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Hello Mary, I am Dr. Arun and will be helping you today.What were your symptoms for which MRI was done?Any significant past medical history or surgery?
Do you have weight loss, off and on fever, loss of appetite, joint or bone pain?
I COULDN,T SLEEP ON R. SHOULDER WERY PAINFUL . THE POST OFFICE [25 YEARS] HEAVY LIFTING- PUSHING AND PULLING APCS FULL OF MAIL DID ME IN. NO SURGERY ON THIS ARM- I HAVE PAIN ON THE TOP OF THE BONE AND DOWN MYUPPER ARM. I DID PT. FOR 6 WEEKS. CAN'T FIX TEARS.
Thanks Mary for the detail.This is likely to be partial rotator cuff tear with tendonitis. Those people who do not respond to the initial physical therapy are considered for the following;
1) A subacromial corticosteroid injection
2) A glenohumeral intra articular injection
3) Surgery; arthroscopic or open surgery for the repair of the tear.
You may also meanwhile contiue following;
2) Warm compresses
3) Physical therapy under water
5) Deep electrotherapy; diathermy, therapeutic ultrasound, electrical stimulation etc.
The abnormal marrow signal may be just an incidental finding and may not be significant as many times, MRI can over diagnose (called as false positive, which means positive findings in the absence of disease). Still your orthopedic doctor may get the following investigations fone, for the cautionary reasons to rule out any abnormality;
1) Bone scan
2) Complete blood counts
3) Peripheral blood smear
4) Bone marrow cytology and biopsy.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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DR. I ALSO G ET THE FEREHEME IRON INJECTIONS EVERY 4 MONTHS. FOR THE LAST YR. IS THIS CONNECTED ??? THANK YOU.. NO ONE SEEMS TO KNOW WHY MY CBC GOES DOWN TO A SCARY LEVEL OF 8..
You are very welcome, Mary.The iron deficiency anemia is connected to the signal intensity change demonstrated in the MRI and explains it. Thus you may not need to go further investigations. A colonoscopy is usually advised as there can be polyps in the intestines (benign growths) which can bleed intermittently and can cause anemia. Ferritin is a blood test which evaluates for the total iron available in the body. Serum ferritin is the most useful test for diagnosing iron-deficiency anemia. Low serum ferritin (less than 12 ng/mL) is highly specific for iron-deficiency anemia. Please read this resource;
The most common causes are;
1) iron deficiency (with or without blood loss),
2) chronic disease/inflammation
3) chronic kidney disease
4) deficiencies of folate or vitamin B-12,
5) diseases of the bone marrow
6) hypothyroidism, hypersplenism, and hemolytic anemia
So investigations entail;
1) Complete blood count (CBC)
2) Peripheral blood film
3) Vitamin B-12
5) Reticulocyte count
7) Thyroid-stimulating hormone
8) Serum creatinine and estimated glomerular filtration rate
9) Serum ferritin
10) Serum iron
11) Total iron-binding capacity
So these investigations need to be done (if not yet done) for the exact assessment and long term management.
It is privilege assisting you.
DR. ALREADY HAD COLONOSCPOY AN ENDOSCOPY IN APRIL - N EGATIVE NO ULCERS OR POLPS AM I GETTING LEUKEMA ? WHAT CAUSED THE CYST ?..