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Does diabetes or thyroid increase the recurrence of HSV-1?
Hello, Welcome to icliniq.com. Repeated outbreak of HSV (herpes simplex virus) are common, but repeated outbreaks are usually shorter and less severe. Although the organism stays in the body for the rest of your life, the number of outbreaks tends to decrease over a period of years. View thread
When is the ideal time to do surgery of a broken outer ankle bone?
Hello, Welcome to icliniq.com. I can understand your concern. I have seen both of your X-rays. The first one shows clear-cut subluxation of the ankle joint with fracture. The second one shows a good reduction. View thread
Hello, Welcome to icliniq.com. I understand your concern. You have done your endoscopic examinations before, which is very reassuring. This feeling is typically associated with an event (eating tortilla chips), and since then, you have felt the same whenever you swallow without adequately chewing food. View thread
What is the reason for a constant low platelet count?
Hi, Welcome to icliniq.com. You had mentioned the history of bone marrow failure at three years of age, but the cause and workup done at that time are not mentioned here. Temporary viral infection like parvovirus can lead to temporary bone marrow suppression. View thread
What are the side effects of Adderall if taken for too long?
Hi, Welcome to icliniq.com. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully conscious, usually triggered by strong emotion like laughter or anger) and, perhaps most unfortunately (for me and fellow IHers), the lack of refreshment post-napping in idiopathic hypersomnia. View thread
Is it necessary to use sunscreen in winter?
Hello, Welcome to icliniq.com. I understand your concern. Yes, sunscreen in winter is crucial too. UV (ultraviolet) light is still there. However, since the sun's rays or heat are less than in summer, we tend to relate it to UV radiation. View thread
Why are bone marrow aspiration and biopsy reports different?
Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micro megakaryocytes. View thread
What could be done to manage a dengue fever that persists?
Hello, Welcome to icliniq.com. Fever can prevail from three to seven days and after that, there is no fever and that no-fever period is more important and can be critical. You need to keep a follow-up with your treating physician until it is all over and you recover fully. View thread
What do the NT scan and double marker reports indicate?
Hello, Welcome to icliniq.com. The NT value (nuchal translucency) is normal as it is less than 2.5 mm, but the overall trisomy 21 risks being 1:214 and together risk 1:513 . This ideally calls for a quadruple test after one week. View thread
How is LVEDP concordant with diastolic dysfunction?
Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocardiogram, and lipid profile tests? View thread