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This is eaqual in both hands and he feels no pain at all. There are other musculoskeletal conditions that could also be present but may have been missed thus far.

I did go to the ER, had xrays, was told no broken bones. If this does not ease, further investigation will be necessary and you should consult with a pediatrician. We hired more optometrists as the practice grew. Hypotension occurs because of decreased stroke volume, jugular-venous distension due to impaired venous return to the heart, and muffled heart sounds due to fluid inside the pericardium.

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Answer Explained The classic presentation of placenta previa is painless vaginal bleeding. If there is sudden swelling which is not responding significantly to an anti-inflammatory drug, then it could be due to a severe injury, infection or insect bite. I am debating making a video but hate how I look on camera!

He denies any cough, hemoptysis, or chest pain. Any differential diagnosis on our part would be a guess and plain irresponsible. The swelling may be accompanied by other signs and symptoms which may assist with diagnosing the cause of the swollen arm. To read more of this question and the answer by Dr. John’s wort increases a brain chemical called serotonin.

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Answer Explained Peripheral neuropathy, paresthesia, myopathy, mental confusion and mental fatigue are all common presentations in the postoperative phase of thyroidectomy patients. Which of the following would frequently cause these findings? Answer Explained The symptoms of aortic aneurysm include: pain in the abdomen or back — severe, sudden, persistent, or constant. 1 is now in the App Store with some small but nice new features.

In PCOS, the LH level may rise above the FSH, sometimes significantly. Now it’s time to do some math! Chris, about a week ago i noticed that my 1 yr old daughter’s right hand was swollen when I got her out of her crib.

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Answer Explained Because hypertension can cause damage to the blood vessels in the eyes, the eyes may be checked with an instrument called an ophthalmoscope. We look forward to welcoming you. You should speak to your doctor about the results of the ultrasound. Which of the following describes this woman’s reproductive history? I will do my best to explain the science, but how can I convey how important things like conversion factors and calculations are for dosages, etc? From my elbows down they feel drained of blood but swollen and in intense pain at the same time.

We have several of these scripts. This can be hands, feet or just back of legs or my back. From NYTimes: “Walk for two minutes. These symptoms are a result of the mite tunneling under the upper layers of the skin. This may be tiny ruptures in the underling blood vessels. A diabetic with severe peripheral vascular disease undergoes amputation of his foot.

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I may be overthinking it but I feel stumped as how to work it out! A 66 year old man presents to the ER complaining of frequent nosebleeds. It went away after two weeks and then a couple of days later the bumps reappeared around the edges. Sorry I should also have mentioned I am 44 yo. As you can see, trying to apply your own concoctions without your doctor’s guidance can be disastrous.

Deep massage or manual lymph drainage as practiced in some therapeutic massage practices is not advisable for a swollen arm. Plus, who has time to actually do their hair? Acromegaly occurs in about 6 of every 100,000 adults. Needle aspiration remains the gold standard for diagnosis and treatment of peritonsillar abscess. You need to see a doctor. Some     patients present with anemia, and hematuria is detected during evaluation.

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The number of polyps usually increases with age and they typically grow from 1-2 to 4-5 millimeters in size. Answer Explained Over-stimulation of the parasympathetic nervous system can result in low blood pressure, slowed pulse and fatigue. Im 17 i hav slight bulging discs which cause me emense pain in my left arm leg fingers toes now onto of this my left arm and hand are swelling not the joints but between them. Also certain oral and topical applications used in the treatment of psoriasis can cause this localized inflammation triggered by even the slightest irritation. Your doctor may consider an ultrasound, x-ray, MRI etc.

Known vasodilating triggers of a migraine headache include? I would say that you send your mum to a neurologist for a check up and maybe further testing. Fat accumulation is usually gradual and gives the appearance of a swollen arm but is not a true swelling of the limb. Answer Explained Molar pregnancies usually present with painless vaginal bleeding. L Drug reference states each 40 mg of Furosemide to be delivered over 1 min. Based on the patients presentation, physical examination, and test results, which of the following is the most likely diagnosis?

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Your body should adapt over time and the pain will subside. IV over 2 to 5 minutes. Which of the following diagnostic modalities will identify the source of this patient’s problem in most of cases? Dilated cardiomyopathy is associated with HIV. The presenting symptoms include fever, throat pain, and trismus.

On exam, the patient is febrile and you are able to palpate a tender mass. The benefits provided by beta blockers have made them the drugs of first choice in treating patients with CAD. Delaying surgery can lead to permanent damage. The day after it hurt but not even as bad as when it happened. Start with your orthopedic specialist and if necessary consult with a plastic surgeon. The history is consistent with which of the following diagnosis?

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Answer Explained Drusen are tiny yellow or white deposits in a layer of the retina called Bruchs membrane. You need to see a doctor and it may be a good idea to go straight to a specialist like an orthopedist at this point. I took her to our doctor and they took x-rays and found nothing. I’m a 20 year old female with heart disease and lupus in my family history. On exam, you notice the daughter’s pressured speech, lack of focus and distractibility.

There is a good chance that the infection either recurred or never resolved in the first place. She needs an x-ray and maybe even a CT scan. Yes, it could be a small clot that has not been detected as yet. Apart from trauma, it could be soft tissue inflammation due to strain. This will account for the sweling of the forearm.

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A 8 month old girl is brought to the ER by her mom because of vomiting, diarrhea and abdominal pain. 90 and heart rate 100 and regular. A 9 year-old girl complains of fever and productive cough. Macrolide antibiotics like clarithromycin should not be used first-line as they are not as effective. It leads to softening and weakening of the bones. Benzodiazapines such as Lorazepam are the most common for acute generalized anxiety disorder followed by maintenance with an SSRI or Buspirone.

Which one of the following SSRIs used to treat PMS and PMDD should be avoided in women of childbearing age without reliable contraception? On exam, her skin is warm and moist and she has a fine tremor in both hands. John’s wort along with these medications for depression might increase serotonin too much and cause serious side effects including heart problems, shivering, and anxiety. I have no idea what could be the cause.

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A hypomanic state is most likely to be an adverse effect of therapy with which of the following medicines? You should contact her doctor to discuss these issues further. I don’t think lasix is worthwhile if the person is in cardiac arrest. Viral Chlamydia trachomatis presentation may range from mild hyperemia with scant mucoid discharge to eyelid swelling, chemosis, and pseudomembrane formation.

A 31-year-old man presents with repetitive generalized motor convulsions that continue for 35 minutes until 2 mg of lorazepam are administered intravenously. Patients with obesity can actually have low BNP levels. In my opinion, for patients without metabolic acidosis, this is unlikely to be effective. Answer Explained The recommended maximum daily dose for oral sumitriptan is 200mg.