I would like to consult with a hematologist regarding some
I would like to consult with a hematologist regarding some recent diagnoses and treatments. Can I specify a hematologist?JA: Have you seen a doctor about this yet? What medications are you taking?Customer: Yes, I have seen my primary and a G.I. They can't figure out what is wrong even though my labs are not good. I'd like advice on what to do next and if they can give me an idea of what is causing my symptomsJA: Anything else in your medical history you think the doctor should know?Customer: I have scanned my lab results from the past year and can upload them
Ok so these are my symptoms. Frequent abdominal pain. More
Ok so these are my symptoms . Frequent abdominal pain . More so after I consume a lot of caffeine or sugar . Redness and swelling around the head of the penis ass well on top and a slight irritation to the meatus . Burning in pelvic area and head of penis more so while lying down . Leaking urine after urination seems to run down the lower half of my penis . Pain at the head of penis gets red and raw . Worsens more after masturbation or erection . Tested negative for std /sit along with uti. Also seem to be pretty tender around the base , the spot between my scrotum and anus and the far end under my penis nearest to my pelvic . Please help . Going on for about six months .
Dr. Bray After what seems to have been endless weeks....wait
Hello, Dr. Bray After what seems to have been endless weeks....wait ..it was endless weeks of struggling with a GI issue; I am hoping that is a light at the end of the tunnel and NOT a train !! Mid-section did not behave very well yesterday. Hurt from noon to about 5 pm. Much better today as soon as it got queasy around noon, took 2 antacids and it has been good so far. Took my pm. Zantac, went to the gym came home and had dinner. It has been rumbling since but nothing serious. Was surprised I didn't immediately think I was dying of stomach cancer....but that obsessive thought came around 1 pm. So know we will talk about my guy/anxiety, my heart/anxiety, and anxiety and everything else that moves. We have months of topics !Her Ladyship has been in the most awful of moods this day and because of the care in her heart she stayed absent from thy kingdom; not wanting to bring any darkness to the pleasantness that was there. Hopefully, she will return in the morrow ! Lady Susan
I woke up with sharp pain in my stomach that feel intense. I
I woke up with sharp pain in my stomach that feel intense. I feel the pain in my virgina and anus. I just threw up but it wasn't any thing. I try to pee n poo but it hurt to push. It hurt all three placesJA: How long have you been in pain? Are you experiencing any vomiting or nausea?Customer: Just now from maybe 630 and it's 707 now. Yes I just vomited but it was nothing but stomach acid.JA: Anything else in your medical history you think the doctor should know?Customer: No, not that I knowe of.
Dr. Rick, MD
Ophthalmologist & Retina Specialist
You review the chart before entering the room. The patient
You review the chart before entering the room. The patient is Elizabeth, age 16, with a chief complaint of a left ankle injury. Elizabeth is an Irish dancer and has been seen in the past for other injuries. At the last visit 8 months ago, Elizabeth had a groin pull and was sent to physical therapy (PT) for evaluation and treatment. The PT notes state Elizabeth has lax ligaments and responded well to PT. She was released to return to dance without restrictions 3 weeks ago.HPI: Elizabeth presents with her mother. You note Elizabeth is on the exam table with her legs resting on the table. Her left ankle is wrapped in an ace bandage. A pair of crutches is resting against the wall. You introduce yourself as the student NP and tell the patient and her mother you are starting the exam, but your preceptor will be in as well to examine and evaluate her. Elizabeth states that during dance class last night she “landed on the side of my ankle and I heard a pop. The dancers across the room heard the pop too.” Elizabeth was unable to bear weight and had to be carried to the car. Last night Mom iced the ankle and came here first thing in the morning.When Elizabeth tries to bear weight, her left ankle gives away, and she is unable to walk unassisted. Mom did not want to go to the ER last night. She asks if she did the right thing by waiting until the morning to get Elizabeth evaluated.PMHx: Reports general health as good. No serious health issues. She had previous ankle and groin injuries related to dance.High school student in 10th grade gets good grades. She has been an Irish dance for 8 years and has dance class twice a week.What would be differential diagnosis?Did her mom do the right thing by waiting until this morning or should she have taken her to ED last night?
I am going to have to PING louder..needed you earlier...If I
I am going to have to PING louder..needed you earlier...If I didn't feel uncomfortable this might be funny..or not. Ok woke you about 2 am with terrible gas pains (the kind that double you over) Tried hot shower, hot bath, hot water bottle heating pad. Then thought what about an enema..sounds simple enough...water in..water and gas out...Yeah no...got some gas out put still nothing else. It's been hours...thought earlier I was getting somewhere but things have slowed down. Can't think this is serious..my colon hasn't seen much liquid in weeks...So bottom (no pun intended) this is a wait out thing and not an ER thing, right.Since couldn't find you yesterday missed telling you some good news..I seldom do that. No nausea, actually WANTED a sandwich and after a couple of rough am hours...didn't think of dying the rest of the day ! Thoughts drifting through today but think it's because I don't feel so well. Also noted...after being mostly immobile and eating and drinking next to nothing for almost 8 weeks ..when you go out that first day...you are way weaker than you expected.
I have been having increasingly bad pelvic/leg pain and also
I have been having increasingly bad pelvic/leg pain and also slightly nauseous. Now the nausea is getting worse.JA: What seems to make the symptoms worse or better? Any redness or swelling in the leg?Customer: No red or swollen areas. It's been bothering me for weeks on and off but now has become quite persistent and the nausea as well.JA: Anything else in your medical history you think the doctor should know?Customer: Not that I can think of
FCPS (R) General Surgery