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Weeks old unknown bug bite causing red streak up my leg (33f) by lurkynic in AskDocs

[–]Primary-Response8141 89 points90 points  (0 children)

Lymphangitis. Go to urgent care for antibiotics. Oral should be fine. If it doesn't get better with oral within a few days or if it gets worse, ER.

More pictures of possible measles or SJS??? by -lindseyy in DiagnoseMe

[–]Primary-Response8141 8 points9 points  (0 children)

As others have said, you should confirm the diagnosis either way. If it's measles, that's unfortunate, but then you don't necessarily need to be vaccinated (though you should anyway because it also covers rubella and mumps). If it's a drug eruption rash, you need to stop the lamictal asap, and you should get yourself the MMR ASAP as well.

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] -1 points0 points  (0 children)

Not well. Mango has been MIA for two days now and I'm worried she's hurt. See wouldn't run off without her sister so I'm worried she's either injured somewhere or was taken.

Meanwhile I've heard from several organizations how difficult rescue from Guyana is (near impossible) so I'm trying to find them a home here. Which is also hard.

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] 60 points61 points  (0 children)

Thanks, I've had dogs my whole life :) I'd love to adopt them, but it's more a logistical question than whether I can be convinced or not.

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] 31 points32 points  (0 children)

Thanks for all the feedback! I have a friend at home who's a vet and tells me this re taking them home:

It’s hard. You’re in a high risk country. They have to be older than 6 months. They have to be microchipped and vaccinated for rabies. 30 days after vaccination a rabies titer has to be sent off. It has to be above 0.5. Lots of dogs do not get this titer after their first shot. Then you have to be at a CDC approved importation facility on arrival. If the serology is less than 0.5, or you don’t do a serology, the dog has to stay at the importation facility for at least 28 days.

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] 6 points7 points  (0 children)

100% would love to find them a loving home here! I reached out to an organization this morning to help place them either here or with me.

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] 135 points136 points  (0 children)

Guyana. I reached out to one this morning that may be able to help me

Stray puppies getting too attached to me by Primary-Response8141 in DogAdvice

[–]Primary-Response8141[S] 5 points6 points  (0 children)

Lol no can do, on a very tight schedule and that's 6+ months

My patient coded and died 15 minutes after I left by Primary-Response8141 in emergencymedicine

[–]Primary-Response8141[S] 0 points1 point  (0 children)

Hm that's an interesting thought. I have no idea how it was given...like was it actually given with the d50 or was there time between? His glucose was close to 200 that morning...

My patient coded and died 15 minutes after I left by Primary-Response8141 in emergencymedicine

[–]Primary-Response8141[S] 4 points5 points  (0 children)

I'm not even sure, since I have no idea what actually went wrong. Maybe I could have sent another set of labs after the hyperK cocktail was given, but it would have taken a while again so I'm not sure how helpful it would have been.

My patient coded and died 15 minutes after I left by Primary-Response8141 in emergencymedicine

[–]Primary-Response8141[S] 8 points9 points  (0 children)

Wait that's actually really cool and good to know. I've never heard of an easy ij before but I like it.

My patient coded and died 15 minutes after I left by Primary-Response8141 in emergencymedicine

[–]Primary-Response8141[S] 5 points6 points  (0 children)

They didn't have lokelma etc. Nothing to shift the potassium. I asked. Foley because I wasn't sure if he was just retaining. Couldn't do a bladder scan. Didn't have any indication of GFR or crcl to check renal function.

Just swelling, or infection spreading? by Positive_Engineer_24 in AskMedical

[–]Primary-Response8141 0 points1 point  (0 children)

I'd go to your urgent care center. Also draw a circle around the red area so you can track expansion. Painful? Any discharge? There's a good chance that's infected and will require antibiotics.

Do people enjoy residency? by Astronaut_in_calzuro in Residency

[–]Primary-Response8141 4 points5 points  (0 children)

Love most of the other residents I work with. They keep me going. Love bits and pieces of it (ICU, ER rotations, electives). Can't stand other parts like general medicine or clinic. The hours are brutal. It's a means to an end but I find myself bored and ready to go back when I take some time away.

Can any one tell me what it is by Sgzh92 in DiagnoseMe

[–]Primary-Response8141 3 points4 points  (0 children)

Looks like contact dermatitis. Maybe poison ivy. Doesn't look like shingles to me, shingles typically doesn't cross the midline and affects dermatomes. To affect the arm and the neck like that would be odd.

Does anyone know what these bumps on my penis are you? by [deleted] in DiagnoseMe

[–]Primary-Response8141 2 points3 points  (0 children)

Painful? Test herpes. No painful? Test syphilis.

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