Do I have peripheral artery disease?
Hi doctor,
I am a 33 year old female. I have never smoked. I am not overweight and I do not have diabetes. I have been having some left leg issues. It started six months back. I started limping because my left calf, ankle and groin were hurting. My emergency Doppler venous ultrasound was clear. I had a D-dimer and that was negative. I had an MRI of my left ankle that showed a talofibular ligament sprain on my left ankle. I also had an arterial Doppler ultrasound that showed decreased flow of left anterior tibial artery and increased peak systolic velocity in the left common femoral artery. But, there was no stenosis, no sclerosis and no plaque. Could the sprain have caused that decreased flow? After three months, it became normal again. Then, while having pedicure the woman massaged my ankle and leg. Since then the pain has returned to my left ankle and left leg. I had another D-dimer done three weeks ago that was negative. I have also recently started experiencing cold left foot and a left cold lower leg at night. By morning, both the legs as well as the feet are of the same temperature. I do get pain in the buttocks and the pain is going down my leg like a sciatic pain on the left leg. Do I have peripheral artery disease? Could a blood clot be causing it? I have a four hours flight next week and I am worried about flying. Is it safe to fly? Would the arterial Doppler and D-dimer be able to tell if I have a blood clot in my artery? Or is a D-dimer just for the veins? My LDL (Low density lipoprotein)was 10 points above normal in my last blood test. But, my doctor did not seem to be concerned as my HDL (High Density Lipoprotein) was high. I have attached the reports for your reference. Please help me.
18 Jan 2024 - 1 min read
What is the treatment for arm fracture and rib injury?
Hi doctor,
My friend is a 40-year-old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and X-ray reports with this.
Please advise what treatment is required.
17 Jan 2024 - 1 min read
What is the reason for new wound during chemotherapy?
Hi doctor,
My father had surgery for cancer and subsequent chemoradiation on the cheeks. After that, he developed a wound on the right cheek, which grew into a big hollow wound. Would you please help us?
12 Jan 2024 - 1 min read
Does high CA-125 confirm that I have cancer?
Hello doctor,
I have a history of inflammatory myofibroblastic tumor detected at the age of 11 years, which was around 12 years back and had undergone an operation for the same. Currently, my CA-125 in serum is 125.37 U/ml. The ultrasound scan revealed large multiloculated well-defined bilateral adnexal lesions with enhancing solid component. Lesions measured about 3.93 x 3.5 x 3.97 inches on the right side and 1.96 x 1.57 x 2.04 inches on the left. There was thick enhancing septae noted within the lesion. Bilateral cystic lesions abutting the iliac vessels and the ureters noted. However, there is no direct evidence of any invasion. The right ureter is displaced posteromedially by a right adnexal lesion and left ureter is displaced posteriorly by the left adnexal lesion. The CT scan revealed bilateral multiloculated well-defined adnexal complex cyst with thick enhancing septae likely of an ovarian neoplasm. There was bilateral hydroureteronephrosis, likely due to the pressure effect by the adnexal cysts with no obvious infiltration of the ureteric wall. What shall I do at this moment? Is it an ovarian tumor or a relapse of inflammatory myofibroblastic tumor? As CA-125 is very high, does it confirm that I have a cancer? Some doctors told me to operate the tumors and if after the operation malignancy is confirmed, and then they would take necessary steps. Should I take any additional precautions or test before the operation? I need your suggestion for a treatment plan and also about open cystectomy or Wertheim's operation. Also I wanted to know, whether my CA-125 will decrease after the removal of ovaries and uterus. I have attached the necessary documents for your reference. Currently, I am taking Megestone and Ferium XT daily.
10 Jan 2024 - 1 min read
Few days after umbilical hernia repair, my belly button pops up about half an inch. Is this serious?
Hello doctor,
I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender.
02 Jan 2024 - 1 min read
Surgical Oncology