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Q:A 40-year-old man comes to his doctor because of 2 weeks of progressively worsening pain on the outer side of his right elbow. He does not recall any trauma to the area. The patient plays tennis recreationally and has recently gone from playing weekly to playing daily in preparation for a local tournament. He has had some pain relief with ibuprofen. On physical examination, there is tenderness over the lateral surface of the right distal humerus. The pain is reproduced by supinating the forearm against resistance. Which of the following is the most likely underlying cause of this patient's condition?? {'A': 'Nerve compression at the elbow', 'B': 'Bursal inflammation', 'C': 'Repeated wrist flexion', 'D': 'Excessive stress to bone', 'E': 'Repeated wrist extension'},
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Hello doctor, Would dry eyes cause cloudy vision with little nonmoving black dots? This is my normal vision and every once in a while I can see perfectly. The eye doctor said everything in the eye looks perfect. I have noticed when I sleep one eyelid does not close all the way but this is the vision in both eyes. I did have a vitrectomy in one eye and the other is still in need of cataract surgery.
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One week ago I had a taco from Taco Bell. The next morning I woke up with a knot under my tongue that feels like an air bubble that is now moving up and down my throat. I have tried Benedryl and Flonase thinking it was allergy related but nothing helps. I have been stressed out lately but dont know if that is related
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I have been having severe ear pain, headaches, facial numbness, dizziness, confusion and agitation for several months. I went to an ENT, had a CT scan, ear tests and balance tests and they all came back normal. The doctor told me that I have severe abnormal ear pressure. He gave me a steroid injection and I have completed all of my antibiotics but I still feel horrible. When I went back to his office after 7 days, he said that he doesn t see anything. He said the next step is for me to see a Neurologists. Could I possibly have Mastoiditis? I need help!
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OBJECTIVE: The aim: The aim of the study is to assess the quality of medical care and determine the relationship between treatment outcomes of patients and acute respiratory viral infectious disease caused by SARS-CoV-2,depending on patients` age, the time from onset of symptoms to hospitalization, and the presence of comorbidity. PATIENTS AND METHODS: Materials and methods: According to the specially designed form, a retrospective analysis of primary accounting documents was carried out (f. No. 103/o) in 158 patients with COVID-19. The research was carried out in specialized inpatient infectious diseases wards of health institutions of the Sumy region during the period from April to September 2020. The study used a systemic approach, bibliosemantic, comparative and statistical analyses, logical generalization methods. RESULTS: Results: Among the study group of patients, namely 158 people, a bigger number of women (56.33+/-3.95%) than men (43.67+/-3.95%) were recorded. Patients of working age (from 18 to 64 years old) took 70.89+/-3.61% of all patients, and people aged 65 years and older - 29.11+/-3.61%. The time from the beginning of symptoms to hospitalization in each second patient (49.37+/-3.98%) lasted 5-7 days. In most cases, the patient's stay in the hospital equaled 13-15 bed-days - 32.28+/-3.72%. The index of patients with severe and critical state was 20.89+/-3.23% (33 patients). In 8.23+/-2.19% (13 people) of treated cases of hospital stay ended in death. A large index of patients with a severe course of the disease, the treatment of which ended in discharge, were in hospital for more than 13 bed days - 12.03+/-2.59% (19 people). All of these patients were older, had CNCDs (chronic non-communicable diseases), half of them were hospitalized on day 7 and later from the onset of symptoms. CONCLUSION: Conclusions: In older people, the disease progresses faster and complications are developing more often. Also, the severity of the SARS-CoV-2 pattern and the length of staying in the hospital are affected by the time starting the onset of symptoms till hospitalization and the presence of CNCDs. The hereinafter data allows to increase knowledge about spreading of COVID-19, to improve the quality of organizational and preventive events in the provision of medical care, and reducing mortality.
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hello Doctor does I am 24 yrs ,I started Masturbation daily when i was 19 yrs.now the problems is left side of my body is in good shape but the right side of my body is out of shape..is due to masturbation.. please conform it...if the problem is not due to masturbation than guide me what should i do.
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hi i had gone through a treatment for back pain 3 yrs ago nd the medicines had steroids which caused severe water retention in my body. since then i have been trying to get rid of it through diet control and exercise but all in vain. will dytor 5 help me in getting rid of this water weight??
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I have several small white bumps no bigger than a fine point pen tip on my gum and then there is one big bump. My gums are pink, but where these bumps are that region of my gum is whitish/pale. And the side of my mouth is swollen. What does that mean
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hellow I have a query .............from last few months I have observed that one of my sex organs, ball has been growing up and have an odd shape. It is like ball is looking compare to bigger than the penis...........it is any symptom of bad diseases.
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Every since I had my son (eight years ago) I have experienced off and on Numbness on the left side of my second toe on my left foot. Could the epidural I had be the cause to this? If not, what could the cause be. It is something that comes and goes - could I have a pinched nerve somewhere?
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hello mam,my medical history is below as :-March 2012 :- starting treatment for PCODApril 12 :- getting pregnentJune 12 :- miscarriaged it.From june 12 to still :- Treatment Under observation of Gyn from 30 jan. 2014 :- Go to 2nd gyn who tests my USG and TVS, found small right ovarian cyst and prescribed me NOVELON.But should novelon prove as fruitful for me and could i ever able to conceive ?
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IM HAVING PCOD I HAD AN FOLLICULAR STUDY ON 12 AND 17 DAY OF MY CYCLE THE RESULT IS RIGHT AND LEFT OVARIES ARE NMF AND CAVITY ECHO IS 8.7 IN 12TH DAY AND6.8MM IN MY 17TH DAY AND NO FREE FLUID IN POD WHAT MEANS IT EXPLAIN ME SIR HOW CAN I BECOME PREGNANT
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Risk society theory, with its complexity and inclusion of different ideas with respect to the peculiarity of risk in the modern era, the role played by the media in the construction and communication of risk as well as the nature of reflexivity, has had repercussions in various fields. Since multiple elements are to be analysed to reconsider the risk society theory in the current global landscape characterized by emerging threats, an integrated approach has been chosen in this study for a comprehensive evaluation. The majority of the studies conducted on the relevant subject matter lack quantitative analyses; therefore, this study aims at bridging a gap in this regard by elucidating the parameters and implications of the concepts related to the risk society based on the results obtained by quantitative and qualitative analyses. To this end, a survey (including demographic, sociological and psychological items) on risk and economic uncertainty was designed and conducted online. Secondly, content analysis was done on a set of news items focusing on global economy. The results of the survey evaluated with statistical analyses (ANOVA, t-test and correlation analysis) were used to relate the responses to different aspects and thematic qualities of the risk society theory postulated and developed by Ulrich Beck, Anthony Giddens and other social philosophers. The experimental results of the study revealed certain relationships between demographic characteristics and sociological-psychological elements of the risk society theory and its parameters in the individuals’ attitudes and perception. Correspondingly, repercussions of the risk society theory have been revealed in the news items handled. The majority of the results obtained support the key postulations of the risk society, which can shed light on understanding the significant transformation of our era along with the social attitudes, fears, insecurity and risk perception among individuals. In addition, the findings can lead to further interpretation of the interplay between economy, media, science and politics, opening up new perspectives toward reconsidering “contemporary” risks.
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A couple of days ago, I went for a lab test and I requested an HIV, which came out negative. During the test however, the lab technician cleaned the area of my arm where he was going to introduce the needle for blood extraction, but after cleaning it, he touched the area one more time, wearing no gloves, and then inserted the needle. Since I don’t know if his hands were decontaminated, I am concerned about the possibility of contamination and infection. No blood was visible on its fingers whatsoever, but could the virus still be present?
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Hello,this Pabel Rahaman from Bangladesh.I am a freelancer and live with my family.Now coming to the point.I am sexually aroused by my mother.I don t know what to do now.It has been happening for the last 4 years.I don t know but i want have sex with my mom.I am 20 and my mom is 44.Please advice me what to do now?
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Not sure of the spelling but, as a child l had Brights disease, and now 30 years later l am having severe back pain head aches trouble walking but not swelling like l did as a child. I have let a prolapse go unattended and l know it is my bladder as l have no uterus. YYYY@YYYY
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31 yr old male. Wrestler and jiu jitsu practitioner. Never had any significant health problems. I found a quarter sized lump on my inner thigh a couple inches south of my groin. It is firm, painless, slightly purple with a black dot on the top. You can move it under the skin. I've attempted to puncture it with a needle and squeezed it pretty hard to see if pus would come out. Only blood. I now have some fluid build up around the lump (what I get for being a DIY doctor, right?) It hasn't gotten any bigger. I started doing jiu jitsu again about 4 days a week for the last month. Only after I started jiu jitsu did this lump come up. Any ideas what it could be?
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I have removed a deer tick from under my arm and it has now developed a knot around where the tick was attached and itches terribly. Do I need to seek medical help for this. I have pulled off several ticks in the past with no side effects whatsoever. Thanks so much for your advice.
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I have a lumbar disc displacement im taking tramadol, naproxen, and lyrica... Will injections in my back help take the pressure off the nerve the displaced disc is putting on it and with the numbness,and tingling in my left foot. if i try to lift anything the pain is immediate. 3 disc are bulged 2mm 1 disc is bulged 6mm
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Hello doctor, Last month I had periods on 10th. We had sex on the 23rd night and 24th and I had unwanted 72 on the 24th night. Now I was expecting to get my periods on 7th or maximum by 10th of this month but I have not got my periods yet. What can be the problem? Is it a sign of pregnancy?
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i have a sore shoulder blade and neck. i have a injury . which resulting of a bump on my shoulder blade. i went for three MRI and first one they only did my spine and second one shoulder only , third one was only around the bump... i feel where i hurt is over the bump and continuing in my neck.. is it possible they are missing the mucule that hurt. ty connie
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Hi, 5 days ago I began getting cramps under my sternum and nausea. The nausea has passed but the cramps are constant waves of pain which appear to be worse when I sit or lay down and at night. Any suggestions as the Dr told me it was a virus and prescribed maxalon and a few days of rest. Thankyou
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A few times a week and a couple times a day sometimes I get really dizzy and lately my vision has been blacking out along with the dizziness. I can catch myself and sit down before I fall and it only lasts from 7-13 seconds. It s happened since as far back as I can remember. I m only 16 and I never thought it was a problem but it s just becoming more common and wondering I it s something to worry about ?
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Ribcage and Back Pain-feel like there is a vice around my body My ribs hurt so bad that i can t breathe more than a shallow breath or stand up fully straight. It is just one about half way up my rib cage and it hurts in the front and the back of my body but not the side. When i push on the front the back hurts. It feel as though I have popped my rib out of place, is that possible? I slept on my side on the floor, have done yoga , and lifted close to 50 lbs. repeatedly (which I am used to) I am not sure if any or all of these are the cause? I am 23 and female, but i have a clear medical history . What kind of doctor should I see?
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first of all befor i month i had mddle chest pain.. now its came to me left side, normaly i feel painging every time & some time little cough also i have, today afternoon i feel my neck also very havy.... ,pls advise me why like that? age 36, weigh 52
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I m just wondering, I have my baby on formula, and I ve heard from others that I can use any type of similac on him. He s almost 2 months. And he s currently on the pink similac, but I have a blue can, and ready feed one in blue. Am I able to use that on him without it getting him constipated ?
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I got punched in the stomach on my lower left side just under the ribs, it made me gag as if to throw up over and over for a minute before subsiding, and since then I am nauseous, had short of breath but it has subsided, and went pee 2 times and both times it was slightly pinkish/dark yellow almost light brownish. Both my kidneys are starting to hurt now, not bad but a slight pinching.
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Q:A 21-year-old female presents to the family physician with 3 weeks of headaches, sweating, and palpitations. Her BP was 160/125 mmHg, and a 24-hour urine test revealed elevated vanillylmandelic acid (VMA) and normetanephrine. Past medical history is notable for bilateral retinal hemangioblastomas, and family history is significant for three generations (patient, mother, and maternal grandfather) with similar symptoms. Genetic analysis revealed a mutation of a gene on chromosome 3p. Which of the following is the patient at risk of developing?? {'A': 'Clear cell renal cell carcinoma', 'B': 'Retinoblastoma', 'C': 'Osteosarcoma', 'D': 'Breast cancer', 'E': 'Ovarian cancer'},
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Findings should be evaluated in a larger randomized controlled trial.
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hello doctor. me and my wife trying to have a baby, my wife undergone follicular study recently on her 20th day they found that the egg is ruptured, gynecologist gave duphaston 10mg tablets to my wife and asked to continue 2 weeks. And my sperm count is 40 million. Is there any chances for my wife to get pregnancy. Thank you.
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Hi, for the last few months I keep getting a pimple like rash that when I scratch oozes clear fluid. The rash is on my chest, shoulders, upper and lower back, and only one or two on arms in elbow folds, and also behind my knees. The rash is extremely itchy. I have severe anxiety and suffer from depression also my family has a history of eczema and psoriasis . I also was diagnosed with HSV2 in 2004.
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The novel coronavirus SARS-CoV-2 causes the disease COVID-19, a severe acute respiratory syndrome. COVID-19 is now a global pandemic and public health emergency due to rapid human-to-human transmission. The impact is far-reaching, with enforced social distancing and isolation, detrimental effects on individual physical activity and mental wellbeing, education in the young and economic impact to business. Whilst most COVID-19 patients demonstrate mild-to-moderate symptoms, those with severe disease progression are at a higher risk of mortality. As more is learnt about this novel disease, it is becoming evident that comorbid cardiovascular disease is associated with a greater severity and increased mortality. Many patients positive for COVID-19 demonstrate increased concentrations of cardiac troponin, creating confusion in clinical interpretation. While myocardial infarction is associated with acute infectious respiratory disease, the majority of COVID-19 patients demonstrate stable cTn rather than the dynamically changing values indicative of an acute coronary syndrome. Although full understanding of the mechanism of cTn release in COVID-19 is currently lacking, this mini-review assesses the limited published literature with a view to offering insight to pathophysiological mechanisms and reported treatment regimens.
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my 6 year old is complaining of leg pain. she does have occulta spina bifida. i noticed when she was learning to crawl she didnt use right leg right. dont know correct term but the top of her butt crack is crooked. she started complaining 4 days ago of pain and one day she cried 3 hours and refused to walk. what can i do to help
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hello doctor, i have a 10 month baby.his weight is 7.5 kg and height is 69.5 cm.i am very much worried about his weight.i give him formula milk and other normal food which other babies eat.so please suggest me how can i increase his weight and height. thank you.
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I have done a cosmopeel yesterday as I had a lot of pigmentation on my neck n have done sevral supervicial peels that make the pigmentation come back, After the cosmopeel it has become very red n looks brownish is it common n will it settle as really scared that my condition could get worse . There are no scabs or peeing as yet just a lot of redness n the pigmented parts look worse. Pls help
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Hi,Actually I found your website by inquiry for school.However, my health question is: I just started getting this pain right in between my breasts. It feels like a fist is sitting in there, with a lot of pressure. I get extremely ill and feel like I may trow up, but I don't. I think it would help if I did though. I tried Gaviscon, acid reducer pills, and gravol. All at once.... None of these things help. At the same time I will get a fever and then after that the chills. Do you know what this could be?
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my father is in another state. my mom called me and said that he was in the family room watching tv with her and had his eyes open and mouth open but was unresponsive. she slapped him in the face a few times and nothing. called ems and they took vitals and asked questions and offered to take to er...he said no. he has history of cancer and heart problems. oh before ems arrived he awake but doesn t remember what happened. I am begging her to take him to er but he refuses but says he will go to dr tomorrow. I am afraid of mini stroke? advice?
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This article investigates whether COVID-19 pandemic had an effect on herding behaviour in Europe. Using a sample from the stock exchanges of France (Paris), Germany (Frankfurt), Italy (Milan), United Kingdom (London) and Spain (Madrid), over the period from January 03, 2000 to June 19, 2020, we found robust evidence that COVID-19 pandemic increased herding behaviour in the capital markets of Europe.
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In the epidemic situation of COVID-19, the construction of distance education and resource sharing platform becomes more and more urgent and important when there is a major public health emergency in the world. This paper comprehensively introduces the social needs, framework composition, main functions and expected objectives of the system, analyzes the existing main problems and development bottlenecks in combination with the teaching practice, and shares the experience of distance teaching through the actual applications. Among them, the At present, the two-level (University and College) public platforms shared by the teachers together with students in Sichuan University were highlighted, which would provide useful reference for relevant research and platform construction. Finally, some "pocket experiments" were successfully carried out at students home under the long-distance guidance of teachers, and information and communication technologies are expected to play more and more key role during the epidemic or other similar global public health emergencies in future. © 2021 The Authors. Published by Elsevier B.V.
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What is teratoma, and what information is currently available about it?
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I was diagnosed with a heniated disc and a tare l4 l5 s1 I m thinking meth is what happened to my back. I don t plan on using anymore. My question is will my back heal now or will I still need surgery? I already had 2 epidurals they have not helped. Oh and I am do not have any money left. I can t work again until I get my back fixed. Sorry pro bono please!!
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29 yrs i hve irregular periods1 year passed hving marrige doctor gave birth control pills then she put me on letrozole four cycle has been passed1) no result, tests were ok like fallopion tubes ,sperms and ovalation were also happen. then why wht is the reason? that i hve not conceiveing 2) wht to do next to hving better chance
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My husband hurt his back from a fall for a couple weeks, but when xrayed there was nothing wrong, so he went to the chiro a couple of times and felt great. Maybe unrelated, but about two days ago, he had a sharp left dull back pain and when he came home he had bowel movement and there was blood in it. Since, then his bowels have been normal, but still has the dull back pain. He says it doesn't feel muscular. The back pain comes in waves.
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Introduction: We describe the clinical features and inpatient trajectories of older adults hospitalized with COVID-19, and explore relationships with frailty. Methods: This retrospective observational study included older adults admitted as an emergency to a University Hospital who were diagnosed with COVID-19. Patient characteristics and hospital outcomes, primarily inpatient death or death within 14 days of discharge, were described for the whole cohort and by frailty status. Associations with mortality were further evaluated using Cox Proportional Hazards Regression (Hazard Ratio [HR], 95% Confidence Interval). Results: 214 patients (94 women) were included of whom 142 (66.4%) were frail with a median Clinical Frailty Scale (CFS) score of 6. Frail compared to non-frail patients were more likely to present with atypical symptoms including new or worsening confusion (45.1% vs 20.8%, p<0.001) and were more likely to die (66% vs 16%, p=0.001). Older age, being male, presenting with high illness acuity and high frailty were independent predictors of death and a dose-response association between frailty and mortality was observed (CFS 1-4: reference;CFS 5-6: HR 1.78, 95% CI 0.90, 3.53;CFS 7-8: HR 2.57, 95% CI 1.26, 5.24). Conclusions: Clinicians should have a low threshold for testing for COVID-19 in older and frail patients during periods of community viral transmission and diagnosis should prompt early advanced care planning.
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My mother was in the hospital for a couple of days with trouble breathing. She has been home a week now and has been using oxygen while she waits to have a copd test. She seems fine other than she is really weak. What could be causing this extreme weakness
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The purpose of this research was to study the profitability of the dairy business in to milk production systems at Lavras region, MG by surveying the influence of scale production on the cost of milk production. Identifying the components which exercised greatest influence on the final costs of the business and identify the breakeven point was intended. The data used were from 16 production systems, allocated in one of three production strata (small, average and large), situated at Lavras region, collected monthly, over the period of January 2002 to June 2003. The electronic data processing as well as the profitability analysis was accomplished by taking into account the Custo Bovino Leite® software. The analyses of costs and profitability were performed by taking into consideration crude margin, net margin and the result (profit or loss) as indicators of economical efficiency. Scale production influenced the total cost of milk production and therefore, profitability of the production systems with the largest scale being the one which presented the smallest total unit costs. Scale production influenced the “weights” of the items component of the effective operational cost of dairy business, these being different in each of the three production strata. Management changes and technological efforts should be done aiming to increase daily average yield, which is very low the breake
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hi there, i have got a decayed tooth. my problem is hat my gum and my cheek has swelled up and i have a lot of pain in my face. i cannot afford to go to the dentist or the doctors at the moment. i just need some tips on how to soothe the aching please. sarah of new zealand.
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In my groin area my lymph nodes r very visible to touch,they are always pulsating and can be sore to touch.I have always sore legs and can feel very heavy at al times throughout the day. My work is very heavy on the body but was fine in the first year of job then took a sore back from lifting about 150,, 50-75kg bags al day everyday,stacking them on top of each other to make room and wheel away often. My neck is constantly sore and bait swollen near the throat area which makes me very horse in the mornings. I ve now developed migraines which makes me vomit and not hungry for the rest of the day. My hands sweat from time to time wen doing nothing like resting. It s al stated on the same week I took a flight home from Spain. This was in October but im no better now.
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I have had lower back pain on my right side that comes around to my lower right abdominal/pelvic area. Today the pain in my back seems to be rising slightly and I notice that I have what looks like my period again. My last period began last Friday, 9/24.
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My husband ejaculated and there was a small amount of blood in it. It burned when coming out and he has become nauseas. Everything is fine, he says he has no groin pain, no fever, no. He's and this is the first time it has ever happened. What is going on?
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Hi, I am a 44 year old female. For the last three months I have had a sore, burning tongue with a metallic taste. I am a heavy wine drinker and I have noticed that this does seem to irritate my tongue and the burning is worse the next day. My tongue looks quite pale except for the edges and tip with are quite red. The tip also has enlarged taste buds and has a dry feeling. I recently had some blood tests that showed I had low iron, ferritin and haemoglobin, I am due to go back this week and have a follow up test. My question is, do you think the wine drinking has damaged my tongue? If so, what do I need to do and what can I take to help with the discomfort?
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What does a physical examination for Salmonellosis include?
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Hello doctor, I am a 34-year-old woman, otherwise in good health. I have a history of anxiety and panic attacks but I had not suffered any of these in a severe form in over 6 years. I was medication free for many years, up until 2 months ago when I went to see a psychiatrist for possible psychosomatic symptoms, I had chronic abdominal pains with no obvious source discovered after several medical tests. The psychiatrist gave me Gabapentin. She said to take 300 mg every night. I started the medication as she prescribed but after 3 to 4 days I found they were making me too groggy so I started taking 300 mg every three days. Then by the end of last month, went down to 300 mg every 6 to 7 days. I had no side effects except for a bit of nausea/dyspepsia, feeling drowsy and my mind was foggy. Around 2 weeks ago I stopped taking them altogether since my abdominal pain was getting better on its own. But around 8 to 9 days after stopping Gabapentin, I started having these weird symptoms that seemed to have come out of nowhere. Anxiety which has increased to dramatic levels over the last few days, panic sensations on every tiny negative or sad thought, a burning feeling in my throat and nose, horrible heartburn, waves of weakness like an adrenaline rush flowing through my chest, arms and legs. I have strange thoughts, bizarre ideas like mind control and telepathy (which is so uncharacteristic of me), confusion - I cannot get my thoughts together well, cannot remember things. Insomnia, cannot sleep for more than 1 to 2 hours at a time. I feel horrible. There is a bit of stress in my life at the moment but nothing that I would not have normally handled decently well. I also checked my thyroid and my TSH and FT4 are completely normal. It all started suddenly five days ago and since then it has been hell. Things have not gotten any better over these days, at the contrary I am worse. Can this be Gabapentin withdrawal symptoms? Because my doctor told me I can quit it cold turkey since it is not addictive but I am starting to believe it must be. No way I went crazy like this for no reason. I feel like I cannot fully control the way my brain is working and I am overreacting to any slight emotion and turning it into panic. Please help.
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I live in Canada - a recent blood test reveals I m borderline in my potassium level 3.3 (range 3.3 - 5.1) I m a senior 79 years old - only medication is a water pill 2.5mg daily for blood pressure problem - last reading 130/78 and an adult coated aspirin 81mg taken daily. My doctor has suggested I take 1 x APO-K - Potassium Chloride - Slow-Release 600mg tablet daily - I would like your opinion.
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Hi My dad is 62yrs old and he is suffering from aplastic anemia. He had an ATG(horse) treatment now his bone marrow is functioning as expected after 6months of treatment. Initially he responded well. I'm clueless what is to be done now. Initially when he was treated with ATG he was given 30vials of atgam. I'm getting mixed opinion on what is to be done from various specialist. I want a genuine suggestion what is to be done now. shall i go for second ATG(Rabbit) or shall i try out BMT? please help???
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I am a 50 year old male with a history of cervical spine injury. I have had a disc-ectomy with fusion in 2012 and in Feb of 2013 reinjured my neck in an auto accident. I, in the past greatly benefited from Oxycodone 10mg, It totally worked for me. Other medications such as Nambumetone, Naproxen, Cyclobenziprine, Amitriptyline, Prednisone, as well as several others were not effective. I am an electrician and I do a lot of tasks that are posture compromising. I am often required to crane my neck for extended periods, ( a recent pain management Dr did not know what craning of the neck meant) I have to access crawl spaces and attics. I have to manually bend conduit, and work overhead. I have to work above suspended ceilings off of a ladder, outstretching and reaching to pass wires along, By days end I am in agony. I am unable to get my current primary care physician to prescribe the one medication that works for me. Oxycodone.. I am aware of the dependency risks. I am also aware of some of the warnings that come with the medications they are so freely willing to give me. Shouldn t the decision be mine as to which risks I am willing to take. Nambumetone for example has risks of gastric bleeding, increased incidence of stroke and a slew of other possible side effects. The Amitriptyline has been shied away from for years as an anti depressant because of far safer forms of antidepressants currently available, yet they are more than willing to let me take it for neuropathic pain, even-though it is ineffective. How does one approach a physician about prescribing Oxycodone, without appearing as someone seeking it for less than honest reasons? I genuinely benefit from the 10 mg dose. It worked wonders the 8 months I was on it. it worked so well I opted not to have the additional fusion surgery recommended after my 2/10/13 accident.. When I opted out of having the 2nd fusion surgery the surgeon subsequently ceased prescribing the oxycodone & told me to get it from my PCP who is unwilling to prescribe it, and now I am once again contemplating having the surgery. I actually had the most productive 8 months in over 5 years while taking Oxycodone. My pain was managed, my pain associated depression was non existent, I functioned at work, and got things done at home after a day at work. Now I just barely make it through the day, and when I get home I am a couch potato, to sore to do anything. . YYYY@YYYY
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Hi doctor, I had minor tooth pain before and got a composite filling. Then, I had extreme pain and opted for root canal treatment. I had a root canal before three days. I feel extreme pain and my tooth is still sensitive to cold. Is it possible that the nerve was not completely removed? Also, it hurts with cold liquid.
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I have been bleeding from my butt since forever it comes and goes and i get very very bloated with pain in my lower stomach. what does this mean ?
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Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance.
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I am a 23 year old female, been having teeth pain for 3 days after eating an oreo cookie, pain is located on left side on both upper and bottom teeth hard to tell which ones.. woke up the second day having sore neck, mild headache, and constant toothache. I took some ibuprofen, didn't help.. gargled warm salt water.. didn't help. I can't get to a dentist I don't have the funds, and don't really have enough to go get any other medicine. What else can I try to relieve at least the headaches and toothache so I can figure out how to get this all fixed. I can't sleep at night, I can't do much during the day because my head starts hurting and throbbing...
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Hi last thursday i had gallbladder surgery and i had a catheter put in during surgery. Well ever since i came home i have noticed a burning, itching, swelling and slight disharge in that area. I thought at first it was just irritated from the catheter but its been 6 days now and its still bothering me. Any idea what it could be.?
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hello doctor, usually 27 th is da period date for me, 30-34 days a cycle f period it is. some time 2-3 days of variation is der, i had unprotected sex in dis month, and i dont want to ahave pregnancy, i already completed 6 tablet course of mensovit yesterday only. still am nt feeling any symptoms of period kindly help me. suggest me what to do
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To our knowledge, this is the first report to examine the miRNA associated DICER1 gene and dietary interaction as part of CRC etiology.
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dear doctor ,my age 28 weight 57 and if i am do blood and urine test its result is ; creatinine , urine 17.50 protein, urine 10.0mg% protein creatinine ratio 0.57 urine routine examination result redblood cells absent pus cells 25-30/ HPF epithelial cells ++ bacteria + interpretation; increased copmpliment activity may be seen in cancer, UIcerative colitis etc& decreased in bacterial infection, cirrhosis, malnutrition, kidney transplent rejection, systemic lupus erythematosus etc please tell me it is a cancer
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Hi, I am 25 year old and have been masturbating and watching porn lot, now since past few months I am not getting proper erection. I am not getting morning erection as well. Please tell me whether this is curable or not? Or I will never be able to get erection now?
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I have just got home from 33 hours on A&E having been diagnosed with acute cholecystitis due to 4 gall stones of about 1cm each. The surgeons told me I would have to have the gall bladder removed in a couple of months when the infection has cleared. I ve since been reading and have spoken to friends who have also had their gall bladders removed and all of them have said that the pain never goes away fully, and that they have gained weight. They also talk about having low energy levels. Is there any other way of treating gall stones without removing the gall bladder. I am already overweight and suffer from chronic fatigue , and I don t think I can cope with more of either.
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Sir I am diabetic person, FBS IS 150mg/dcl I have skin allergy having reddish skin and rashes. Where allergy appears I will take two 5mg citizine tablets, it will not appear for two days, again after two days it will appear. once again if I take two 5mg citizine tablets it won t come for two days. It is happening for me from the past six months. What is the permanent remedy
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Hi I'm 36 weeks pregnant, in 3 days I will be 37 weeks..I went for my check up and found out I was 2cm dilated and the next day my mucus plug fell out.. Could the doctor of jump started my pregnancy?? And how long do you think it'll be until labor kick starts?? Also this will be my second pregnancy..thank you
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my son 12 and half years has been diagnosed typhoid fever, he has 100 fever and light abdominal pain and light headache since twelve days, kindly let me know the seriousness of the disease and he is taking ofloxin 400 BD & CEPODEM 200mg BD. tell me the diet for him pls ans my query.....Why d fever not going????
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Hi my 5 years old son has asthma . He had his 1st attack on his 2 years old. But he always have fever after a month or every 2/3 months. On that time he complain abdominal pain . Every time dr said viral or chest infection. His checks gone very red and he got so weak cant get out of the bed. Can t eat anything on the period of fever that persists about a week. I am very worraid.
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Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angioplasty. I would like to communicate with a second cardiologist and discuss the possibility of just doing diet changes plus some kind of drug regimen. I am prepared to pay for the consultation independent of any insurance. Two consultations where there was a general discussion about the issue and a second consultation where the physician has reviewed my medical records is what I am thinking might be best. I would like a cardiologist to review the details of my condition and test results and provide a recommendation as to the best course of action for me. Right now I am just trying to understand that this is something that you do and that going forward from here is useful. I would like to be able to see something about the physician who would be reviewing my case.
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BACKGROUND The Major Depression Inventory (MDI) is a brief self-rating scale for the assessment of depression. It is reported to be valid because it is based on the universe of symptoms of DSM-IV and ICD-10 depression. The aim of the current preliminary study was to assess the reliability, validity and psychometric properties of the Greek translation of the MDI. METHODS 30 depressed patients of mean age 23.41 (+/- 5.77) years, and 68 controls patients of mean age 25.08 (+/- 11.42) years, entered the study. In 18 of them, the instrument was re-applied 1-2 days later and the Translation and Back Translation made. Clinical diagnosis was reached with the use of the SCAN v.2.0 and the International Personality Disorders Examination (IPDE). The Center for Epidemiological Studies-Depression (CES-D) and the Zung Depression Rating Scale (ZDRS) were applied for cross-validation purposes. Statistical analysis included ANOVA, the Spearman Product Moment Correlation Coefficient, Principal Components Analysis and the calculation of Cronbach's alpha. RESULTS Sensitivity and specificity were 0.86 and 0.94, respectively, at 26/27. Cronbach's alpha for the total scale was equal to 0.89. The Spearman's rho between MDI and CES-D was 0.86 and between MDI and ZDRS was 0.76. The factor analysis revealed two factors but the first accounted for 54% of variance while the second only for 9%. The test-retest reliability was excellent (Spearman's rho between 0.53 and 0.96 for individual items and 0.89 for total score). CONCLUSION The current study provided preliminary evidence concerning the reliability and validity of the Greek translation of the MDI. Its properties are similar to those reported in the international literature, but further research is necessary.
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hi..my baby is one month old..he is suffering from severe constipation. I am breastfeeding him now. Initially for a week he was bottle fed adn he used to have very good bowel moment at that time. After a week of breastfeeding, he started to constipate. He is not having bowel moment and is crying a lot while passing the stool. His appetite is also reduced. Please let me know what can I do to relieve my child from this problem. Its very painful for me seeing him crying a lot.
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Hi, may I answer your health queries right now ? Please type your query here... I feel a flutter movement on the upper left side of my stomach under the rib cage . I know I am not pregnant, even though it feels like babby movements What could this be?
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Hello,I need so help, from past 2 days i am suffering from testical pains and i am 21yr old. i feel so kind of lump formed at my left once. when i lay down it doesnt hurt, but while walking it hurts and feels like something is pulling down, and even my abdomen pains. Can anyone help me out. Pls..
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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I had invasive cervical cancer in 1980 at age 28 and was treated with a radical hysterectomy and lymphanectomy. Recently a pap test has shown adnormal cells and I have been referred for colposcopy. Could this be a recurrency of my cervical cancer? how common is this after 33 years? YYYY@YYYY
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BACKGROUND AND OBJECTIVES: The COVID-19 pandemic has forced universities to move the completion of university studies online. Spain's National Conference of Medical School Deans coordinates an objective, structured clinical competency assessment called the Objective Structured Clinical Examination (OSCE), which consists of 20 face-to-face test sections for students in their sixth year of study. As a result of the pandemic, a computer-based case simulation OSCE (CCS-OSCE) has been designed. The objective of this article is to describe the creation, administration, and development of the test. MATERIALS AND METHODS: This work is a descriptive study of the CCS-OSCE from its planning stages in April 2020 to its administration in June 2020. RESULTS: The CCS-OSCE evaluated the competences of anamnesis, exploration, clinical judgment, ethical aspects, interprofessional relations, prevention, and health promotion. No technical or communication skills were evaluated. The CCS-OSCE consisted of ten test sections, each of which had a 12-min time limit and ranged from six to 21 questions (mean: 1.1 min/question). The CCS-OSCE used the virtual campus platform of each of the 16 participating medical schools, which had a total of 2829 students in their sixth year of study. It was jointly held on two dates in June 2020. CONCLUSIONS: The CCS-OSCE made it possible to bring together the various medical schools and carry out interdisciplinary work. The CCS-OSCE conducted may be similar to Step 3 of the United States Medical Licensing Examination.
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Can acidity effect brain??? as yesterday I faced a huge problem with my head....it was spinning and to heavy weird sensation...I could not move....one of my brother told me it is because of acidity and took some antacid and sleeping pill(he also advised) then after 3 hours sleep I felt better...
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Hello. I am a 26 year old female (52, 125 lbs). I have a severe bee allergy (honeybee, yellow jacket, and white-faced hornets). I am also allergic to cephalexin. Two days ago I broke out in an allergic reaction (rash and hives) from the waist up around 4
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I was getting fed up with all the panic attacks! they increased to 178 beats per min! these are not your normal anxiety attacks! this is where your ox.. level drops! get weal.. light headed like your going to pass out!... the e mt. gave me the medication.. through the veins to get the heart beasts back to normal! forgot the name of this! they are saying the c o p d.. allergies are putting strain on the heart muscle.. have thromboses that causes most of this! poor circulation! was put on medium doses of dilitazem.. is this medication related to what I was given in the e m t,s truck?
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This work introduces a low-latency, searchable web tool for biologist and healthcare researchers to quickly explore a large number of host-pathogen interactions (HPI) reported in scientific publication. Our database contains 23,581 generic HPI and 257 COVID-19 related HPI extracted from 32 million PubMed s. The data was automatically collected by running our high-precision biomedical text mining system, which consumes much less effort than manual curation while still provides reliable output. Web URL: philm2web.live © 2021 IEEE.
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This is for a school project in consumer science. This is a play child it is an newborn infant having difficulty breathing, deep dry cough, pain in chest or abdomen not unusual, vomiting may occur. We need a diagnosis and if any medicine is to be subscribed.
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TRIAL REGISTRATION: The study was retrospectively registered at clinicaltrials.gov (dated: 25th Februrary.2015) with registration number NCT02376660 .
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What is the consequence of a mutation in Rb on the regulation of cell cycle progression?
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Conversion of glass slides to digital images is necessary to capitalize on advances in computational pathology and could potentially transform our approach to primary diagnosis, research, and medical education. Most slide scanners have a limited maximum scannable area and utilize proprietary tissue detection algorithms to selectively scan regions that contain tissue, allowing for increased scanning speed and reduced file size compared to scanning the entire slide at high resolution. However, very small and faintly stained tissue fragments may not be recognized by these algorithms, leading to loss of fidelity in the digital image compared to the glass slides. Cavitron ultrasonic surgical aspirator (CUSA) is frequently used in brain tumor resections, resulting in highly fragmented specimens that are used for primary diagnosis. Here we evaluated the rate of loss of fidelity in 296 digital images from 40 CUSA‐resected brain tumors scanned using a Philips Ultra Fast Scanner. Overall, 54% of the slides (at least one from every case) showed loss of fidelity, with at least one tissue fragment not scanned at high resolution. The majority of the missed tissue fragments were small (<0.5 mm), but rare slides were missing fragments greater than 5 mm in greatest dimension. In addition, 19% of the slides with missing tissue showed no indication of loss of fidelity in the digital image itself; the missing tissue could only be appreciated upon review of the glass slides. These results highlight a potential liability in the use of digital images for primary diagnosis in CUSA‐resected brain tumor specimens.
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I was bitten by a dog last Saturday the 18th. Seen in the ER where they stithe the wound and gave me oral antibiotics. The next day I went in with heat increased area of redness and was admitted for four days on IV antibiotics. Xray showed some gas pockets, surgeon had MRI done and said he would wait, he didn't see anything pressing. Upon discharge I was given Augmentin 875 and clindamycin taken twice a day and 3 times a day respectively. Now there is hardness, slight swelling and numbness as well as pain around the wound.
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my abdomen feels hard and not soft when i palpate it...is that nromal? also why do I have thin (a bit thicker than a pencil) stools and very hard to defecate and not alot per day...almost feel constipated..been almost 2 weeks like that..im on naproxen and detrol..could these be the reason?
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I had a dental implant placed 3 days age. For the past two days I been clearing bright red blood from my throat. I have no signs of blood in my mouth or when blowing my nose. I did have an excessive amount of bleeding from the implant site on the first day. Is it possible the blood could be from the implant procedure?
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So after i had this written out and finished it was erased! Excuse mis spelled words and bad grammer. Recently i got verg ill from my iud. Got an infection. I lost weight drasticslly and developed a gallstone. Which my gallbladder was removed june 28. i a period before my surgery june. Normal heavy to light in 5/6 days. Also second period after surgery, same. Lasted 5/6 days heavy to light. Ovulation was july 31. Intimate july 30. My august period was exactly a week late it was light red and sometimes dark but akso with some brown lasted for 3 days and it was gone. At that time my boobs were sore and weirdly enough my nipples were so itchy. i have a job i walk a lot in. I am a phlebotomist in a 5 story hospital. Tons of walking. Im getting hot flashes, sweating at night. My stomach feels like i did some sit ups like its sore but ifs squishy to touch but also kinda constipated. We bf and i have unprotected sex. If im pregnant yay if not wont hhrt my feelings. Hinesty please =) i appreciate your time and kindness to do thjs!
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Hi. My boyfriend has had the following symptoms maybe 3 or 4 times in the span of about a month or a little more. He gets cold, shivers violently, has a headache, a fever, and feels like throwing up. Sometimes he gets one or two of the symptoms, sometimes all, but it keeps coming back. What's wrong with him? He is 16, about 140 pounds, 5'8". He's only had some minor sports injuries.
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What does a physical examination for stomach cancer entail?
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I've recently been told and further confirmed by home testing that my blood pressure is high and I've had a low grade fever. I have not been able to see my Dr. because my health insurance has not kicked in yet. Do you know if these symptoms could be related to each other?
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need assistanceI am experiencing hemorrhoidal pain Xs 2 days. I took a warm bath last night in Epsom Salt. I am also using Preparation H PRN. I have had this problem in the past where the hemmrhoid became thrombosed and had to be lanced by my MD. I would like to know at what point should I make an appointment to see my physician and if there is anything else I could do to relieve the symptoms. age 26, 506, 165 NKDA
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I have been having weird pains relating to my heart. My doctor told me it was normal for people my age. (im a 14 year old girl) but im really worried its more serious. Today i started feeling like my heart was skipping beats, then came the dizziness and lightheadedness. and now i still feel like my heart is being squeezed and still feel dizzy and hot. this happens at least 3 times a week and they usually come on off for a few hours. i dont know what it is or even if its actually serious, what should i do?
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What causes a fever of 104 only at night? My 6 yr old had a fever of 104 all last week. That was the only symptom. He was on Azithromycin. Friday, he developed a dry cough. day, but generally seems fine, except every single night, around 7-10p he gets a fever of 104 which doesn t go away unless I give him tylenol.
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Hi, i have had upper abdominal swellingnow for a long time an dit is not going away.I underwent tests referred by my gp and results all came back negative.what would you suggest.doctor says it is ibs but i feel there is more to this problem than ibs,i feel my shape has changed.what you suggest.in the mornings i feel okay the bloating isnt bad its during the day and moreso at night.
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Hi there, over the last 8 months I have being suffering from sever dizziness to the point i cannot do normal daily life activities without having a dizzy episode. I have also had abdominal pain and previously had a PID, i took medications for that but think i may have it back. My doctor ignores me and just keeps pushing me away, what medications can u take to get rid of a PID? i need and want my life back.
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I have been on Nortrel for almost 2 years. I take it every day same time. It helps with my PCOS. I haven't had a period since March. 2 pregnancy test negative taken 1 month apart. My doc doesn't want to give me a blood test she just wants me to go straight to an ultrasound. No pregnancy symptoms. I am 34 years old. Any ideas?
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