That refers to an enlarged lymph node. Literally speaking, it is a lymph node, but if it weren't swollen, there would be no reason to note it... It is likely mesenteric. Determining the exact cause is difficult, as it could simply be a reactive enlargement due to a minor infection—perhaps a silent intestinal bug that passed without much notice—or it could be something else entirely... A thorough clinical exam is necessary to check other lymph node locations. Has the patient experienced any digestive issues lately, such as diarrhea, vomiting, nausea, or abdominal pain? What is his bowel movement like? Has he had a fever recently? How old is he, and what is the reason for seeing a rheumatologist, and does he have any other underlying conditions?
Please don't go out and buy anything on your own; instead, return to your doctor and ask for a referral to a dermatologist... it seems necessary to have a specialist handle this kind of issue.
The title of attending physician is earned after ten years of successful practice as a specialist. Alex White58, if you hold a PhD, then you don't need to include that Mr. Sci designation afterward... because a PhD already encompasses all those academic titles.
Just a quick suggestion if I may: this forum isn't meant for one-on-one chats. Please use private messages to coordinate with each other... feel free to discuss the topic here as much as you like—whether it's about diets or anything else related—but let's avoid direct side conversations about individual plans right in the thread... don't take it personally, ladies; just a friendly heads-up, it's simply house policy, so please don't shoot the messenger.
The results suggest gastritis, which doesn't seem overly severe, but still requires treatment. The mention of weakened cardia function is a bit imprecise; it likely refers to reduced motility or perhaps a possible hiatal hernia. If your doctor hasn't prescribed something else, you should probably follow this regimen for 2 to 4 weeks depending on your symptoms. You could try H2 blockers or proton pump inhibitors—something like Prilosec at 20 mg in the evening, or maybe Pepcid AC 15mg in the evening. If your symptoms feel more intense, then Pepcid AC 30mg at night might be better... though, of course, you should always consult with your physician first.
What is your daily Euthyrox dosage? It might be a good idea to monitor your pulse; just sit quietly for about ten minutes and then take a full minute's reading... if it consistently stays above 80, or if you notice other symptoms like increased fatigue, sweating, weight loss, or digestive issues... please consult your endocrinologist to adjust your dose so you don't inadvertently trigger thyrotoxicosis.
While the term might be a bit vague, it generally refers to scarring resulting from inflammatory changes—perhaps from TB or pneumonia... if that’s the only pathological finding, there isn't much to worry about
Let's quickly clear up the difference between sepsis and septic shock when we bring them up: sepsis refers to bacteria being present in the bloodstream along with signs of systemic inflammation, whereas septic shock is the final stage, where all of that leads to a total collapse of the body and signs of organ failure. David Myers4, how is your father doing now? And what is the plan regarding any potential post-op complications?
A high fever can be a sign of an infection, which seems most likely here, though it could also stem from paraneoplastic syndrome or another underlying condition; anyone can deal with multiple health issues at once. I suspect they didn't run a full cardiac workup—like an EKG and enzyme tests—immediately when the pain started, but if they haven't, you should definitely insist on it. Even if it's too late for fibrinolytics and anticoagulants are risky now, you need that data to rule out arrhythmias. If it turns out to be paraneoplastic syndrome, then further investigation is required. Following surgery, your father is certainly immunocompromised to some degree, making him more susceptible to microbes that wouldn't normally bother him. What did the pH levels show? What was the pathologist's report? Personally, a fever that high points me toward a bacterial infection. And the decision to remove the tube seems odd to me... If he is hemodynamically unstable, you really must push for an ICU bed. The unit might be crowded, but if the ward lacks monitoring capabilities—which is often the case—he belongs in the ICU. They also need to check all catheter sites and take swabs for microbiology. It could very well be MRSA. I apologize if we are using too much medical jargon; please let us know if anything is unclear, and we will try our best to explain.
It is perfectly natural to stumble over your words occasionally, which isn't really considered stuttering. However, if you experience a sudden onset of any speech impediment, you should consult a physician to rule out neurological issues, such as a stroke or even a tumor... Just so everyone is clear, what I mentioned above doesn't fall into that category; I am not referring to sporadic moments of hesitation...
The procedure isn't much different from a standard endoscopy, as both involve examining the duodenal bulb... While the biopsy itself isn't painful, the insertion of the scope down to the esophagus can be uncomfortable for the patient, though it isn't unbearable...
Look, everyone... being slightly outside the reference range doesn't automatically mean there's a problem. It really comes down to how high those iron levels and liver enzymes—specifically GGT—are sitting compared to the rest of the panel. If everything is significantly elevated, you'd likely need to look into TIBC, UNICEF, and ferritin to get the full picture...
As a rule, we don't treat lab results; we treat the patient. If you’re feeling fine, if any bleeding stops as expected, and if there aren't any spontaneous bleeds, then there really isn't a need to treat "thrombocytopenia"—in your case, it's likely just a physiological variation. Your other metrics look solid. The Apple value here is the hematocrit, which is essentially a measure of your blood's "fullness," to put it simply. You probably have some reactive erythrocytosis that isn't cause for concern at all. My advice is to just monitor yourself and pay attention to how your body feels. If you get worried or symptoms arise, contact your doctor immediately; otherwise, just retest in six months to see where things stand...
I believe it would be wise to consult with an interventional radiologist, if they haven't already, to see if a graft stent is a viable option... After that, you might want to discuss the possibility of regional anesthesia paired with basal sedation with the anesthesiologist. It could be a reasonable approach, though of course, the attending anesthesiologist has the best grasp on the specifics of the case and may determine otherwise. It is certainly worth asking.
You definitely need to report this to a doctor. It could be a symptom of many different conditions, or it might not be anything serious at all, but you won't know for sure until you get checked out. If a diagnosis of Cushing's is confirmed, managing any potential autoimmune process that leads to thrombocytopenia can be complicated, but try not to worry too much too soon... Essentially, you'll need to see an internist, an endocrinologist, and a hematologist. They will likely want to run a complete blood count, a differential, basic biochemistry, and electrolyte levels. They may also suggest a bone marrow biopsy, but your hematologist will determine the exact course of action for you.
If it's nystagmus, you'll notice the twitching when you look to the side—like when you're following a moving object. It could stem from anything from simple fatigue and eye strain to more serious underlying conditions...
Esophagitis without gastritis is quite uncommon, but that isn't really the point here. If you are looking for a definitive diagnosis for Barrett's esophagus, you truly need a biopsy—a histopathology report. Believe me, once you have that final diagnosis in hand, you can properly move forward with treating those changes. While they aren't dangerous on their own, they can progress into something extremely serious...
Perhaps a conversation or other conventional methods might prove more helpful, but if you are set on getting a stethoscope, maybe a classic Riester... $83 or something along those lines