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Recent Differential Diagnosis questions

Question for Dr bray, Having a but of a flair up today with

Question for Dr bray,Having a but of a flair up today with the vertigo. HavING depersonalization and balance issues. Trying to remain calm. Is this likely to stick around?

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Anthony Bray, MD

Doctoral Degree

13,556 satisfied customers
Mostly at night, terrible itchy scalp, exacerbated by warm,

Mostly at night, terrible itchy scalp, exacerbated by warm, moist pillow.I need a topical solution, three Benedryl at bedtime no relief.WHAT CAN I DO???

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

8,116 satisfied customers
Recent ALT of 74. AST 68. Been taking 20mg of Revatio for 2

Recent ALT of 74. AST 68. Been taking 20mg of Revatio for 2 years. Possible cause . Ultrasound next week.JA: What medications do you take daily? Are you allergic to any medications?Customer: Oxycodone 10-325 once a day/ morning. Sometimes drink in late afternoon.JA: Anything else in your medical history you think the doctor should know?Customer: Had prostrate cancer 2 years back. That's the time I started Revatio.

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Anthony Bray, MD

Doctoral Degree

13,556 satisfied customers
Pre diabetic" for 8 years with A1C ranging from 5.9-6.3

Pre diabetic" for 8 years with A1C ranging from 5.9-6.3 while normal weight and slightly overweight. Diagnosed with GDM during spontaneous twin pregnancy that failed diet and oral hypoglycemics thus requiring insulin. A1C has been between 6.5-7.5 post pregnancy (3 years next month). Took metformin and saw no change in blood sugars at home, despite diet and exercise, but have had regular cycles ever since. Stopped metformin for 54 months and had free testosterone of 6.3, total testosterone 42 and SHBG 38. Most recent labs had fasting glucose 149, fasting insulin 11.7Prior to pregnancy, had oligomenorrhea - longest cycle 93 days. TSH 5 and started on Synthroid. Weaned off during pregnancy and TSH normal ever since.My question is, with a history of elevated sugars even at normal weights and now with a normal insulin level simulateous to an elevated glucose, would you consider LADA in differential diagnosis? PCOS was suspected dt oligomenorrhea, weight gain, and elevated sugars but now with normal insulin level would this still be considered as well? I feel like it is assumed that because I am overweight I have type 2 diabetes but I just feel like there is something more than that going on.

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Dr. D. Love

Doctoral Degree

15,026 satisfied customers
Had a PET tumor skull to thigh with CT. The impression, yes.

Had a PET tumor skull to thigh with CT. The impressionJA: Are you keeping a personal medical record while dealing with this?Customer: yes. The impression shows hypermetabolism associated with a previously described mediastinal and hilar adenopathy. No evidence of extent beyond the chest. Differencial considerations include lymphoid neoplasm vs a chronic inflmmatory/infectious process.JA: Anything else in your medical history you think the doctor should know?Customer: No. Good health. 53 yo non smoker.

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Anthony Bray, MD

Doctoral Degree

13,556 satisfied customers
Lily 16 years old, Riley 24 month old male have had several

Lily 16 years old, Riley 24 month old malehave had several episodes of vomiting over the last 2 days and have developed diarrhea in the last 24 hours. Lilly has not vomited today, but Riley vomited twice this morning in small amounts since awakening. They have both had low-grade fevers of around 100 to 101 degrees in the afternoons. Mother reports that both have not eaten solid food since 36 hours prior to this visit, when they went to a pizza buffet in a town nearby. They have been keeping down some sprite, apple juice, and popsicles. Both urinated this morning. Mother has given both children Pepto-Bismol over the counter (OTC) to prevent an upset stomach and acetaminophen two to three times a day for fever, but she reports that Riley vomited soon after his dose this morning. Lilly is complaining of some lower abdominal pain starting this morning, but also reports she has started menses today. Lilly complains also of headache, myalgia. Her pain is a 5 on a 1-10 scale and has progressed in the last hour. No other household members are ill.what are the differential diagnosis at this point?What further OLDCART and ROS information is important today specific to their chief complaints?

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57,216 satisfied customers
Ive had a very slight sore throat that seems to come and go.

Ive had a very slight sore throat that seems to come and go. It looks red right now, especially on one side. I had a strep test today that came back negative. I've noticed a white dot that sort of looks like a pimple. I had something exactly the same a few weeks ago. I had touched it with a q-tip and some white stuff came out.I thought whatever this is was gone but it seems like I still have it. I've also noticed a faint discoloration on my skin near my calves. It could just be me getting older it never noticed it until now.Any idea what this is? The nurse practitioner prescribed amoxicillin even though she wasn't sure what it was. Could this be an Std? Syphillis?

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Dr. Bob

Staff Physician

Doctoral Degree

7,650 satisfied customers
I have just been diagnosed with sparse superficial

i have just been diagnosed with sparse superficial perivascular dermatitis what is it and what is the treatment the issue is around my neck and to another person look like a sunburnJA: How long have you been dealing with this issue? Are you experiencing any numbness or tingling?Customer: almost 7 weeksJA: Anything else in your medical history you think the doctor should know?Customer: no tinglongJA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Doctor about your situation and then connect you two.

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57,216 satisfied customers
Bray, Petechiae Guy here with some potentially ominous lab

Hi Dr. Bray,Petechiae Guy here with some potentially ominous lab results. Are you available to help?

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Anthony Bray, MD

Doctoral Degree

13,556 satisfied customers
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