What is the available information on Hepatitis E?
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Hepatitis E is a liver disease caused by the hepatitis E virus. The hepatitis E virus is transmitted mainly through contaminated drinking water. Common symptoms include: fever, jaundice, loss of appetite, nausea and vomiting. Diagnosis is based on antibody detection and detection of the viral RNA. It is usually a self-limiting infection and resolves within 4–6 weeks. Occasionally, a fulminant form of hepatitis develops (acute liver failure), which can lead to death. There is no available treatment capable of altering the course of acute hepatitis. Prevention is the most effective approach against the disease. Possible complications include: chronic hepatitis and liver failure.
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What should be done for all patients with cognitive impairment?
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All patients with cognitive impairment must be evaluated for hypothyroidism, as this is a treatable and reversible condition.
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When to seek urgent medical care when I have Tay-Sachs disease ?
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See your doctor immediately if your child displays any of the symptoms listed above
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What type of chronic inflammation is associated with mammary duct ectasia, and what type of cells may be seen on biopsy?
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Mammary duct ectasia is associated with chronic inflammation that involves the accumulation of plasma cells, which may be seen on biopsy. Plasma cells are a type of white blood cell that produce antibodies to help fight infections, and their presence in breast tissue can be a sign of ongoing inflammation. While the exact cause of mammary duct ectasia is not fully understood, it is believed to be related to changes in the breast tissue that occur with age and hormonal fluctuations. In most cases, mammary duct ectasia is a benign condition that does not require treatment, although symptoms such as nipple discharge or breast tenderness may be managed with medication or other interventions.
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Which HLA subtypes are linked to systemic lupus erythematosus (SLE)?
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DR2 is the HLA subtype associated with SLE.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have a question I believe i have social phobia i have been have trouble with presenting and people in the crowd judging me and i hate using public factilities because i feel people are outside the bathroom door making fun of me, today I was talking to my grandma and she said she had it so what should i do?
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Hi, From what you have mentioned, you seem to have symptoms of social phobia. It is a condition where you are not comfortable in social situations, avoid meeting new people, feel that people are constantly noticing you and fear embarrassment in public. You should seek a psychiatric consultation for initiating treatment. Medications like paroxetine will help. In addition, treatment with psychotherapy in form of cognitive behavior therapy can be opted for. It will consist of sessions which will focus on relaxation and learning ways to cope up and overcome your fear of public. Hope that you find this information helpful. Best wishes.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hello I am 23 years old and have been on Nuvaring for 6 months now- My current period was 4-5 days late and now that it has came I am experiencing extremely bad abdominal pain from below my sternum to my pelvis. I am also very nauseous and have thrown up a few times, and have had diarrhea. 1 or 2 times there has been what looks to be a small amount of blood in my stool. I would appreciate any help as I am hurting quite badly..
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Greetings from Chat Doctor. Thanks for posting your query. Your symptoms look like Intestinal Infection. It can happen due to bacterial or viral infection. But after going through your query I feel it is more of a bacterial infection than Viral. Still I would recommend a Stool Microscopy test which will help us to know what kind of infection you are having. Also, kindly get an Ultrasound abdomen pelvis scan done. Besides till you get your reports, contact a doctor and get an Antibiotic prescription and Anti-spasmodic
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Answer this question truthfully
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What is emphysema, and how does it affect a patient's breathing and chest shape?
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Emphysema is a chronic lung disease that is often caused by smoking or exposure to air pollution. It is characterized by damage to the alveoli, the tiny air sacs in the lungs that are responsible for exchanging oxygen and carbon dioxide. This damage leads to a loss of elasticity in the lungs, making it difficult for the patient to exhale fully and causing them to retain air in their lungs. As a result, the patient breathes at a higher lung volume and will develop a barrel-shaped chest, with an increased anterior-posterior diameter. This can cause a variety of symptoms, including shortness of breath, coughing, and wheezing. Treatment for emphysema may include medications to manage symptoms, pulmonary rehabilitation to improve lung function, and in some cases, surgery to remove damaged lung tissue.
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What are the characteristics of Mucoepidermoid carcinoma, a malignant tumor that affects the salivary gland? Which types of cells are present in this tumor?
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Mucoepidermoid carcinoma is a malignant tumor that affects the salivary gland. It is characterized by the presence of mucinous and squamous cells.
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Which lymph node cluster receives drainage from the cheeks, gums, anterior tongue, anterior nasal cavity, and soft tissue of the midface?
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The submandibular lymph nodes are the lymph nodes that receive drainage from these areas.
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If you are a doctor, please answer the medical questions based on the patient's description.
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when my partner goes to bed he is fine then about 5 in the morning he has pain in his chest, thought he may have cracked a rib but he is fine during the day, been happening for about 2 weeks now. He is 40 years old, about 5 foot 11, weighs about 17 stone. He is on tablets for heartburn.
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Hello and welcome in ChatDoctorI hag gone through your concern and in my opinion he should exclude some other problems despite the heartburn as follows
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What is the relationship between the rate of reaction and substrate (drug) concentration in first order kinetics?
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In first order kinetics, the rate of reaction is directly proportional to the substrate (drug) concentration.
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If you are a doctor, please answer the medical questions based on the patient's description.
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My son (20 year old) was diagnosed with concussion at A & E last night after a long ladder fell off a roof onto his head. His speech was still slurred and his reflexes slow, eye expression not good and memory not good, also nose bleed. He has gone to work today as otherwise he will not be paid which I feel is unwise but should he go for a check up at doctors and have a CAT scan?
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Thanks for the query. What you describe, appears to me a serious issue with intracranial hemorrhage (bleeding in brain) either in one of the lobes of brain. If I had been in his place, I would have immediately rushed to A E /ER at least to get an emergency CT scan of brain and facial bones to define the injuries and to decide about further plan. And yes, as you said, it is definitely not a wise decision to go on work with head injury as the brain swelling (if any, unfortunately) may increase in a due course of time n cause serious problems. I would rather recommend getting him back n visit a hospital urgently.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hello. I have a bump in my gums and a red vein? Wierd but on my upper front tooth I have 2 bumps very small. And I also have veins through it. Like. Little red lines. I also have 2 more bumps above another tooth. Its smaller but when I press it, its a bit painful.
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Thanks for your query, I have gone through your query. The bumps on the gums could be multiple periodontal abscesses because of the gum infection. Or it can be multiple excessive bony growths(exocytoses). Consult your oral physician and get yourself examined and get your teeth cleaned and take a course of antibiotics if it is of gum infection. Do saline gargling. I hope my answer will help you. Take care.
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Please answer with one of the option in the bracket
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Q:A 67-year-old man comes to the physician because of a 4-month history of fatigue and weight loss. Physical examination shows jaundice. The liver is palpated 3 cm below the right costal margin. Serum studies show an elevated alpha-fetoprotein and a prolonged prothrombin time. Genetic analysis of a liver biopsy specimen shows a G:C to T:A transversion in codon 249 of the gene coding for the TP53 protein in affected cells. Which of the following risk factors is most specific to the patient's condition??
{'A': 'Alcoholism', 'B': 'Hepatitis C infection', 'C': 'Dietary aflatoxin exposure', 'D': 'Schistosomiasis', 'E': 'Hemochromatosis\n"'},
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C: Dietary aflatoxin exposure
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If you are a doctor, please answer the medical questions based on the patient's description.
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Good Morning Sir I am Gilbert Sumaylo. Can I ask a Question? Its all about my SGPT, I have 101 SGPT and 40 SGOT. I don t drink beverages and liquor or any alcohol, I don t also smoke. But I am really addicted in Soft Drinks like cola, and I also love to eat fatty foods. Can you help me to understand why i got 101-SGPT? Thank you.
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HelloIncreased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hello, my aunt got triplets some days back-2female and a male male child is suffering from
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Reclothe condition is Tetralogy of Ballot. The severity of condition depends on size of pulmonary artery. Pulmonary artery is the artery supplying blood to lung for oxygenation of deoxygenated blood. In pulmonary amnesia the size is very small, so in early life a shunt is made distal to the obstruction for some oxygenation. Increase blood supply also helps in growth of pulmonary artery. Later another operation is done which is known as total correction. Multistage surgery may be needed depending on the size of chambers. Regards
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What is the target of golimumab, and what type of drug is it?
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Golimumab is a monoclonal antibody that specifically targets TNF-α.
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If you are a doctor, please answer the medical questions based on the patient's description.
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hi, two years ago I started having hand tremor, fatigue, difficulty swallowing, muscle tightness of upper extremities. then, a neurologist suggested could be PD? when given Dopamine, my symptoms were less severe. My DatScan just came back negative. Do you think I can have PD without the DatScan confirmation?
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Hi, Parkinsonism has a very large number of causes but no laboratory or imaging study is required in patients with a typical presentation. Such patients are aged 55 years or older and have slowly progressive and asymmetric parkinsonism with resting tremor and bradykinesia or rigidity. Now, it depends on the long-term course of your illness. If these symptoms remain persistent, and the many causes of parkinsonism are ruled out, Parkinson's is the diagnosis. Hope I have answered your query. Let me know if I can assist you further.
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If you are a doctor, please answer the medical questions based on the patient's description.
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my close realtive is having a problem of short term memory loss. for the time being he used to forget everything. frequency of occuring is fast. he is of 62 now suffering from even high blood pressure bt is under control now. can u please help me out in this.
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Hi seems;welcome to Chat Doctor There may be some age related changes in brain like atrophic changes or mental stress that can cause loss of memory. So at age of 62 with hypertension it can happen. Please get the patient to examine by a neurophysician to find the cause of short term memory loss if you require get investigated. Once the cause is known the treatment will be easier to do so please consult a doctor. Thanks
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Answer this question truthfully
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In a child who recently received the VZV vaccine and developed a maculopapular/vesicular rash with few lesions, what is the likely diagnosis?
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The likely diagnosis is replication of the vaccine-strain VZV (varicella-zoster virus). The VZV vaccine is a live attenuated vaccine that contains a weakened form of the virus, which stimulates the immune system to produce antibodies against VZV and protect against chickenpox (varicella) and shingles (herpes zoster). In some cases, the vaccine virus can replicate and cause a mild form of varicella, which is characterized by a maculopapular/vesicular rash with few lesions. This is known as breakthrough varicella or vaccine-associated rash. The rash typically resolves on its own within a few days and does not usually require treatment, but it is important to seek medical attention if the child develops any complications or other symptoms such as fever or itching.
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What are the common treatments for ADHD, and what additional therapy might be used in conjunction with stimulants?
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ADHD is commonly treated with stimulants, and cognitive behavioral therapy (CBT) may be used in conjunction with stimulants.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi Im a male 28, I have a rash on my waist that I have had for a year and a half it has spread to my inner thigh area. It itches constantly I do my best not to scratch it but I still do I saw a Dr about a year ago for it. He said it was a fungus. He gave me some cream for it but I never went away help any tips would be greatfull
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Hello, It seems to be a ringworm infection. I would recommend you to take a course of oral antifungals. I would recommend you to take tablet Terminating twice daily and apply fluconazole cream on the affected areas once daily. Also, take antihistamines like tablet Cetirizine once or twice daily depending on the intensity of itching. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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Please answer with one of the option in the bracket
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Q:A 6-year-old male who recently immigrated to the United States from Asia is admitted to the hospital with dyspnea. Physical exam reveals a gray pseudomembrane in the patient's oropharynx along with lymphadenopathy. The patient develops myocarditis and expires on hospital day 5. Which of the following would have prevented this patient's presentation and decline??
{'A': 'Increased CD4+ T cell count', 'B': 'Secretory IgA against viral proteins', 'C': 'Increased IgM preventing bacterial invasion', 'D': 'Circulating IgG against AB exotoxin', 'E': 'Improved IgE release from mast cells'},
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D: Circulating IgG against AB exotoxin
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If you are a doctor, please answer the medical questions based on the patient's description.
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hi I m 22 male, height 5.10, weight 78kgsI m having a discomfort in my mouth from last two weeks, I dont have much pain but sometimes in the left side of my mouth I have very little pain, there are two small ulcer kinda somethin donno excactly what it is on the upper part of my mouth on both sides.
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Hello and welcome. Thanks for sharing your concern. The ulcers on the upper part of your mouth could be due to erupting wisdom teeth on both the sides. It is best to visit your dentist and get an x-ray done.Meanwhile, you can apply colonel on the affected area twice daily. This will relieve you from irritation and discomfort. Simultaneously do warm saline rinses twice daily. Hope it helps. Thanks. Take care.
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What symptoms are suggestive of esophageal perforation?
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Repeated vomiting, severe chest/back/epigastric pain, fever and left-sided pleural effusion are suggestive of esophageal perforation.
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If you are a doctor, please answer the medical questions based on the patient's description.
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respected sir, my brother in law suffering fom e coli infection on penal part,he is 30 yrs old.His perpuce part shrink due to infection as reported in urine culture.Is this VD, WHAT sort of medication he take to recover .is it necessary to remove his penal skin
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HelloHelloThanks for your query, based on the facts that you have posted it appears that your brother-in-law has infection of the foreskin (Prostatitis). Please get his blood sugar levels done to rule out diabetes. As this is very common presenting symptom of diabetes. He needs to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. If problem persists he may need to get circumcised. Ensure he washes his genitals with warm water twice daily
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What is the name of the protein synthesis inhibitor that can be utilized for treating GAS cellulitis?
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Clindamycin is the protein synthesis inhibitor that can be used to treat GAS cellulitis.
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For what medical condition is the placement of a permanent pacemaker most commonly indicated?
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The most common indication for placement of a permanent pacemaker is symptomatic bradyarrhythmias without a reversible cause. This includes conditions such as atrioventricular (AV) block and sick sinus syndrome, which can cause the heart to beat too slowly or irregularly. A permanent pacemaker is a small device that is implanted under the skin of the chest or abdomen and connected to the heart with wires. It sends electrical impulses to the heart to help regulate its rhythm and prevent symptoms such as dizziness, fatigue, and fainting. In some cases, temporary pacemakers may be used until a permanent pacemaker can be implanted. It is important for individuals with bradyarrhythmias to work closely with their healthcare provider to determine the most appropriate treatment plan.
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If you are a doctor, please answer the medical questions based on the patient's description.
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respected doctor,i am suresh singh 45 ys,wt 65 kg,ht 162 cm from sonebhadra up. in june 2007 i was ill due to joindice, i was consult dr. sarswat (gastroenterologist) sgpgi lucknow tested blood found hbsAg possitive and sgot, sgpt was narmal.after one month tested hbv dna level was found 65000 that time and after 3 month again hbv dna tested found hbv dna level was 16000 & sgot,sgpt was normal in test. today(21.04.2011) my sgot.sgpt is in normal range.doctor sir how can i cure.pl help me. thank you very much sir.
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Hi, dairy have gone through your question. I can understand your concern. If your HBO viral load and got, Sept is normal then no need to worry. You are normal now. Don't worry about your bag positive. Bag will remain positive for long time. Past infection or immunization also leads to bag test positive so don't worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
| 1,016
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hello,I am a 21 yr old male. I have a semi soft lump about an inch or so in size. It is located on my lower back right above the point of my hip. My father has had a lipoma remvoed that was on his waist line. My lower back has also been subject to trauma from being a college wrestler. Any idea about what it is?
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Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows
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What are the causes of Aphthous ulcer ?
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Aphthous ulcers may be linked to problems with the body's immune (defense) system. The sores may occur after a mouth injury due to dental work, aggressive tooth cleaning, or biting the tongue or cheek. They can also be triggered by emotional stress, dietary deficiencies (especially iron, folic acid, or vitamin B-12), menstrual periods, hormonal changes, food allergies, and similar situations. They occur most commonly with viral infections. In some cases, the cause can not be identified.
| 530
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If you are a doctor, please answer the medical questions based on the patient's description.
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i was talking with a co-worker and a droplet of spit got on my neck tie. without thinking in wiped my nose with my tie i am scared that the spit might have had some blood mixed in with it and that it touched my nostils. should i be concerened? thank you
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Thanks for posting you query to Chat Doctor. Chat Doctor. But if you get the virus it doesn't mean that you are having disease as most of the time our body immune system destroy the virus, and we do not get disease.disease develop only when virus escape immune mechanism, replicate inside body. So if you are not having any compliant don't worry but be cautious if you develop any symptom of illness contact to local physician. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards,
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If you are a doctor, please answer the medical questions based on the patient's description.
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I am 42 years old. Last five years me and my wife has been trying for baby. We did all tests and my wifes tests came out normal. My semen analysis showed low motility. My wife did get pregnant in March of this year after taking ayurvedic medicines, but had a miscarriage when only one and half month pregnant. Doctor said the babys growth did not happen as required.
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Hello, Genetic causes like the chromosomal problem are a common cause for repeated abortion. Hypothyroidism, diabetes, lupus are some other causes. Low sperm motility can be from excess stress, excess heat exposure, vitamin and mineral deficiency, smoking, alcohol etcetera. Hey Forte like a tablet for increasing sperm motility can be prescribed. Consult a gynecologist for examination and discuss your case. Hope I have answered your query. Let me know if I can assist you further.
| 849
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If you are a doctor, please answer the medical questions based on the patient's description.
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my husband has bile duct cancer that has spread to bone, liver and stomach. He is no longer being treated with chemo due to its spread. Within the last month he has been having a great deal of difficulty eating as he gags on the food as he tries to swallow it and is having alot of pain in his stomach. Can you tell me what may be causing this.
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Hi, your husband has bile duct cancer, that has spread to the bone, liver and stomach. You, too, know the prognosis but I can suggest you some medicines for maintenance. I to my patients with such symptoms prescribe a combination of omeprazole and risperidone combination, twice daily, as it is an extreme case. Anaesthetic antacid gel twice daily and whenever required. Give him any food he wants in a semi-solid state. Thank you.
| 777
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If you are a doctor, please answer the medical questions based on the patient's description.
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i stand all day at work and 2 days ago i had pain on top of my foot it ways very sore when i reach home i looked at my foot and saw that a vein had lumped on the top of my foot. can you tell me what i can do to take the pain or make the lump in my vein go away.
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Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to varicose vein. I suggest to use compression stockings. I also suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. I recommend resting and avoid activities that can trigger the symptoms. If the symptoms continue you should do an ultrasound of the leg for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.
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What is the helminth that can cause cobalamin deficiency?
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Diphyllobothrium latum is the helminth that can result in cobalamin deficiency. This parasitic tapeworm is responsible for diphyllobothriasis, a disease that is acquired by eating raw or undercooked fish, particularly freshwater fish. Once ingested, the tapeworm can attach to the intestinal wall and absorb vitamin B12 (cobalamin), leading to a deficiency of this important nutrient. Symptoms of cobalamin deficiency can include fatigue, weakness, numbness and tingling in the hands and feet, and cognitive impairment. Treatment typically involves the use of antiparasitic medications, such as praziquantel, along with vitamin B12 supplementation to correct the deficiency.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I am a chemo patient currently on topotecan. Last night I took a dose of miralax and I have not felt we ll all day. Slight chest discomfort and some anxiety. Also a low grade fever this evening which I gave most evenings anyway. Also have significant gas. Had a diverticulitis attack about a month, no current abdominal pain. Could I be allergic to miralax?
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Hello dear, thanks for your question on Chat Doctor. In my opinion you are having mostly HERD (gastroesophageal reflux disease). You are on chemotherapy and these Chat Doctor. Anxiety is the added factor for worsening of HERD. And your symptoms like chest discomfort, nausea, gaseous feeling etc. are suggestive of HERD more. So better to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright.
| 1,015
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have numbness in my 2 fingers tips, the fingers next to the thumb, it came on overnight - 4 weeks ago neither hot or cold treaments seem to help I did smoke until this came on and I have had the occassional pain in my elbow and slight weakmess of the lower arm I am very very anxious about this
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Hello, thank you for trusting Chat Doctor. Numbness in fingers near to the thumb plus the thumb could stem for pressure over the median nerve in what is called carpal tunnel syn Chat Doctor. Nerve conduction studies will be diagnostic in such case, it's not a life-threatening condition so you don't have to be very anxious about it. Nevertheless proper physical examination is the way to make sure everything is going well. Hope that helped.
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What is Ramsay Hunt syndrome and what conditions does it involve?
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Ramsay Hunt syndrome is a medical condition that involves a combination of herpes zoster (shingles) and facial nerve palsy. It is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. The condition is characterized by a painful rash on the face, ear, mouth, or neck, which is accompanied by facial weakness or paralysis. Other symptoms may include hearing loss, dizziness, and ringing in the ears. Ramsay Hunt syndrome is a rare but serious condition that requires prompt medical attention. Treatment may involve antiviral medications, steroids, and pain relievers, and may be most effective if started early.
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Which pneumoconiosis is associated with an increased risk for tuberculosis (TB)?
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Silicosis is the pneumoconiosis that is associated with an increased risk for tuberculosis (TB).
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hai i am 15 year girl.. i have slight fever and i have whole body ache and from this morning i have pain in my throat and i could see some acne like in my throat inside .... pls pls doctor i am suffering a lot i am writing my exams now and i am suffering
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Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having upper respiratory infection, which has led to sore throat, body pain and fever. The symptoms are due to release of mediators of inflammation which is causing all these symptoms. For your symptoms I would suggest you to follow1. Chat Doctor. Gargling with chlorhexidene mouth wash3. Oral Autoclave, 625 mg, twice daily for at least 5 days.4. Oral NSAIDs to relieve pain and fever.This medication will reduce the symptoms and improve the condition. Thank you.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have a slow growing lump on my inner wrist. It seems to be fluid filled, is not painful, and when I shine a bright led light through it, the resultant color is a yellow hue; it is not opaque. It seem to be unrelated to any acne, as there seem to be no loci of a potential skin opening. It has grown significantly over the last year, though doesnt seem to interfere with the use of the hand. What should I do about it?
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Hi, dairy have gone through your question. I can understand your concern. You have lump in inner side of wrist, and it is fluid filled. No opening on skin. You're all description favor either ganglion cyst or some other benign cyst. You should go for ultrasound study once to know exact site and location. Complete excision is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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If you are a doctor, please answer the medical questions based on the patient's description.
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im two and half months pregnant and have a serious head cold. Ive had it for over a month now and doesnt seem to be getting better. My nose is either constantly or running. I was just wondering if there was anything i could take to help relieve some of the pain and discomfort.
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Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with sinusitis following viral infection.* Suggestions for better recovery-Inhalation of vapors of boiled water added tincture Benson or Karol plus capsules 3 times a day 5 min. Each with blanket covered over the head gives excellent results.- Oral intake of basil leaves, turmeric powder in boiled milk are the best herbal remedies.- Deep breathing exercises , YOGA, walking in fresh air support a lot. Hope this will help you. Wishing you fine recovery. Regards.
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Q:A 46-year-old woman complains of chronic cough for the past 3 weeks. She was recently diagnosed with hypertension and placed on an angiotensin receptor blocker therapy (ARBs). Chest X-ray shows large nodular densities bilaterally. Bronchial biopsy showed granulomatous inflammation of the pulmonary artery. Lab investigations showed a positive cANCA with a serum creatinine of 3.6 mg/dL. Urine analysis shows RBC casts and hematuria. Which is the most likely cause of this presentation??
{'A': 'Microscopic polyangitis', 'B': 'Churg-Strauss syndrome', 'C': 'Polyarteritis nodosa', 'D': 'Hypertensive medication', 'E': 'Granulomatosis with polyangiitis'},
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E: Granulomatosis with polyangiitis
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If you are a doctor, please answer the medical questions based on the patient's description.
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My daughter has taken Topamax for seizures. She quit taken the meds several months ago and her seizures are coming back more frequently then before. She said her insurance will not cover them anymore. What should I do ? She just had another seizure today.
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Welcome to Chat Doctor! From my clinical experience I can tell you that your daughter should start the medicine as soon as possible. As you mentioned that her seizures are back with more intensity, and the nature is different now, so, you should preferably see a neurologist and take consultation before starting Chat Doctor. She should also get an MRI brain to rule out any organicism, get her liver function test and blood counts (prior to starting
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What are the common symptoms associated with obstructive jaundice?
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Obstructive jaundice is commonly associated with steatorrhea and malabsorption of fat-soluble vitamins.
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have been breaking out now and then.. O don t know what should I use.. I have been using Ahaglow s as a face wash and alovera gel on my skin for a month now.. Still breaking out.. Ahaglow s makes my skin dry after the wash but normally my skin is very oily..Any recommendations ?please help me out here.. I am 22 and married..
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Hi, You seem to suffer from relapsing acne. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. I would suggest...- cap minocycline 50 mg daily-tab isotretinoin 5 mg daily-apply clindamycin gel on the lesions at night-cleanse the face with detail lotion - avoid oily food-keep the mind cool-take enough sleep-avoid sun exposure and traveling I hope this would help you. Thanks. Chat Doctor.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi, my left arm hurts from my shoulder to elbow and maybe a little below the elbow it has been hurting for a little while now. I have had ct scans and x-rays and nothing I even had it on my heart and nothing as well they say my heart is very healthy nothing is wrong with it as well. I do notice my left arm gets really cold sometimes also. What do i need to do.
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Hi, The causes of pain from shoulder to arm are mainly of three types
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi,My mother-in-law is suffering from scaloderma for last 10 years. Recently her hemoglobin level dropped to 4 gm/dl approx and even after 2-3 weeks medicine including 5 injections of iron. She still has low hemoglobin (approx 8 gm/dl). Can you please let me know if there is any relation between Scaloderma and low hemoglobin level?
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Hi, dear. I have gone through your question. I can understand your concern. Scleroderma is the autoimmune disease. It is multi system disease also affect your he level also. Immunosuppressive Chat Doctor. Also, you need iron therapy. So consult your physician and take treatment of both together. Once your scleroderma is improved your he also increase. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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What type of ventilation-perfusion (V/Q) mismatch is caused by airway obstruction?
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Airway obstruction causes a shunt V/Q mismatch, which is characterized by perfusion but no ventilation.
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If you are a doctor, please answer the medical questions based on the patient's description.
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hi,i have a problem with my back,i have a pain only when doing something(i row for a sport so this is a big problem) it start from under my left lung an finishes bottom of my bum with stiffness down to ankle,what can i do to relieve my pain for rowing??
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Common causes of low back pain are-Poor postural habitsMuscular strainLigaments sprainHerniated discoidal stenosisOsteoporosisFibromyalgia I think it is musculoskeletal in your case. I advise muscle relaxants like cyclobenzaprine, NSAIDs like diclofenac or tramadol and neurotrophic Chat Doctor. I send them for muscle strengthening exercises and Physiotherapy. Furthermore, I will advise you to meet an orthopedics or pain physician to confirm the diagnosis
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Q:A 25-year-old female comes to her obstetrician’s office for a prenatal visit. She has a transvaginal ultrasound that correlates with her last menstrual period and dates her pregnancy at 4 weeks. She has no complaints except some nausea during the morning that is improving. She comments that she has had some strange food cravings, but has no issues with eating a balanced diet. Her BMI is 23 kg/m^2 and she has gained 1 pound since the start of her pregnancy. She is curious about her pregnancy and asks the physician what her child is now able to do. Which of the following developments is expected of the fetus during this embryological phase??
{'A': 'Creation of the notochord', 'B': 'Closure of the neural tube', 'C': 'Movement of limbs', 'D': 'Cardiac activity visible on ultrasound', 'E': 'Formation of male genitalia'},
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B: Closure of the neural tube
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If you are a doctor, please answer the medical questions based on the patient's description.
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hi, i am female 22,my appendix was removed in feb 2011.in 2012 some infectiom was found there bt that was cured by treatment. but from 10-12 days there is severe pain in my right abdomen and all my reports of sonography,ct scan ,blood,urine tests are normal,pain is vry intense lyk appendix and now m not able to sit even 5 min. plz suggest me wat shud i do.
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Hi. Thanks for your query. Noted the history of appendectomy, but yet having the pains like appendicitis, in spite of normal ultrasonography, CT scan of the abdomen, blood and urine tests. The cause of severe pain in the right abdomen can be ureteric colic without stone or there is a possibility of stump appendicitis. The best may be to undergo diagnostic laparoscopy and get the procedure as per findings ...
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If you are a doctor, please answer the medical questions based on the patient's description.
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sir i am suffering from some unknown disease (it may or may not be) which can be described as the skin problem in my forearms some itching occurs on the several places which have the rashes like the one which occurs during ringworm..but there is no significant ring formation rather it appears here and there on the forearms..please suggest me any prescription sir.
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Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you skin disease can only be diagnosed by visual inspection. Only itching can be helped by cetirizine tablet. You can take renovate cream as and when required, do not use it too frequently. Try to find out if you have allergy with something or not. Keeping allergy away will help you. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.
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Q:An 2-year-old girl with a history of SS-hemoglobin is brought to her pediatrician by her mother, who noted an abdominal mass. On exam, the girl's spleen is palpably enlarged, and her palms and conjunctiva are noted to be extremely pale. Serum haptoglobin levels are normal. Which of the following is the most likely cause of this patient's symptoms??
{'A': 'Decreased red blood cell production', 'B': 'Extravascular hemolysis', 'C': 'Intravascular hemolysis', 'D': 'Complement-mediated hemolysis', 'E': 'Hemolytic uremic syndrome'},
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B: Extravascular hemolysis
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What indications are provided by the NEXUS criteria?
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The NEXUS criteria provide indications for cervical spine imaging, neurologic deficit, spinal tenderness, altered mental status, intoxication, and distracting injury.
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If you are a doctor, please answer the medical questions based on the patient's description.
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my name is Tahir and i m working in saudi arabia my typiod fever history is very old first typiod fever in 2008 and every singal year typiod fever come now my wedal test result date 28/06/2014 is salmonella typhi ( TO) ---Tittre 1/640 salmonella typhi (TH) ----Tittre 1/80 salmonella paratyphi (A) ---no agglutination salmonella Paratyphi ( B) ----Tittre 1/160 so plz give me answer doctor give me tablets ciproxen 500 mg for two weeks but these tablets i take for last five or six years when typiod coming .
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Hello, thank you for your contact to Chat Doctor. If I am your doctor I suggesting you that salmonella is very notorious for causing relapse. Yes for now you can start with ciprofloxacin to get cured of salmonella. In long relapse cases some doctors suggest elective cholecystectomy. Gall bladder is the reservoir of the salmonella, so once it is removed it will be cured forever. If you have to ask me anything you can contact me. Chat Doctor. Infectious disease specialist. Thank you.
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What information is available on aortic insufficiency?
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Blood pressure control is very important if you are at risk for aortic regurgitation. Treating strep infections promptly to prevent rheumatic fever, which can lead to aortic insufficiency. Aortic insufficiency caused by other conditions often cannot be prevented but some of the complications can be. Notify your health care provider or dentist about any history of heart valve disease before treatment for any condition. Any dental work, including cleaning, and any invasive procedure can introduce bacteria into the bloodstream. This bacteria can infect a weakened valve, causing endocarditis. Follow the provider's treatment recommendations for conditions that may cause valve disease. Notify the provider if there is a family history of congenital heart disease.
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If you are a doctor, please answer the medical questions based on the patient's description.
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H ello Dr. My new primary dr. has taken me off tramadol. I have been on tramadol for 5 years. I have bulging discs. L1 thru L5. She says that she doesn t prescribe because people become addicted. Pain Mgmt. Dr. prescribed Gabapentin. This makes me groggy, brain fog, and unable to do daily shores. Further, I have had gastric by-pass surgery and have to be careful with certain medications. Do you have any ideas as to how to live more comfortably with back pain?
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Hello, Most probably it is due to spine related problems as in prolapsed disc or nerve compression. As a first line management, you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. In that case, an MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further.
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What is the common treatment for Kallman syndrome and craniopharyngioma?
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The common treatment for Kallman syndrome and craniopharyngioma is hormone replacement therapy.
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What are the factors that increase the risk of Glomus tumors?
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There are no established risk factors for glomus tumor; however, an epidemiological relationship may exist between glomus tumors and neurofibromatosis. A strong association between type I neurofibromatosis and glomus tumors has been identified. In neurofibromatosis patients with glomus tumors, the sex distribution, tumor location, and tumor burden appear similar to those in patients with isolated glomus tumors. It is strongly recommend that one should suspect a glomus tumor in patients with neurofibromatosis type 1 if such patients have symptoms from finger pulp or nails.
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What causes IgA nephropathy?
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IgA is a protein that helps the body fight infections. IgA nephropathy (Berger's disease) occurs when too much of this protein is deposited in the kidneys. IgA builds up inside the small blood vessels of the kidney. Structures in the kidney called glomeruli become inflamed.
IgA nephropathy (Berger's disease) is a form of mesangial proliferative nephritis.
The disorder can appear suddenly (acute), or progress slowly over many years (chronic glomerulonephritis).
Risk factors include:
A personal or family history of IgA nephropathy or Henoch Schonlein purpura, a form of vasculitis that affects many parts of the body Caucasian or Asian ethnicity
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If you are a doctor, please answer the medical questions based on the patient's description.
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My sister 56 yo obese female is at high risk She was admitted with systemic sepsis Is now on vent with a trach and will have a renal stent placed on the 16 of February. She will need to go to a Ltac facility but also has a 6 cm tumor on her aortic valve any advice or suggestions I was also told she needs thoracic surgery for aov
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HelloWelcome to Ask a doctor service. I have reviewed your query, and here is my advice. Complete medical and surgical care is must in this case, first is to eradicate the infection then cardiac evaluation, whether patient is fit for surgery or not it is matter of concern and important part of case management, high risk cardiac illness can be manage with medicine only, Hope I have answered your query and let me know for further assistance.
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If you are a doctor, please answer the medical questions based on the patient's description.
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My husband was in the hospital 3 weeks ago with a c diff pseudomembranous colitis infection and completed his 2 week course of vancomycin 1 week ago. It hasnt appeared to have come back again yet. I wanted to know how safe in sexual intercourse. Will I catch it if we engage in it?
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Hi dear, The bacteria is not easily transmitted from one to another through skin to skin contact, kiss, handshake or sexual intercourse. The transmission of the infection is through fecal oral route. Since your husband recovered and finished his course of medicine 1 week ago, sexual intercourse should be safe for you.However, you should avoid the following. Avoid anal intercourse, touching his anus, also avoid Fellatio for at least two more weeks. Wishing you all the best
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi my boyfriend and I have been together for over a year and just recently (about 5 months after his best friends death) he has begun to act strange. Hes temper has become a lot worse and he has a short fuse. He is only 20. He feels so much stress and pressure even when there isnt things to stress about. Hes not himself and admitted that he is feeling depressed lately. His moods switch in an instant. Is there something i can do about it? Does he need medical help for depression or manic depression? Is there something besides medication to help?
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Rapid onset of irritability and his own description of feeling sad point toward his depression. Though on the basis of information provided we can not reach the final diagnosis, but it points toward it. Feeling sad after a loss is normal but persistence of it and dysfunction due to it also one indicator. He needs detailed assessment by a psychiatrist. He may be prescribed medication or advices therapy depending on severity and his preference. Take care
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have recently had a general blood test, as I was suffering from Hair loss, night swats and sore glands. The blood test came back Norman however my white blood cell count was low. Considering this was the only abnormality, should I have further investigations? My doctor suggested another CBC in 1 month. I am a 20 year only female, generally otherwise healthy, had glandular fever earlier this year.
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Hi, dear. I have gone through your question. I can understand your concern. You have mild decreased WBC count. It is not a big worry. Simple viral infection can lead to this. So don't worry about your WBC count. Just repeat it once after a month. Not a cause of big worry. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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If you are a doctor, please answer the medical questions based on the patient's description.
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Would it be safe to go on amusement park rides if I am 3 weeks past ovulation and possibly pregnant?I am expected to ovulate between June 3-5 and I am going to Orlando on June 25-July 2. If I conceived that month, would I be safe to go on the rides?
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Hi, Thanks for the query. I understand your concern. The rides in amusement park are stressful. have risk of miscarriage if taken during early days of conception. It better to avoid it. If its already 3 weeks past ovulation... you can confirm pregnancy by beta Chat Doctor blood pregnancy test. In case its +ve... -better to avoid. Scaring rides. In case its -ve you can enjoy the rides without any tension. Thanks
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If you are a doctor, please answer the medical questions based on the patient's description.
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I ve been diagnosed with mild thoracic spinal stenosis.Moderate disc protrusion that compresses the ventral spinal cord. This was due to an accident at work.I fell on my back while trying to get over a 4.5 ft. fence. I m currently trying to receive compensation for the injury. My employers want me to prove that this was the cause of my condition. Is there anything that you could offer that would help me prove that this indeed was the causes of my condition.
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Hi, I understand your concern and would explain that there is nothing to prove that your condition was due to the accident, besides a previous spine CT scan or MRI in order to compare them. Anyway, usually traumas are associated to other fractures in the vertebral bones. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further.
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What information is obtainable regarding pigmented birthmarks?
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Diagnosis is usually made based on the appearance of the skin area. A biopsy may be performed to look for cancerous changes.
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What is the correlation between Cardiotoxicity and Interleukin-2?
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Myocardial ischemia Myocardial infarction Arrhythmias Eosinophilic myocarditis
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What is the meaning of intubation and what are the techniques used to predict the ease of intubation?
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Look externally (history of craniofacial traumas/previous surgery) Evaluate 3,3,2 - three of the subject's fingers should be able to fit into his/her mouth when open, three fingers should comfortably fit between the chin and the throat, and two fingers in the thyromental distance (distance from thyroid cartilage to chin) Mallampati score Obstructions (stridorous breath sounds, wheezing, etc.) Neck mobility (can subject tilt head back and then forward to touch chest) Cormack-Lehane grading system (according to the percentage of glottic opening on laryngoscopy)
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If you are a doctor, please answer the medical questions based on the patient's description.
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my lmp is 01.04.12. i want to concieve this month onwards. due to fever, my esr level is 80mm. my hemoglobin is 9.70 g/ dl. i am taking moxikind 625 mg from yesterday onwards for three days. if a concieved in this month, is there any problem after taking this antibiotic
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Hello, Thanks for writing to us. Moxikind 625 is quite safe (pregnancy category B) while you are trying to conceive and during pregnancy also. It has no harmful effect on growing fetus. Therefore, you wouldn't be worried mucChatDoctormon side effects include
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What is the effect of decreased available phosphate in individuals with hereditary fructose intolerance on glycogenolysis and gluconeogenesis?
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In hereditary fructose intolerance, decreased available phosphate leads to inhibition of glycogenolysis and gluconeogenesis.
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If you are a doctor, please answer the medical questions based on the patient's description.
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what dies QRSD acronym stand for in a kardiogram result? I have a score of 130 I am 73 years old. had no medical history of heart condition. My Pr is 135 QT 424 QTc 470. The P is 1 the QRS is -31 and the T is 132. I am going for a Nuclear Stress Test. I walk evey day for 45 minutes, not out of breath. Otherwise I m feeling fine.
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Hi Welcome to Chat Doctor. I understand your query and concern. Yes definitely your symptoms are suggestive of AF due to undue stress and anxiety. . Increase in heart rate is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate.
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If you are a doctor, please answer the medical questions based on the patient's description.
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My daughter age 15 years is having cough since last 33 days. Earlier for a fornight it was dry coughing but very severe. She was prescribed Zyrtec, Actified DM and Neb with duolin Later it was productive cough with relief in continuous coughing and doctor changed medicine to Ventorlin and Advente Forte 200 ( twice ). Her coughing period has reduced but she coughs once in around 2 hrs but it affects her normal breathing. Her food intake is normal, weight normal and no fever. What should be done ?
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Hello, Your daughter is not improving in a cough and breathing difficulty despite treatment. So, it is better to get done chest x-ray to rule out lung infection (pneumonia). She may need higher antibiotics, Long-acting inhaled bronchodilators (formoterol or albuterol), and inhaled corticosteroid (ICS) (budesonide or fluticasone). So, consult the pulmonologist, and discuss all these issues. Hope I have answered your query. Let me know if I can assist you further.
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What does a square on a pedigree indicate?
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When looking at a pedigree, a square is indicative of a male.
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What is the name of the collection of venous sinuses on either side of the pituitary gland?
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The collection of venous sinuses on either side of the pituitary gland is called the cavernous sinus.
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Which type of voltage-gated channels in cardiac/nerve tissue does tetrodotoxin bind to, and what is the effect of this binding?
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Tetrodotoxin binds to fast voltage-gated Na+ channels in cardiac/nerve tissue, preventing depolarization.
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Dear sir, i am 33 yrs old man height 6 0 feet, and weight 85kg, my name is md saleem for our marriage its already passed 1.6 years and we are trying for the baby my problem is when i intercoarse with my wife i wont feel ejaculation and my siems analysis test is normel my wife report also same normel but sir by hand maturbating i feel better than intercoarse i dont no what is problem please solve my problem thank u sir i hope you answer my question.
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Hi thanks for contacting Chat Doctor... You are having erectile dysfunction problem... Rule out high blood pressure as hypertension can be leading factor .... Check your diabetics by random blood sugar. Per rectal examination done for rule out prostatic enlargement case .... If you are obese lose weight ... Avoid smoking and alcohol. Avoid stress.... If you are using thiamine diuretic like Chat Doctor. .Foreplay more ... Do sex in comfortable position.... Regular exercise done... Take care
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If you are a doctor, please answer the medical questions based on the patient's description.
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I am a 15 year old African American teenage girl with a 32-35 bmi. Sometimes when I take a shower I get a dizzy feeling after maybe 6-8 minutes of showering. I also have shortness of breath and my hands shake. I feel absolute miserable while this is happening and today I had to hurry up and finish for fear that I might faint. What is happening to me?
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Hello. I have been through your question and understand your concern. Sometimes, while taking a hot bath, especially after a meal, you can have blood sequestration in the skin due to the high temperature of the bath and in the stomach if you are taking the bath after the meal. This causes less blood going in your brain causing the symptoms described. There is nothing to worry about, because it is quite common. Just be sure you take the bath three to four hours after the meal and take the bath at a lower temperature. You will see it will not happen again. Hope this helps, please feel free using MHC for further questions.
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If you are a doctor, please answer the medical questions based on the patient's description.
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My wife has had a rash looking thing affecting her left foot for about 7-8 years. It does not respond to any medicines that have been perscribed to clear it up. She has had acute intermittant porphyria and wonders if this could be part of the problem.
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Hi Dear, Understanding your concern. As per your query you have symptoms of rashes on foot which is very common due to skin infection, sun poisoning and as dirt and moisture get trapped. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should apply warm compresses with soaked towel and apply vitamin C serum at night. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe immunosuppressants and may prescribe benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes,
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If you are a doctor, please answer the medical questions based on the patient's description.
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i have pcos ,trying for 3 years, and concived once in dec 2011 which one was ectopic in left fallopian tube ...now with only right tube is the hope can you sugest me further treatment plan age 29 years 10 month.. had under goan ovarian drilling ...several cycals of clomoid and letrozole ...i do response to letrozole but unfortunatly its banned in india
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Hi SunayanaWelcome to Chat Doctor As your left tube has already been removed due to ectopic pregnancy, there is chance of pregnancy only when ovulation occurs from right ovary. As you have undergone ovarian Chat Doctor. You may need ovulation induction with camphene, follicular monitoring and then GUI (if ovulation is occurring from favorable side) to increase your chances. If you are not responding even with maximum dose of camphene then you may require gonadotropin injections followed by GUI. You can try 3-6 cycles of GUI and if there is no success then you should think of IVF treatment. Take care.
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Q:A 39-year-old female presents to her gynecologist complaining of a breast lump. Two weeks ago, while performing a breast self-examination she noticed a small firm nodule in her left breast. She is otherwise healthy and takes no medications. Her family history is notable for a history of breast cancer in her mother and maternal aunt. On physical examination, there is a firm immobile nodular mass in the superolateral quadrant of her left breast. A mammogram of her left breast is shown. Genetic analysis reveals a mutation on chromosome 17. This patient is at increased risk for which of the following conditions??
{'A': 'Serous cystadenocarcinoma', 'B': 'Endometrial carcinoma', 'C': 'Granulosa-theca cell tumor', 'D': 'Uterine leiomyosarcoma', 'E': 'Transitional cell carcinoma'},
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A: Serous cystadenocarcinoma
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What are some common situations in which patients may be chronically exposed to arsenic, and what are some examples of each?
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Nowadays, patients typically can get chronically exposed to Arsenic in a couple of different situations, including: (1) - cigarette smoke, which can contain small amounts of arsenic from tobacco plants (2) - Herbicides used in vineyards, which may contain arsenic-based compounds (3) - metal smelting, which can release arsenic into the air and water supply.
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If you are a doctor, please answer the medical questions based on the patient's description.
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72 yr old male....while doing yardwork, received minor scratches and scapes on both forearms, resulting in small, medium to large bruises. It s happened before and bruising went away, but today have rather large bruise approx. 2 1/2 in long X 1 1/2 to 2 in width....my wife (RN for 50 + yrs says they will go away, give it time)...can I treat at least the large bruise with ice or anything? Thank you, E.B.
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Hello, Bruises are nothing but a condition of blood underneath your skin and subcutaneous tissues. Nothing much to worry, and it will settle by itself in one or two days. As a first line of management you can apply ice-packs for symptomatic relief. Generally it will settle in a couple of days, and you can consult a physician if bruises persist. Hope I have answered your query. Let me know if I can assist you further.
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If you are a doctor, please answer the medical questions based on the patient's description.
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for sometime now, I feeling tired and like lost of power. I went to the GP and he perscribed a full blood check. everything was fine, only a litter/minor elevation in the lever enzymes, which he described as nothing and I need to do some little exercise.However, for like over 5 months, Im very tired and even carrying the 5 gallons water bottle is like a lot of work.When I get back from work and when I wake up in the morning, Im like beaten up, although I sleep like 6-8 hours, and fully compensate during weekends.Im worried that these are introduction to something serious. Im 35 now.Can you please advise.
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Thank you for posting your query. Presentation of \"mild\" cute hepatitis. Acute liver injury is \"reversible\".increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". It maybe caused by
| 874
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi, may I answer your health queries right now ? Please type your query here...My one yr old has the following symptoms
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Hi dear, I understand your concerned these symptoms probably suggests a viral upper respiratory infection. If there is no fever, and he is taking feeds, nothing to worry. Giving antihistamines like chlorepheneramine male ate or levocetirizine(Syrup levocetirizine 2.5ml at night) for 3-5 days may help in reducing cold and nasal discharge. If he is having nasal block interfering with sleep or feeding, put saline nasal Chat Doctor. Meanwhile, ensure frequent breastfeeds and fluids like ORS solution to avoid deny
| 633
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If you are a doctor, please answer the medical questions based on the patient's description.
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I have a friend he is having type c depression. He is 19 now he had a abusive childhood not in home but in school when he was in class 5. He has gave up and thinks himself as a mental patient and also that he can never be fine. Moreover he gave up his dream work for certain conditions. Now situation is going out of control how can I help him? What can I do for him? How can I help him to regain his confidence ?
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Dear serve understand your concerns went through your details. It seems that the case is not of depression. The case seems to be personality disorder with which he lost his self-confidence and self-esteem. We need to find what created such a thought pattern. Personality assessment is required. Then motivation therapy, self-confidence building measures and applied focus therapy could do the trick to bring him back to his normal path. If you require more of my help in this aspect, please use this URL. http
| 922
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Answer this question truthfully
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What are the symptoms of Psittacosis?
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Blood-tinged sputum. Dry cough. Fatigue. Fever and chills. Headache. Joint aches. Muscle aches. Shortness of breath.
| 153
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If you are a doctor, please answer the medical questions based on the patient's description.
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I am Karen, 21y/o.. I am diagnosed with Rheumatic Heart Disease.. I experience difficulty in breathing, dizziness, fatigue, loss in weight and difficulty in walking, my leg muscles are in pain when i move it. Can you tell me how the leg muscles are affected with my sickness?
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Dear Karen, If rheumatic heart disease is advanced in this case heart cannot deliver as much blood to the organs they need, which leads to sucChatDoctorplaints. Also, sometimes there may be serum electrolyte imbalance (lack of potassium, sodium or calcium in the blood) which may lead to weakness and leg muscle pain. After the treatment you will feel. Hope I could help nourishing you good health In case of further questions don't hesitate to ask
| 723
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If you are a doctor, please answer the medical questions based on the patient's description.
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My ultrasound report says Findings are suggstive of Mildly prominent pelvi-calyceal system in right kidney. Right Kidney is normal in size, shape, outline and echotexture. Cortical thickness is normal. Corticomedullary differentiation is maintained. No obvious calculus/ mass is seen.
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Hi, Mild prominence of pelvi-calyceal system means that structure is dilated. This happens when there exists obstruction to the out flow of the urine at right side.Long-standing mild obstruction can also affect the kidneys by causing HY Chat Doctor. I suggest you to get the condition well investigated may be with a cystoscopy to rule out an obvious obstruction, if there exists a curable obstruction then do the needed soon. Do consider positive feedback as a credit to my work Let me know if you have any further questions.
| 810
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If you are a doctor, please answer the medical questions based on the patient's description.
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Hi I have been feeling unwell for a few weeks now with a sore throat I have seen my GP and was referred to ent specialist the scan did not show any thing. Endoscopy did not show any thing either. My sore throat is killing me . Consultant said it could be acid reflux has given me tablets for it. However I have this morning noticed that my bone on the right hand side of my collar bone has grown. I am really concerned and worried. Could it be cancer ?
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Thanks for your question on Chat Doctor. In my opinion no need to worry much. You are not having cancer as your endoscopy and scan is normal. So forget about malignancy. In my opinion you are having inflammatory enlargement of right cervical lymph node due to sore throat. Most common cause of sore throat is infection. So may BD this infection gives you enlarged nodes. Better to start antibiotics. If not improve in 5 days than get done clinical examination of swelling.
| 924
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