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Hi, this has never happened before and I don t know what to make of it. I have a bruise on each leg and they are in the same spot, directly behind the knee. Each bruise is a thin line, about an inch long. It also hurts to straighten my legs and to walk. It sort of feels like I have cramps behind both knees, the kind of cramps you get when your muscles are very tight. I did some weight lifting, exercises for my calves, two days ago. Everything was find until last night. 24 hours after the exercising. Do I need to be concerned? Could this be an indication of significant damage behind my knees? Damage to tendons, etc ...Thanks for your help.
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Q:A 37-year-old man presents to his primary care provider with dysphagia. He notes that his symptoms began several weeks ago and have worsened over time. He now has trouble swallowing solids and liquids. He denies any other symptoms. He has no significant past medical history. Travel history reveals a recent trip to South America but no other travel outside the United States. His temperature is 100°F (37.8°C), blood pressure is 120/81 mmHg, pulse is 99/min, respirations are 14/min, and oxygen saturation is 98% on room air. HEENT exam is unremarkable. He has no palpable masses in his abdomen. What is the most appropriate next step in management?? {'A': 'Barium swallow', 'B': 'Endoscopy', 'C': 'Manometry', 'D': 'Myotomy', 'E': 'Nifurtimox'},
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I have all my teeth hurting for two months. Have been to dentist. Also provider. No answered. I have had three cortisone shots for my shoulder pain. Two in April, one in September. I understand that a risk of cortisone is malofascile syndrome.could this be my answer?
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Hello, its just for abit of advice really. My mum has had her gallbladder removed a month ago and was in a lot of pain and is slowly recovering. For the last couple of days she has had numbness in her hands and has been feeling fatigued, because it is easter monday, she doesn t want to go up to out of hours because she doesn t think they will have the answer and she thinks tests will probably be needed to be carried out which won t be available until tomorrow.
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My doctor has given ascoril plus syrup for my 4 yrs old kid and she got itchy rashes through out her body.especially more in the neck .I feel that he has prescrbed ascoril + instead of ascoril ls. I m much worried about her rashes. Now he has prescribed oflaxin oral solution And promethazine hydrochloride pholcodibe cough linctus (tixylic) ,shall I continue this ?
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I have a swollen area near my shin right below the knee! I have not injured my leg, but I do have OA in my hip and not sure if that might play a role! The swollen area is sore to the touch and also produces sharp pains after I have been on my legs for a while. What could it be?
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I am 20 years old, 162 cm and 101.2 lbs. I am a teacher and I work almost 12 hours in a day. I had a cough for more than a week with a white secretions. My throat hurts and I cant speak properly. Its like my throat has lots of mucus. I cant sleep, too, because I need to get up every 5 or 10 minutes to cough out.
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My 4 year old son has a swollen cheek and you can feel a bump at the jawline. It only hurts when you touch it. I took him to an urgent care today and the Dr. Looked inside his mouth and didn't see any decaying tooth. I took him to the dentist a month and he didn't have any cavities then. At the urgent care the took x-rays, but nithingcoul be seen. Could it be an inflamed nerve? Should I follow up with the pediatrician, or the dentist?
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My heart is beating hard my chest is moving out I had the flu and then it turned into a cold and iamb wheezing terribly I don t know if it s pneumonia or not, what do you think I should do my nose is running I m nauseous head hurts bodyaches reason terribly I m 52 years old
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My sons tonsils have bee enlarged for a while, and now they are so swollen they are almost touching. My daughter had to have hers removed when she was three(my son is 2). I am making an appointment with my ent. Is there anything I can give him(clarion, or advil) to help relive some of the swelling and ease his chocking and gagging fits?
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my mother was paralized in July 2011 her right side affected in that attack and she had also lost speaking power during this period she is also having fitz after one to two months duration Last attack of Fitz made couple of days before after that she has been hospitilized and doctor has started TEGRAL tab. twice a day which causes drousiness i just want to know is there any permanent solution for fitz and is there any chance of recovery
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http://img843.imageshack.us/img843/9172/…http://img33.imageshack.us/img33/7600/uq…At first I saw a maroonish dot underneath my skin (where the area is) and I felt a certain discomfort. Almost as if something small but sharp somehow got in my skin. When I went into the area that appeared maroon immediately blood came out. And for a finger I would say that it was plenty of blood. After putting some alcohol on it I covered it with a cotton ball and placed something on it to hold it in place as I slept. The next day after a little rub against something blood came out, a decent amount again. A bigger adhesive pad was placed on it. After a few days the area simply didn't get better. It wasn't bleeding, but it just remained pretty similar to what is shown in the photos. I scheduled an appointment with a Dermatologist in my Union's Plan, but before I go I wanted to know more about it and if there was a way for me to get rid of the problem myself. Thanks.
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What are the typical characteristics of primary mucinous tumors of the ovary and Krukenberg tumors in terms of their laterality?
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Hi I am 16 years Old and I jave chest pains I thing I have pulled a muscle and that is what my chest is tender previously I had a burning sensation on my right side of my chest and shortness of breath but I think that might be related to anxiety what do you think thanks
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I am leaking from my belly button and last week my blood platelet count was high. My belly button just started leaking today and my doctor said that my platelet count has been going up over the years. My also doctor thinks I may have Leukemia or a bad infection.
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One month ago I had a hemmorhoid banding procedure performed. I started having pain in my lower back on the left side that has been warm and painful to the touch and is radiating around to my left side and left lower abdomen area. Could this be a possible infection due to the bands not coming out as they should have after 5-7 days? The pain is not due to muscle or back pain and feels like an organ being affected.
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Hello Dr,The report of dobutamine echo reads; abnormal dobutamine stress echo at 74% maximal heart rate with evidence of stress inducible ischemia at LAD,LCX, RCA, bASELINE ekg, SINUS RHYTHM, COMPLETE LEFT BUNDLE BRANCH BLOCK. To have an angioplasty with stents - is this a recommended solution ?
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Hello Doctor, Im Rani 30 yrs female living in kuwait. Past 4 days i have sever bodayache and fever . Went to clinic, they gave Brufen,Amoxcyllin and Actified tablets. they also gave me a injection to redu ce the temperature. it was fine for a night and next morning the same problem started again. So today i have fever, headache, body pain and sore throat as well. Please advice any medication and food intakes during fever.
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Hello, I have a deep, hard movable lump in my upper armpit. I ve had this for about a year now, but am starting to get pain running from the lump in a line down my arm, aswell as some discomfort in the area where the lump is. The discomfort is now and again, not all the time. An ultrasound scan just showed blood vessels. What could this be and should I persue to get an answer?
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I masturbated roughly anally and now I have a problem ejaculating during normal intercourse. I havent masturbated anally for years now and I still have the same problem? I really would like to have normal intercourse again. I just dont know what I can do to fix this.
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if provisional diagnosis is tuberculous meningitis then how much time is required to get culture senitivity report and pcr report of csf
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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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My daughter is 5 month old, her hemoglobin drops drastically.. after transfusion within a week it goes down to 7.1 or lower sometime. they did all kind of test to see any kind of anemia but Dr. saying they dont have answer why her hemoglobin is dropping...
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my 33 weeker baby girl is now 4 months with a UTI.she had high fever for a day and wbc 22.9 and a positive urine culture. im still waiting for lab results. she got 2 ceftriaxone doses in the meantime. it could be e-coli or wat else? and wat else should i look out for??
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In the end of 2019 COVID-19 emerged as a new threat worldwide and this disease present impaired immune system, exacerbated production of inflammatory cytokines, and coagulation disturbs. Mesenchymal stem cell (MSC) derived extracellular vesicles (EVs) have emerged as a therapeutic option due to its intrinsic properties to alleviate inflammatory responses, capable to promote the restoring of injured tissue. EVs contain heterogeneous cargo, including active microRNAs, small noncoding sequences involved in post-transcriptional gene repression or degradation and can attach in multiple targets. This study investigated whether the MSC-EVs miRNA cargo has the capacity to modulate the exacerbated cytokines, cell death and coagulation disturbs present in severe COVID-19. Through bioinformatics analysis, four datasets of miRNA, using different stem cell tissue sources (bone marrow, umbilical cord and adipose tissue), and one dataset of mRNA (bone marrow) were analyzed. 58 miRNAs overlap in the four miRNA datasets analyzed. Sequentially, those miRNAs present in at least two datasets, were analyzed using miRWalk for the 3'UTR binding target mRNA. The result predicted 258 miRNAs for exacerbated cytokines and chemokines, 266 miRNAs for cell death genes and 148 miRNAs for coagulation cascades. Some miRNAs may simultaneously attenuate inflammatory agents, inhibit cell death genes and key factors of coagulation cascade, consequently preventing tissue damage and coagulation disturbs. Therefore, the MSC-derived EVs due to their heterogeneous cargo are a potential multitarget approach able to improve the survival rates of severe COVID-19 patients.
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Hi i have a question that I have been looking over the internet looking for an answer. I have taken 3 pregnancy test and 2 of them have shown a faint positive line. On top of that before I took the test My body has been in pain mainly in my kidneys and lower abdominal area. So does that mean i may be pregnant or is it something else
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I suffer from constant lower back pain. The pain comes on if I stand around for any time but less so if Im walking. Lifting heavy objects also heightens the pain. If Ive been drinking alcohol the night before then the pain in my back is especially severe.
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spinal mri procedure description all standard sagittal and axial sequencea were obtained and showed findings loss of normal cervical lordosis due to muscle spasm. c5-c6 &c6-c7 ..show mild disc bulges but no obvious compression. L4-L5&L5-s1.. show mild diffuse posterior disc bulge abutting thecal sac. no evidence of cord lesion. no obvious fracture.
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my age is 33,my eye is twins from by birth,i check up in past days in shankara netryalaya chennai,ganpati hospital jalna,but dr says atfer operation we could not say the effect was good,i want to make my eyes normal view,so guide me,in life i face of many problem
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hi....could u suggest a good doctor for IUI or IVF...my wife n i have been trying for a baby for the last 5 years n hv undergone the above procedures many a times..i shall be shifting to gurgaon in a months time n need to look for a good doctor who could help us out...plz suggest. thanx.
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What is the reason for the increased risk of thromboembolism associated with prosthetic heart valves?
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My mother is 74, and within the last 6 months, I ve noticed a huge amount of short term memory loss, and it doesn t seem to be getting better. Today I got a call from her...and she doesn t remember how to pay a bill. After talking a while with her, she mentioned this last summer she had an episode of severe dizziness and couldn t remember who she was or where she was. She didn t tell me at the time.She s generally very active, cuts her own grass, maintains the house (she lives by herself), things like that. She s also very healthy, takes no medication, and is self-sufficient. I talk with her every day, and a few times a week I visit and have breakfast or dinner with her. She forgets what she is talking about and must tell her repeatedly about current events, none of which she remembers. Could she have had a stroke? At some point, I will bring her to live with me, but she won t discuss it yet. She is VERY reluctant to seek medical treatment...she even hates taking the occasional motrin.
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HELLO Dr, I am having this nerve twitches all over my body especially on my 2 legs for the past one month now.Though it has subsided, but it still occurs and worries me a great deal. I also feel that the vein on the left side of my neck has expanded. It has also subsided but refused to go completely. When I feel it with my hand , I do not feel anything or any form of pain, but the feel of the expansion occurs at intervals. Pls advice. Thanks Bede.
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dear sir my wife gallbladder remove in month of sep,13 that after in 17 oct,13 haematemesis in home that after mrcp we insert 1st 8.5mm stunt in bail duct after one month dr insert 2nd 10 mm stunt and after one month 3rd time 10mm two stunt insert that after having pain whole cbd more than 40 days 4th time we remove both stunt and insert only one 10 ,mm insert in present time
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DUP was estimated using Schedules of Clinical Assessment in Neuropsychiatry (SCAN).
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AIM The purpose of this study was to compare the intraoperative and postoperative parameters among the three approaches used to treat large uterine myomas: laparoscopic assisted vaginal hysterectomy (LAVH), total laparoscopic hysterectomy (TLH) and abdominal hysterectomy, and to evaluate the selection criteria for laparoscopic hysterectomy as determined by magnetic resonance imaging. MATERIAL AND METHODS The medical records of 155 patients who underwent a hysterectomy between January 2007 and April 2010 were examined. We also compared the indications and outcomes of LAVH and TLH for myomas larger than 7 cm. RESULTS Patients who underwent LAVH or TLH had a lower average intraoperative blood loss, less intense postoperative pain, and shorter hospital stays than patients in the TAH group, although the length of the operations in the laparoscopic groups were significantly longer. To evaluate the selection criteria for the large sized myomas, we compared the LAVH and TLH groups for the myomas larger than 7 cm. The greatest uterine transverse diameters and the weight of the uteri were not significantly different between the LAVH and TLH groups (94.7 ± 20.8 and 83.1 ± 17.6 mm, 371.6 ± 160.3 and 286.7 ± 158.0 g, respectively). The average intraoperative blood loss in the TLH group was significantly lower than that in the LAVH (121.3 ± 111.2 vs 379.3 ± 222.4 g, P < 0.001). CONCLUSION Our data suggest that TLH is a better procedure for treating a large uterus no larger than 10 cm in its greatest transverse diameter. The preoperative total length of myoma nodules determined by MRI is a useful preoperative indicator of the uterine weight.
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Hey, my 17 year old boyfriend has a really bad concave chest and for a while he has been complaining of chest pain and in may it was so painful that he could not take deep breaths, walk or lay down and now again today its that bad. he said it feels like sharp shooting pains in the middle of his chest... is this serious? and does it have to do with his concave chest?
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how soon after being infected can someone transmit covid-19?
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My dad is 83 has prostate/bladder cancer the bladder cancer has been in resession for 12/12 now with maintainence therapy of BCG immunotherapy.... yesterday experienced BP 211/153 lowerr to 116/68 after rest.He saw his GP who indicated it was something to do with a rush of adrenaline/cortisol? This afternoon BP is 126/96(sitting) P 51 however standing his BP 125/65 but his P drops to 40 oth pulse readings are irregular what could this indicate??
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Hi was told I had IC (interstistial cystitis) and fibromyalgia. I also have osteo arthritis. I am only 42 and have ate well and exercised my whole life. Noe exercise is so limited due to fibro pain. I am now seeing a new urologist who said the bladder problems lie more in not being able to void fully. I don t know I am just so tormented and completely exhausted. Wondering if it could be more of a kidney issue? I feel and feverish many days. Sometimes my body gets hot.... Mainly my legs and people can fell how they burn to touch them. Had to stop working etc. but hoping I ll have my life back at some point. Feels like I carry a thousand pound weight around with me every where I go. Just plugging through.
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What is the prophylactic use of Hydroxyurea in patients with Sickle Cell Anemia?
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With the advantages of a high theoretical capacity, proper working voltage, and abundant reserves, silicon (Si) is regarded as a promising anode for lithium-ion batteries. However, huge volume expansion and low electronic conductivity impede the commercialization of Si anodes. We devised a one-step, vacuum-assisted reactive carbon coating technique to controllably produce micrometer-sized nanoporous silicon confined by homogeneous N-doped carbon nanosheet frameworks (NPSi@NCNFs), achieved by the solid state reaction of a commercial bulk precursor and the subsequent evaporation of byproducts. The graphitization degree, C and N contents of the carbon shell, as well as the porosity of Si can be regulated by adjusting the synthetic conditions. A rational structure can mitigate volume expansion to maintain structural integrity, enhance electronic conductivity to facilitate charge transport, and serve as a protected layer to stabilize the solid electrolyte interphase. The NPSi@NCNF anode enables a stable cycling performance with 95.68% capacity retention for 4000 cycles at 5 A g-1. Furthermore, a flexible 2D/3D architecture is designed by conjugating NPSi@NCNFs with MXene. Lithiophilic NPSi@NCNFs homogenize Li nucleation and growth, evidenced by structural evolutions of MXene@NPSi@NCNF deposited Li. The application potential of NPSi@NCNFs and MXene@NPSi@NCNFs is estimated via assembling full cells with LiNi0.8Co0.1Mn0.1O2 and LiNi0.5Mn1.5O4 cathodes. This work offers a method for the rational design of alloy-based materials for advanced energy storage.
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Hello doctor, I am 24 years old and I have noticed that there is a piece of flesh that sticks out slightly from my vagina. I thought it was my clit but I do not know if it is right. It slightly comes out and I do not like the way it looks. Does anyone know what it may be?
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Hi,I was just told today that my 3 yrs old have the problem of bladder wall thickening and one of her kidney is smaller than the other.About 2 months back she had her 1st bladder infection and she was on antibiotic(sulphur)but didn't continue her 10 days course coz she had developed a rash. Just few days back I had to take her for her annual check up and her doctor said she found lot of blood in her urine so she had send it to the lab for further work but they still haven't got back.My doctor adviced me to take her to a urologist.I'm quite worried.is she going to be OKay?
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Notably, while some patients did not have access to video conferencing for telemedicine visits (most often due to lack of access to internet, an electronic device, or technological expertise), assistance from office staff, as well as close communication with family members, greatly facilitated access for those with limitations [ ]remote conferencing facilitated collaboration with colleagues at peer institutions to share our educational offerings, thereby maximizing fellows’ educational opportunities and the impact of faculty expertise [ ]it allowed adjunct faculty currently working in other parts of the world to continue with fellow teaching [ ]for fellows engaged in research, close communication with mentors was encouraged, with time refocused on completion of analyses and manuscripts, where feasible
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hi im 54 and was having a numbing feeliing in my left arm, have had a stress test in the past 2nd to family hx of heart #, I am very fit and eat healthy . I had a ekg this week and on the report it stated left atrial abnormally ,.ther wise i feel good
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Hi, I've been experiencing tail bone pain and pelvic pains so went to my gp. I had a blood test which came back with a CA125 reading of 68 so my gp arranged an ultrasound scan the result of which fibroids and a cyst on my left ovary of 8cm were detected. I have health cover so went to see a consultant who has advised either removal of the cyst and ovary or removal of both ovaries, cyst and my uterus. I'm 51 and I'm going through the menapause. My health otherwise is good. I'm a keen runner and cyclist so very active, slim 5' 4" and weigh 53kg, don't smoke eat reasonably healthily. My gp tested my sugar levels and cholesterol both of which were fine.
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My daughter is 18 months old and she is having cough and cold with mild fever for the last 3 days now. She is given Piriton CS 2.5 ml twice a day...but she is still coughing badly. Can I give her 2.5ml Ventorlin? She does not have any breathing trouble, though.
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well i have chest pain or tightness and a really bad headache and i started my period so my abdomen hurts and i hurt in my back legs and shoulders, my mom says i am a little warm, i am tired alot i slept for almost two hours yesturday, my chest hurt so bad yesturday i was in tears, i have the inchy neck and my eyes have been red and ichty at school but not as much at home, my nose is stuffed and i just dont feel good,
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Hi. My 14 month old fell into the small lunch table at nursery on Wednesday. It was red when I picked him up. Today his ear & behind his ear has a bruise on it. He did not loose consciousness, not been sick & is his normal happy self. It is obv a little sore though as today he knocked it slightly & we had tears (more than normal for a small knock). Im worried because of where it is. My other half thinks its fine & that bruises take a while to come out & to just keep an eye on him. Do I need to take him to see a dr, or am I just being over cautious? A bit of advice would be nice! Thank you. Natalie
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My 11 year old woke up with hives on his torso and spread though out his body and today I took him to see his Dr and he has strept throat now his on medication Could his strep had cause his hives? Is just scary the way the hive just spread all over his body.
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Hi ....my son is 3.9yrs at 14.3 kg...he is having fever since last 7 days....he had fever that wud hit 103.7 or 101 or 102.... high grade fever.... the doctor put him on Moxikind -cv forte (amoxycilin and potassium clavulanate oral suspension) and suggested calpol to reduce the fever..initially for the first few days inspite of giving calpol 250(5ml) ,the fever wud nt subside that much..it stayed on .. so meftal-p(3.5ml) was also given....meanwhile got his urine and blood test done...urine test was fine and the blood test showed lower platelets count... he also had tummy pain.. so now he s having oflox 100 rediuse syrup since 3 days twice daily..still he has fever that comes back every 7 hours of giving calpol... why is his fever still persisting? and is it safe to give calpol for so many days to reduce fever? urination is little lesser (3 times a day) .. stool was little constipated(passed... 2 days back)... m worried cos its been 7 days n he still gets fever! please help!
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Hello there. My husband and I have been trying for a baby and so far its been no such luck its been a little over a year now since we have started trying my doctor has said we are both healthy and shouldnt have any trouble concieving but yet still nothing do you have any tips you coukd give me??g
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Hi, I had a blood transfusion of two units two weeks ago after sudden blood loss from a bleeding ulcer. When I left the hospital, by blood count was 10. I had blood drawn a week ago and was up to 11.4. But I am feeling so weak, dizzy and lightheaded--I am actually having a hard time driving, and have to lie down for frequent naps throughout the day. If my blood was up to 11.4 a week ago, shouldn't I be over all of the dizziness, etc?
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hello sir,my name is dileep. from karnataka.i am 21 year old.i hv seviour hair falling from wen i was 13 year old.i dont have much hair now.i consulted nearly 10 doctors.but its of no use.i request you please solve my problem,my hair falling is not heridity, i didnt use soap for my head.now hair is falling too much and luking bald.please help me
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The coronavirus disease 2019 (Covid-19) pandemic, caused by SARS-CoV-2, has resulted in a global testing supply shortage. In response, pooled testing has emerged as a promising strategy that can immediately increase testing capacity. In pooled sample testing, multiple samples are combined (or pooled) together and tested as a single unit. If the pool is positive, the individual samples can then be individually tested to identify the positive case(s). Here, we provide support for the adoption of sample pooling with the point-of-care Cepheid Xpert(®) Xpress SARS-CoV-2 molecular assay. Corroborating previous findings, the limit of detection of this assay was comparable to laboratory-developed reverse-transcription quantitative PCR SARS-CoV-2 tests, with observed detection below 100 copies/mL. The Xpert(®) Xpress assay detected SARS-CoV-2 after samples with minimum viral loads of 461 copies/mL were pooled in groups of six. Based on these data, we recommend the adoption of pooled testing with the Xpert(®) Xpress SARS-CoV-2 assay where warranted based on public health needs. The suggested number of samples per pool, or the pooling depth, is unique for each point-of-care testing site and can be determined by the positive test rates. To statistically determine appropriate pooling depth, we have calculated the pooling efficiency for numerous combinations of pool sizes and test rates. This information is included as a supplemental dataset that we encourage public health authorities to use as a guide to make recommendations that will maximize testing capacity and resource conservation.
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I have been suffering from a loss of strength in my left thigh muscle for the last 18months now. There is no pain and I am an active fit person. I am 42 yr old male. It started when I would play tennis and it would be fine for the first 30 minutes but then my left leg started to feel like it was losing strength. My left foot would start to drag as I had to concentrate to lift my leg up as the leg felt weak. By the end of the game I was totally struggling to walk properly and felt paranoid that I had to over exaggerate my walking. The left leg was weak and shaking. Once I rest for 30 minutes its fine and back to normal. I have got by with it but it is starting to impact on my normal everyday life as the weakness comes a lot sooner now. Just walking around the shops and I can start to feel the weakness in my left leg. Just cutting the grass today was a struggle. the left leg is significantly weaker than the right one and sometimes when the leg is bent it sometimes feels like I am going to fall over. I have no pain anywhere on my body. I had an episode in 2007 for about 3 months where I lost strength in my left leg for about 10 seconds when I was running and then it would be fine. This just corrected itself after 3 months and went away I am considering getting some steroids to help improve my muscle strength.
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SIR MY AGE IS 27 YR.I HAVE BEEN SUFFERING FROM SEMEN & URINE LEAKEAGE SINCE JAN,13.BUT MY URINE & ULTRA SOUND REPORT IS OK I HAVE CONSULTED MANY DOCTOR AT AMRITSAR BUT THEY SAY THAT I AM OK. THEY SAYS THAT THERE IS NO PROBLEM IF SEMEN LEAKS.SIR PLZ GUIDE ME
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Hello doctor, I am 33 years old male. I traveled by train for 12 hours and came sleeping, then I developed a headache. Now, suddenly I am having one eyeball misalignment and dual vision. No other symptoms. Please help.
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Rationale Upper limb dysfunction is well recognised in survivors of intensive care (Gustafson et al Crit Care Med 2018;46:1769-1774). A mainstay of respiratory support through the COVID-19 pandemic has been use of repeated patient prone positioning to improve ventilation. Potential complications reported with prone positioning of sedated patients include brachial plexopathy, shoulder subluxation and peripheral nerve injury. We hypothesised that there would be a high prevalence of upper limb dysfunction, disability and pain in survivors of COVID-19 requiring mechanical ventilation, particularly in those who were prone positioned. Methods Eligible patients were laboratory-confirmed swab positive for SARS-CoV-2, mechanically ventilated for a minimum of 72 hours on the Royal Brompton Hospital Adult Intensive Care Units. We measured handgrip strength (HGS), normalised for age and sex, the Disability of Arm Shoulder Hand (DASH) questionnaire (Beaton et al J Hand Ther 2001;14:128-146) and Upper limb Pain Numerical Rating Scale (from 0-10). Health related quality of life was measured using the EuroQol-5 dimensions 5-level (EQ5D5L Utility Index (UI) and Visual Analogue Score (VAS)). Patients were stratified according to whether they received prone positioning or not. Results Twenty-seven consecutive patients were assessed at mean 45 days after hospital discharge. Baseline demographics, admission characteristics, and follow-up upper limb assessment data are shown in Table 1. There was evidence of upper limb weakness (mean (SD) right HGS: 44.77(19.31) %predicted;left HGS 47.69 (18.41) %predicted), with 63% showing upper limb dysfunction (DASH ≥ 16) and 33% showing severe upper limb dysfunction (DASH ≥40). Median (IQR) pain scores were 4 (0.75-6.25) with 53% reporting severe pain (≥ 5). DASH correlated significantly with EQ5D5L UI and VAS (r=-0.69 and r=-0.73 respectively;both p&lt;0.001). No significant differences in upper limb parameters were seen between patients who did or did not receive prone positioning.
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what can be some causes in over excess of saliva. My 11 year old daughter, who is 4 foot 5 inches and weights 70lbs, is having serious issues with her teeth. She does have sensitivity issues to brushing and tooth paste, however for the past year and a half I have taken her for cleanings every 3 months because the majority of her teeth had compromising areas. Since she was a toddler I took her every 6mths up until we moved 3 years ago. We had 1year gap until I found a dentist locally and that is when they told me her teeth were in bad shape. She brushes morning and night. I brush her teeth after her at night, useing a sonic toothbrush and rx strength fluoride. Just got back from dentist and she has two cavities since our last cleaning three months ago. The cavities are on molars and are one the inside by her tongue all the way through to the biting surface. They say she produces so much saliva that everything crystalizes on her teeth so fast. Is that possible. Is there something medically I should have checked out? Could stress be a factor? I have two other children and there teeth are fine. She has no other heath issues. Healthy child. Does not drink soda, coffee or tea...they ask me everytime since she has so much staining, and she does not eat candy!
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2 days ago I felt slightly itchy under one arm. when I looked, i saw the skin was very dry and dark. Today the skin under both arms is extremely dark and dry, Not where I shave but towards the outter left side. I have not changed deoderant or detergent. I did buy a bar of Dove soap for the first time but have only used it twice, I tried an antibotic cream yesterday, should I continue? I have also been using Castor Oil for the dryness - might that work?
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My son is 2 1/2 and tripped and fell and hit is face under his eye hard (he did not hit is eye). It has come up in quite a shiner. Later in the day he came up with a high temp and was quite subdued. A day laterhe still has a temp. Is this something to be concerned about? Thanks
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The new Dutch Care and Coercion Act aims to better regulate the use of psychotropic drugs for challenging behaviour in people with an intellectual disability. This study explores experiences of intellectual disability physicians (IDPs) in prescribing psychotropic drugs and investigates how the Act and the new multidisciplinary guideline on challenging behaviour affects their practice. A qualitative study was conducted, consisting of nine semi-structured in-depth interviews with IDPs, followed by a thematic analysis. It was found that IDPs experienced the new Act and guideline as supportive of their work as guardians of the appropriate use of psychotropic drugs. The multidisciplinary character of the guideline was experienced positively. However, IDPs are faced with organisational barriers and time constraints, as such, they question the feasibility of implementing the Act. Based on these findings, it can be concluded that the Care and Coercion Act may support the existing shift towards the appropriate use of psychotropic drugs if required conditions can be met.
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I have stopped going to the gym in October. Since then I have been having heart palpertations but these only start if my back muscles get stiff or sore. I have had my regular over 50 medical at doctors and my blood pressure and colesteral where fine. Thank you Thank you
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Hi, I have been diagnosed with Hypothyrodism via a TSH. My reading was 8.89. My doctor prescribed Thyronorm 75mcg for me. Wanted to know if this is correct since on the internet I saw there are a number of side effects for this.Also wanted to knwo if this will effect if I plan pregnancy now? Please advice.
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Is it normal to experience extreme fatigue, weaknesses and dizziness on a regular basis related to Afib. I had a cardiac ablation last July but above symptoms seem to be increasing over past month or so. Seem to be somewhat tied into whether I have a good night s sleep or not?
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Hi, I have been on clomid from second day of my period for 5 days.Then I was given injections to induce ovulation. Once my follicle was 18mm,i was asked to ahve intercourse. Doctor said that ovulation did not occur next day and gave me ChatDoctor shot. We had intercourse on the day of shot and the next day.I had bad back pain on the day.I went to doctor next day morning and she said I had ovulated and asked me to take progesterone capsule gestofit 200 mg vaginally.I did not have intercourse the day she confirmed ovulation has occurred.But, it could have already happened on the day i had intercourse, one night before i went to doctor finally. is there possibility of my pregnancy? I had a little bit of white discharge from vagina after taking the gestofit, is that normal?
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What are the initial therapy options for male pattern baldness?
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PURPOSE: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic. METHODS: This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification. RESULTS: The study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005). CONCLUSION: Our study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.
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Which musculoskeletal pathology is caused by low levels of vitamin D in children?
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Hi, I also suffer from Excess saliva for the past four years and sad part is that no doctor seem to understand my illness, and it is so embarrasing when I talk especially now that most of the time the corner of my lips has became whitish and I guess is disgusting to people. Please advise.
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I am 52, 6 feet tall and weigh 160 pounds. I am very active physically for recreation, either walking or cycling. I cycle more in the summer and about a month ago I noticed nonspecific discomfort in the area between my penis and anus while out cycling immediately after having a double espresso...an unusual dosage of caffeine for me. I am a physiotherapy (orthopedics) lecturer who has not practiced in almost 20 years. I have palpated the area and found no specific areas of tenderness or swelling though I have varicosities in my scrotum of long standing. I had the prostate blood test this spring and it was negative and this was the second negative test in the past 4 years. I have also had 2 colonoscopies in the last 15 years, both negative. The discomfort has been consistently mild and can be brought on with a full bladder and prolonged sitting (I just sat in a car for 18 hours over the last 2 days). The best way to describe the symptoms is what I have always referred to as blue balls though orgasm has not relieved this problem. Please advise. Thanks.
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What are some examples of medications that fall under the category of third generation cephalosporins?
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Whenever I'm sat in a dimly lit room or the light is fading I start to feel as though the walls are closing in on me and often feel a little upset inside. This has been a problem for quite a long time, however, I've felt stupid bringing it to anyone's attention. Is there anything that you think may be the cause of this and are there are recommended treatments? I don't want to waste anyone's time.
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Hi, I was in a roll-over car accident about a month and a half ago, and I did not have any injuries. However, today I noticed a small, hard bump on my head, close to my forehead but under hair. It is itchy and does not hurt when I touch it but I was just wondering if you think this has any correlation.
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Q:Dr. Mansfield Mayhem receives a subpoena requiring him to testify about a current therapy client at a trial. Dr. Mayhem contacts the client who states that she does not want him to release any confidential information to the court. Dr. Mayhem should:? A:notify the attorney who issued the subpoena that the client has asserted the privilege and request that he be released from subpoena.;B:do nothing further until he receives an order from the court to appear at the trial.;C:notify the court that he will not be appearing at the trial because the client does not want him to do so.;D:advise the attorney who issued the subpoena that he cannot appear as requested because the client has not given him permission to do so.
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Hi, my brother's son is 3 weeks old and yesterday we noticed a lump on his neck. We took him to the doctors today and did an ultrasound and we still dont know if it is from the muscle or the veins. We will do another and detailed ultrasound tomorrow. what could it possibly be? and what is the difference if it was a muscle or vein lump?
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My 5.5 month old son throws his head back. He does this fairly often. Sometimes he does it when you kiss the back of his neck and sometimes just because! He also tends to throw it more toward his right shoulder than straight back. What might be the reason and what should concern me?
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i took cytotec last friday, orally 2 tabs and vaginally, 2 tabs with 2 hrs interval. then i took another last sat, 2 tabs orally then on sun, i inserted another tab into my cervix. last night, i inserted again 2 tabs of cytotec, then took 6 tabs of it orally but still nothing happened. no abdominal cramps, no bleeding. im on my 6 eeks of pregnancy. hat does it mean
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my grand mother is 75 years old . she is having a joints problem already and suddenly day before yesterday she said she is not able to stand up because her spinal is paining When doctor came he said it is because of spinal cord nerve which has been pressed wrongly . She always used to sit only. She is bulky. Kindly letme know if any cuure because she is in sleeping position and i am wrried
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What is the cause of neonatal hyperthyroidism?
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How is Severe Combined Immunodeficiency (SCID) secondary to Adenosine Deaminase (ADA) deficiency inherited?
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Aims: Renin-angiotensin system blockers such as angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) may increase the risk of adverse outcomes in COVID-19. In this study, the relationships between ACEI/ARB use and COVID-19 related mortality were examined. Methods: Consecutive patients diagnosed with COVID-19 by RT-PCR at the Hong Kong Hospital Authority between 1st January and 28th July 2020 were included. Results: This study included 2774 patients. The mortality rate of the COVID-19 positive group was 1.5% (n=42). Those who died had a higher median age (82.3[76.5-89.5] vs. 42.9[28.2-59.5] years old; P<0.0001), more likely to have baseline comorbidities of cardiovascular disease, diabetes mellitus, hypertension, and chronic kidney disease (P<0.0001). They were more frequently prescribed ACEI/ARBs at baseline, and steroids, lopinavir/ritonavir, ribavirin and hydroxychloroquine during admission (P<0.0001). They also had a higher white cell count, higher neutrophil count, lower platelet count, prolonged prothrombin time and activated partial thromboplastin time, higher D-dimer, troponin, lactate dehydrogenase, creatinine, alanine transaminase, aspartate transaminase and alkaline phosphatase (P<0.0001). Multivariate Cox regression showed that age, cardiovascular disease, renal disease, diabetes mellitus, the use of ACEIs/ARBs and diuretics, and various laboratory tests remained significant predictors of mortality. Conclusions: We report that an association between ACEIs/ARBs with COVID-19 related mortality even after adjusting for cardiovascular and other comorbidities, as well as medication use. Patients with greater comorbidity burden and laboratory markers reflecting deranged clotting, renal and liver function, and increased tissue inflammation, and ACEI/ARB use have a higher mortality risk.
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Low energy, which is variable, joint aches, particularly knees and ankles, vision often blurs and becomes tunnelled during bouts of low energy, trouble concentrating in these periods, blood test show borderline type 2 diabetes with a family history. Had flu about 6 weeks ago, never really recovered.
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Left Leg: Mid shin on outside is tender to the touch and when pressure is applied it sends little sharp pains up, down and across shin bone. Then it also hurt from that spot across the shin bone and up to inside of my knee. Also tender to the touch including when my jeans touch it. Also including when I wear my shoes i get a weird pressure on the top of my left food causing pain to shoot up my shin. The pain is better in the morning but gradually gets worse especially if I move around a lot. I am hoping it s shin splints and not a clot of some sort. Because I am getting on a plane at the end of the month to go home. What do you think?
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hi i am 38 year old female a single mother,i start feeling lightheadness and dizziness six moths back, my neck and upper part of head , i feel sansation there.. and after that my blood pressure goes down like anything, then short of breath, i smoke too. and my work need lots of mind and physical activity. whenever i try to sleep, the mitute i close my eyes my heart start pounding.. it is now contineu from 15th may 2011, even today.. i am taking homeopathy medicines, but i am not sure what is the problem with me. i have done my cardiac checkup too everything is normal, doc thinks it can be ulcer.. i am very worried about my sickness, it was not regular earlier but now it is not going.. i dont know what to do pls help..
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SARS-CoV-2 variants of concern (VOCs) exhibit escape from neutralizing antibodies, causing concern about vaccine effectiveness. However, while non-neutralizing cytotoxic functions of antibodies are associated with decreased disease severity and vaccine protection, Fc effector function escape from VOCs is poorly defined. Furthermore, whether VOCs trigger Fc functions with altered specificity, as has been reported for neutralization, is unknown. Here, we demonstrate that the Beta VOC partially evades Fc effector activity in individuals infected with the original (D614G) variant. However, not all functions are equivalently affected, suggesting differential targeting by antibodies mediating distinct Fc functions. Furthermore, Beta infection triggered responses with significantly improved Fc cross-reactivity against global VOCs compared to either D614G infected or Ad26.COV2.S vaccinated individuals. This suggests that, as for neutralization, the infecting spike sequence impacts Fc effector function. These data have important implications for vaccine strategies that incorporate VOCs, suggesting these may induce broader Fc effector responses.
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I noticed a nickel sized bruise on my left forearm about 3 weeks ago. It was only slightly discolored when I noticed it and there also seems to be a small knot under the skin. It hasn t gone away completely and the coloring seems to change. A few days after I noticed it the blue/green tint was gone but it still felt like a normal bruise. The next week the blue/green tint was back and then a few days later it was gone but felt the same. Now the color is bac again. I plan on making an appointment to have it checked, but wanted to make sure I didn t need to do something immediately. Thanks!
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I had total knee replacement 2 weeks ago. I m getting little sleep because of the terrible night sweats I ve started having. They did a urine test for infection no results yet. I talked to my pharmacy to see if my meds or any combinations of my meds would cause this. Answer no. I am 69 female. They think my hormones are messed up, which they say happenes sometimes after surgery. What are they talking about? I am going to the Dr. tomorrow looking for answers. This has been a very hard 2 weeks. I have bowel problems, told them and they still did not help me. When through a mess getting them going. Had trouble with med. Now these sweats. Hard to do therapy when tired.
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In the treatment of bulimia nervosa, what is the recommended first-line pharmacologic treatment?
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I lost my virginity on June 27,2104 around 7 days ago. We didn t use a condom for the first few pushes but We used a condom the rest after that. He doesn t know if he pre came inside me. Can pre cum get you pregnant? I know stress delays your period. I just want to make sure. Ive had a few symptoms but i read you get them also from your period. 1. I threw up 2 days after (due to stress)2. I have a faint pain in my lower right side of my back 3. Im bloated I just need to make sure to see if i need to buy a pregnacy test
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Hello I have know for over 20 yrs i have had hsv that cause cold sores. I have fought two spot off and on for 9 yrs in my privates. The doctors I have seen were Military, they always told me they were hair bumps. they gave me cream to use on them and would send me on the way. Back in my records in 2000 my nurse found were they tested me for the hvs type 1&2 and I was neg for the other other one. I got married and I have been getting weekly treatment for my MS. They ran another test in in 2003 and I was test and had both but they never told me!! I just found out this MONTH!! I was married to a man who I know wasnt faithful and now I am married to a guy who wasnt faithful I know its impossible to know who gave it to me. I would like to know what the brown color is that goes around the head of one of there privates?! Does this have anything to do with the HVS ?? Could I have had this and never tested positive untill later in life?? These are just some of my 100 q-tion about this. Thnk You I WISH I KNEW HOE TO PICK WINNERS LOL
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I had a lap choli the end of August. I am on Coumadin, for previous portal vein thrombosis. I slipped and fell down our stairs. Socks and bare hardwood steps. Of course I was bruised, but now I am having pain near my incision over my belly button. I dont know if I should be concerned or not.
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We have a 10 year old grand daughter who accidentally sat on a pencil and it stabbed her in the leg. She is running a temp of 106 deg. How concerned should we be? She went to the Dr and they gave her some antibiotics. She doesn t want to eat or drink, only wants to sleep
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Background: The COVID-19 pandemic triggered by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has left a huge mark on everyday lives, introducing restrictions and plunging the global economy. This study aimed to analyze the available epidemiological data from the register of one of the largest laboratories testing for SARS-CoV-2 in the Silesian voivodship of Poland. Methods: This analysis is based upon the epidemiological records collected between 30 March 2020, and 30 April 2021, by the Silesian Park of Medical Technology Kardio-Med Silesia (Zabrze, Poland). In addition, we performed SARS-CoV-2 variant detection in samples from patients reinfected with SARS-CoV-2. Results: Our results confirm that SARS-CoV-2 infections are more common in urban areas. Laboratory-confirmed COVID-19 cases represent 13.21% of all RT-PCR test results during the 13 months of our laboratory diagnostics for SARS-CoV-2 infections. Detection of SARS-CoV-2 variants in samples of potentially reinfected patients showed discrepancies in the results. Conclusions: Due to the higher risk of SARS-CoV-2 infection among the Upper Silesian population, the region is at greater risk of deteriorating economic situation and healthcare as compared to other areas of Poland. RT-PCR methods are inexpensive and suitable for large-scale screening, but they can be untrustworthy so detection of SARS-CoV-2 variants in samples should be confirmed by sequencing.
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I am feeling a sudden back pain which is just 2inches below the neck, it comes suddenly, feeling like more burning rather than pain, after rubbing that part it disappears. I'm getting it sometimes but today it happened thrice. What it is?
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I had a drop of BP 70/30 for around 5 minutes and the came back to 117/70. I was resting from asthma attack at that time. I had hypertension for 8 years and taking medication 5mg of amlodepine two times daily. Just two years ago I started taking omega 3 and my BP went normal 120/80. However, I still continued my amplodipine but only 5mg daily. Then I started experiencing really low BP but would be back to normal within minutes. My pulse rate is still within the range of 60-80 per minute. I am 54 years old and 85 kilos and 170mm tall. What could be happening why I sometime experience very low BP.
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hello, my 9 year old son and 2 of his friends tried out another boys blood teating diabetic needle. Curious and bad choices. My son says it din't hurt and hea had no blood but his other 2 friends did have blood. Shoul I be worried and what should we do now? Very concerned mom.
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What are the management strategies for stable and unstable atrial fibrillation?
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