Hello, Welcome to icliniq.com. I understand your concern. I reviewed your query and the investigations (attachments removed to protect the patient's identity). 1. Your first question is about your WBC (white blood cell) count, which is 10900.
Hello, Welcome to icliniq.com. I went through your post and image (attachment removed to protect patient identity), which you have posted. You have acute onset maculopapular rash, with no other associated symptom like fever, cough, body aches, etc. Any maculopapular rash in adults with no above mentioned systemic symptoms is either allergic or drug-induced. In children, it is usually viral.
Hi, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your post and image (attachment removed to protect the patient's identity). You have ecchymosis, which is resolving, which is why they look blue. One of the skin manifestations of GPA (granulomatosis with polyangiitis) is ecchymosis, and you are right.
Hello, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). There are a few things which will need to be addressed. Your ESR (erythrocyte sedimentation rate) is 45 which is high and simultaneously you are complaining of arthralgias. So, inflammatory arthritis like RA (rheumatoid arthritis) and gout need to be ruled out.
Hi, Welcome to icliniq.com. I have gone through the query. A person can develop two seizures without regaining consciousness in between or one episode of status epilepticus lasting for more than five minutes. Seizures occurring for 15 minutes require treatment, and it needs evaluation like EEG (electroencephalography), MRI brain (magnetic resonance imaging), serum calcium and electrolytes, and blood glucose. Hope I have addressed all of your queries and concerns.
Hello, Welcome to icliniq.com. I have read your query and can understand your concerns. The manifestations of vasculitis in general are weight loss of more than 10 % of body weight, aches and pains, fever, loss of appetite, and mononeuritis (a condition where damage or inflammation occurs to a single peripheral nerve). Investigations will reveal high ESR (erythrocyte sedimentation rate), positive CRP (C-reactive protein), high platelet count, and protein in urine, along with RBCs (red blood cells). The other manifestations depend on the type of vasculitis.
Hello, Welcome to icliniq.com. DVT (deep venous thrombosis) is a blood clot in the legs that does not cause a burning sensation but causes swelling of the affected leg, and you are already on blood thinners. I hope your INR (international normalized ratio) is within the therapeutic range unless you are taking new oral anticoagulants. I think you should do blood sugar and preferably HbA1c (glycated hemoglobin) and relax, as it cannot be DVT. I hope this helps.
Hello, Welcome to icliniq.com. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. He has the following problems: Platelet count of 40,000, which is low. Iron-deficiency anemia. Hepatospleenomegaly.
Hello, I went through your detailed post. The predominant complaint is a mild pain in the upper back and around the arm. The character of the pain and the pain on applying pressure at some points makes it a musculoskeletal pain. That means that the internal organs are not involved. There are two possibilities: Cervical spondylosis is a strong possibility as you have a desk job. A proper posture is important to prevent and treat spondylosis if you already have it.
Hello, Welcome to icliniq.com. I read your query and understand your concern. You received Prednisone for 21 days and stopped it three weeks ago. Let me explain about steroids. Steroids are tapered slowly if taken for a duration longer than a week.
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