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Reconstructive Questions

Asked for female, 43 years old from Sangli
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
Those suffering from NF2 commonly have problems with hearing and sight, and the slow degeneration of those senses can make it incredibly difficult to communicate with anyone, including their medical providers. But we have to look into the details of the problem. Let's have a detailed discussion to ensure proper treatment.
10 people found this helpful
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MD - Dermatology, MBBS

Dermatologist•
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Need to investigate cbc/bt/ct. For platelet count and bleeding disorder investigation. Some patient may develops bleeding disorder as per reported by postmarketing serveiilance.
Asked for male, 65 years old from Delhi
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I was admitted to hospital a week ago with symptom of ghabrahat from last 2 days. On several check up in hospital, I am diagnosed non diabetic, non hypertensive, non smoker. My coronary angiography was done which shows single vessel disease for which stress thallium was done and advised medical therapy. Discharge summary says final diagnosis - cad- actuate coronary syndrome, nsr- no ccf, b12 deficiency. cholesterol total - 207, triglycerides - 151, hdl - 45, ldl - 136, vldl - 26, hdl ratio - 4.60.coronary angiography report says - left main, lad,lcx are normal and rca - dominant, 80% distal stenosis, jerky movement at lesion site. Stress myocardial perfusion imaging shows global resting lvef - 56 +- 5 % with impression adequate stress and good effort tolerance, no scan evidence of stress induced reversible ischemia noted jn lv myocardium, normal resting systolic lv function with no rwma as estimated by quantitative gated spect. Stress total severity score - 23, rest total severity score - 52, reversibility total severity score - 0.tab ceruvin a 75 mg, tab rosuvas 20 mg, tab me 12 was advised. I want to know what medical procedure should we continue? Should we go for angioplasty/stent or should continue with medicine to clear the blockages? If you want I can send the report to you.

Cardiologist•Gurgaon
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Hello Mr. lybrate-user,
your stress thallium report says "no scan evidence of stress-induced reversible ischemia" -,it means even under stress there was no compromise in the blood supply in the area supplied by the blocked artery (rca 80%) so no angioplasty is needed now. You should just continue with the medication advice and follow good lifestyle -- regular exercise/ daily 2-3 km walking- restricted -low-fat diet - and follow up with your doctor if any new symptoms arise. Cholesterol level...more
Asked for female, 25 years old from Chennai
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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Melasma is a condition in which areas of the skin become darker than the surrounding skin. This call hyperpigmentation. It typically occurs on the face, particularly the forehead, cheeks and above the upper lip. Let's have a detailed discussion for better advice and medication plan.
7 people found this helpful
Asked for male, 79 years old from Delhi
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MCh (CTVS), MS - General Surgery, MBBS, ...read more

Cardiothoracic Vascular Surgery•Noida
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Hello, the new medications mentioned are dilators to prevent chest pain by improving circulation in vessels of your heart. Advised is to start on these as your vital parameters are ok. You may need further test if you get any symptoms. Thanks.
14 people found this helpful
Asked for male, 65 years old from Delhi
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MSCDFSM, medical toxicologist, HIV couns...read more

Dietitian/Nutritionist•Patna
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blockage can only be clear with a low fat ,good physical activity and less stress. Kindly keep your environment according and can consult a dietician for brief.
621 people found this helpful
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BHMS

Homeopathy Doctor•Hooghly
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Yes u can go for lasik,, there is no such risk,, it costs around 40k to 50k per eyes may be higher in some places
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General Physician•Bangalore
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1.your patient is already on dialysis, his kidneys are not functioning to take nitrogen load of ayurvedic treatment. 2. I do sympathize with your plight ,but all can be done is to put him on few blood thinners and prevent further plaque buildup.
3. Reviewing reports with a cardiologist once may help manage his pain atleast.
164 people found this helpful
Asked for male, 63 years old from Jamshedpur
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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These red or purple discolorations on the skin do not blanch on applying pressure. They are caused by bleeding underneath the skin. Let's have a detailed discussion to ensure proper treatment.
7 people found this helpful
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