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Oncologic Emergencies Questions

Asked for female, 53 years old from Jaipur
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My mother aged 53 had been diagnosed with left frontal glioma (anaplastic astrocytoma grade 3 in aug 2019). Patient (female) age – 53 years (anaplastic astrocytoma grade iii) aug 2019 - symptom – seizure & loss of consciousness diagnosis with left frontal glioma (anaplastic astrocytoma grade iii) aug 2019 – treatment – left frontal craniotomy & gte of glioma followed by rt & chm oct 2019- nov 2019 radiotherapy by imrt with dosage – 60gy/30# @200cgy/#,5#/week (completed with) concurrent temozolomide (nublast 120 mg) was given & was stopped after 25 sessions of rt due to thrombocytopenia nov 2019 – oct 2022 – no complains & normal medication of encorate chrono 500 mg once a day was given. Half yearly mri was done. 6 nov 2022 – episode of irrelevant talks for 90 mins & behavioral change was seen & was hospitalized for observation & discharged on next day after contrast mri current condition of patient – absolutely normal current mri reporting – local recurrence & infiltration into adjacent cerebral parenchyma I am looking for right treatment plan for the same weather chemo has to be taken or re-surgery would be better option and what would be the technical advancements that would be better to have for safe brain surgery. For better review I am sharing the link having all the medical records along with dicom files.

MBBS, MD Radiotherapy, Senior Resident R...read more

Oncologist•Kadapa
Hello ,
your mother is suffering from anaplastic astrocytoma grade 3 left frontal tumor post-op f/b post chemoradiation. On f/u she is on t.encorate 500 mg an antiepileptic drug. Recent mri brain shows local recurrence after 2 years gap but I want to know the size, site of recurrence. To discuss about the treatment. I'm unable to see your dicom files.
23 people found this helpful
Asked for female, 20 years old from Lucknow
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MCh(Minimally Invasive & Robotic Surgery...read more

General Surgeon•Guwahati
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Hi lybrate-user,
feeling sorry for the trauma you are undergoing after the accident. Anyways, it is important to know the time frame of healing .meaning is how much time the wound take to heal. Normally the answer is 7-10 days in case soft tissue injury. However it might take bit longer if it is above moving joint like knees. You are doing everything correctly, do not worry ,wounds will heal fast. Also, neosporin is a topical powder which dries on the surface, and soframycin is an ointment (...more
Asked for male, 24 years old from Warangal
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BPTh/BPT

Physiotherapist•Kolkata
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Tale time and according to body weight and cast shoe heal support brace if dyna or medi or tynor you have to use and without wheel walker and quadripad stick of karma bronze colour ypu have to usr and use choamote and do not sit on sofa or revolving chair or gaddi any soft chair use hard chair ok gait - sitting to standing to walking slowly do take more 3 months.
5 people found this helpful
Asked for Female, 40 years old from Delhi
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I had a fall from stairs on 6th may. I fell on my back, left shoulder, left thigh were the impact areas along with both ankles being hurt. I could feel the maximum impact on left thigh (back side) and both ankles. Had difficulty in walking, but could manage. Had problem sitting, so used to sit with weight mostly on right side. Swelling on left hip, and ankles. 8 may- saw a blood clot of palm size on back of left thigh. 9 may- got xray done on both ankles & hips - all clear. 10 may - consulted an ortho online, who checked xray, recommended flexon tab for 5 days. And suggested cold packs. By 20 may I could start walking but still issues in sitting, could only walk slowly, could not lie down on left side, ankles still hurt. I feel my legs are exhausted by end of day. The clot disappeared but I feel my muscles (back of left thigh) tearing every time I sit. Ankles get a bit swollen by night. Pls advise - its been a month, I still kep changing my positions from sitting to walking to lying down. Left thigh muscles (back) feel like burning/stretching/tearing when I sit.

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MS, MBBS Bachelor of Medicine and Bachel...read more

General Surgeon•Howrah
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It can be a case of spinal nerve injury.
Avoid weight bearing, bending forward, sitting on ground or squatting.
Take cap. Pregaba-m, once daily after dinner for 1 month.
Consult a physiotherapist.
For better appreciation, mri ls spine can be considered.
155 people found this helpful
Asked for male, 44 years old from Chennai
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., Member ASI

General Surgeon•Jammu
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Do not take painkiller tablets too much. Diclofenac can cause upper gi bleed. To rule out faciomaxillary fractures, get an ncct face done. For redness in eyes use folowing medications:
k-fresh eyedrops 2 drops 3 times a day.
Moxicip eyedrops 2 drops 4 times a day.
Oint. Occupol around the eyes.
Asked for male, 22 years old from Jammu
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Cosmetic/Plastic Surgeon•Ujjain
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Betadine is an antiseptic, it will avoid infections. This is required in early period. If you have visible scars after injury it will require further treatment with different methods.
177 people found this helpful
Asked for male, 22 years old from Thanjavur
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BPTh/BPT

Physiotherapist•Latur
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Apply ice pack to the area of pain.
Follow mobilisation exercises ie keep moving your hands and leg in some. Form of exercises to avoid stiffness.
Simple exercises can be done.
27 people found this helpful
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