Questions jan 26 2012


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Answers to 5 medical questions.

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Questions jan 26 2012

  1. 1. Questions Jan 26 20121.-Severe calf pain after playing basketballI just played a basketball game yesterday and got knocked around, hard. i just woke up and myknee and calf are not even abe to bend up to 70 degrees without having an excruciating pain inmy shin, kneecap, and the back leg of my kneecap where the joint is. I literally CANT bend it allthe way or I think id cry. Whats wrong? What should i do? I have another game, should i playit? I see it only says 1 question. but this is all on the same thing, and id hate to spam the forumfor the same cause.Age: 13-18 yearsSex: FemaleMost likely you are experiencing a muscle sprain which involves the tearing or stretching of themuscles and/or ligaments beyond their normal capacity, specifically the Hamstring muscleslocated in their lower insertion close to the back of the knee. Symptoms of muscle injuryobviously involve pain, however it is not uncommon for the affected area to swell, redden andbecome bruised or discolored. All symptoms of muscle injury can range from mild to severe.Any muscle strain or muscle pull or even a muscle tear implies damage to a muscle or itsattaching tendons. A common cause for this nowadays is the Repetitive stress injuries (RSIs),these are injuries that happen when too much stress is placed on a part of the body, resulting ininflammation (pain and swelling), muscle strain, or tissue damage. This stress generally occursfrom repeating the same movements over and over again, with no enough healing time so theyare also called “overuse syndrome”. The concept is that overuse injury is associated withrepeated challenge without sufficient recovery time. The time of healing varies from patient topatient and also depends on the severity of the injury. The conservative treatment consists of:initially, protection, rest, ice, compression, and elevation (known as the PRICE formula) canhelp the affected muscle and also maintaining the strained muscle in a stretched position. Heatcan be applied when the swelling has lessened, anti-inflammatory drugs (i.e.: “Aleve”), rest thestrained muscle and avoid the activities that caused the strain and other activities that arepainful. A Physical Therapy program for 4-6 weeks must be followed and practice at home thestretching exercises above all. The healing time and conditions for each patient are different.Avoid overuse and try to do an appropriate warming-up and stretching before significantphysical activity.2.-Headache, stiff neck nausea,swollen throat for a weekI have had a very stiff, painfull nek with a migraine every day now for a week. Other symptomsare nausia, dissiness, fatique and my throat feels I need to see a doctor, or will itpass?Age: 26-35 yearsSex: Female
  2. 2. I strongly recommend you to see your doctor, because those symptoms that you described may besignificant of a meningeal (membranes that line the brain) infectious process going on or some otherupper respiratory tract infection that requires immediate treatment. These two have to be rule outasap.3.-Spinal Cord Injuries: Overview and DiagnosisCan a doctor determine if my father has a severed spine even though he has not has an MRI?Age: 26-35 yearsSex: FemaleThe spinal cord does not have to be severed for function to be lost. Most people with spinal corddysfunction present with the cord intact. Cord injuries usually fall into one of the following categories:Contusions, compression injuries, lacerations ( from a gunshot , fall or sharp object), central cordsyndrome. When injury occurs and for a time period following, the spinal cord swells. Loss of functionoccurs below the level of the injury and may be permanent or temporary. Much depends on the severityof the injury itself. Spinal cord injury (SCI) is usually first diagnosed when the patient presents with a lossof function below the level of injury. The initial evaluation includes x-rays, a CT scan, and possibly a MRI.Fractures are demonstrated on plain radiographs. CT scanning and MRI studies are used to evaluate thesoft tissues in the spinal column. In addition, a myelogram may be performed to identify and evaluatespinal cord lesions caused by trauma or disease. The neurologic evaluation includes assessment of thepatients symptoms, which might include loss of motor or sensory function. Other neurologic symptomsmay include pain, numbness, paresthesias (e.g., tingling), muscle spasm, weakness, and bowel/bladderchanges.4.-Burning pain in my left upper handMy left upper hand hurts when i rub it like with a towel.its like a burning feeling.i thought itmight be eczema but ive no itch or flaky skin. any idea,sAge: 46-55 yearsSex: MaleCurrent Medication: martazapine 15mg inhalers hydrocotisone 1% craam for eczema on myelbow from chemistThe symptoms that you described may be related to your previous history of eczema or not. In the lattercase it would be important to rule out a peripheral neuropathy, like Carpal tunnel syndrome or a cervical
  3. 3. spine compression that may give that kind of sensation symptoms. Also some metabolic issues asthyroid problems and Diabetes must be rule out.5.-Fracture of the lateral tibial plateau: what does this mean?Mildly depressed acute fracture of the lateral tibial plateau ? What exactly does this mean ?Age: 56-65 yearsSex: FemaleThe tibial plateau is one of the most critical load-bearing areas in the human body; fractures of theplateau affect knee alignment, stability, and motion. Early detection and appropriate treatment of thesefractures are critical in minimizing patient disability and reducing the risk of documented complications,particularly posttraumatic arthritis. All high-energy fractures need to be immediately checked for soft-tissue integrity and impending compartment syndrome. The overall management can be one of thefollowing: Joint aspiration, rest, immobilization, compression, elevation, and other antiedema measures,traction can be used as a temporary or definitive management modality. Open fractures need to beaddressed by surgical debridement of open traumatic wounds within 8 hours of injury. Closed fracturesundergo external fixator placement based on patient stability and operating room availability. Not allfractures of the tibial plateau require surgery; some may be treated with cast and traction if they arenon-displaced and stable. The follow-up with imaging studies is done every 2 weeks for 6 weeks; withactivity restriction for 4-6 months. Open or arthroscopic-assisted techniques are considered for fractureswith displacement.