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I'm still kicking, thanks.
The MRI results just came back, and yeah, turns out he had multiple strokes.
A few months ago, he had some kind of hemorrhage in his eye—doctors said that was basically a mini-stroke too.
Back then, none of the doctors bothered to suggest any follow-up testing.
Honestly, the most infuriating part? When they were at the ER, the doctors kept insisting to the family that he was speaking totally fine and had zero speech issues. I mean, seriously? Shouldn't the family actually be listened to when they know exactly how the person normally sounds?
Need some advice here 🙂
Dealing with a 65-year-old guy with rheumatoid arthritis. He’s currently on Cortisone and Aspirin.
Two days ago, his speech started acting up. He feels like he's slurring his words, and honestly, to us, it just sounds like mumbling.
He went to the ER over at Oakland, and here’s the breakdown:
Patient shows no signs of acute neurological deficit. Neurological status is normal; no focal neurological deficits noted. Brain MSCT showed no signs of acute pathomorphological substrate. Recommend starting antihypertensive therapy (BP was 165/95).
They suggested a carotid and vertebral artery CDFI, plus a TCD VB of the spleen—that's all done and came back clean. They also did a lipid panel.
The issue is, his speech still isn't back to normal. Has anyone dealt with something similar? Any ideas on what other tests we should look into or where to focus? His primary doctor hasn't given us any direction.
Just a side note: the guy lost a close family member right before this started. Could this just be extreme stress?
Sandra Vaughn50 said:No need to rush. An MSCT is way more superior than an ultrasound anyway. Just stick to what was recommended—follow up in 3 to 6 months. If things still look sketchy or you have doubts, go get an MRCP.
Thanks a million! 🙂 Honestly, what really eats at me is this whole "we don't know yet" situation. If it turns out to be something malignant, is waiting another 3 to 6 months just going to make the entire mess even more complicated? Great. Just great.
I know this isn't strictly lab results, but I see people posting other stuff here all the time. If there's a better thread for this, please move it.
We’re looking at a 50-year-old woman. An ultrasound picked up something on her gallbladder, but the doctor wasn't sure what it was. She was sent for a CT scan, but even then, they couldn't pin it down.
Should she jump straight to an MRI, or just wait out that recommended 3-6 month window? And is it even safe to do an MRI right after a CT?
What's the play with these cysts?
Abdominal Ultrasound
Liver is normal shape and size; one cyst (14mm) seen in the right lobe and one (10mm) in the left.
Intrahepatic and extrahepatic bile ducts aren't dilated.
Gallbladder is normal size, though the wall shows diffuse slight thickening with tiny echoes against the back wall—could be cholesterolosis or a small polyp. Near the infundibulum wall, there's a fixed, hyperechoic mass about 10-11mm that doesn't show blood flow on Doppler. It might just be adherent sludge, but we can't rule out mucosal thickening or a polyp.
Pancreas and spleen look fine—normal size, smooth contours, homogeneous texture.
Both kidneys have normal shape, size, and parenchymal thickness.
In the caudal area of the right kidney—a 31mm cortical cyst.
No signs of kidney duct dilation or obvious stones.
Bladder is slightly underfilled but looks normal.
No free peritoneal fluid detected.
Conclusion: Liver cysts. Right kidney cyst. Small gallbladder polyp or cholesterolosis; hyperechoic content near the infundibulum could be adherent sludge, but mucosal thickening/polyp cannot be ruled out.
MSCT of the abdomen recommended.
Abdominal MSCT
Patient referred for abdominal MSCT due to suspicious changes in the gallbladder. Scan performed using a multi-phase protocol with water-soluble contrast following the digestive tract.
Liver is normal size and regular. A 13mm cyst is visible in segment II. Another simple cyst (~17mm) is sitting right against the gallbladder wall. There's also a tiny punctate hypodense lesion (likely a cyst) in segment VIII, about 2-3mm. No other suspicious lesions found.
Gallbladder is normally positioned with normal wall thickness. No proliferative changes noted. Intrahepatic bile ducts are normal, CBD is about 7mm.
Pancreas, spleen, and adrenal glands are normal. Left kidney is normal; right kidney has a ~32mm cortical cyst. No hydronephrosis.
No enlarged or swollen lymph nodes in the retroperitoneum.
Aorta is normal.
Follow-up ultrasound in 3-6 months (fasting). If the findings persist, further imaging via MRCP is advised.
Got a two-year-old here running a fever over 100.4 for 4 days straight now. Throat looks slightly inflamed. Does this lab work look like a virus to you guys?
(E) ERC 4.29 x1012 /L 4.00 5.00
(E) Hb 112 g/L 109 138
(E) HTC 0.335 L/L 0.320 0.404
(E) MCV 78.1 fL 73.8 89.4
(E) MCH 26.1 pg 24.3 29.2
(E) MCHC 334 g/L 300 350
(E) RDW 14.7 % 11.9 16.2
(E) Platelet 117 L x109 /L 150 450
(E) MPV 10.1 fL 6.9 11.3
(E) Leukocyte 2.84 L x109 /L 6.0 16.0
DIFFERENTIAL BLOOD COUNT - LIGHT MICROSCOPY
(E) Segmented Neutrophils 50 % 30 72
(E) Lymphocytes 32 % 15 55
(E) Monocytes 18 H % 5 13
OTHER TESTS
(kK) CRP <8 mg/L 0.0 8.0
Anyone know where I can get cataract surgery done in Washington, D.C. without waiting forever?
Maria Ortiz27 said:Anyone know a good urologist in Washington, D.C.? Needs to take a referral. For my husband. Thanks!
Check out Dr. Smith at Dubrava Basketball Club, but honestly, the wait times are brutal.