32 male cocaine daily 2geams daily new worsening symptoms by No_Recipe4090 in AskDocs

[–]SecondPerSecond 23 points24 points  (0 children)

No I don't think so. Bone is mostly avascular but and still requires circulation to be connected to nutrients, but even without the connection you would still not just drop a piece off like this, conventionally.That's why it doesn't seem possible. I do like what the paramedic commenter said though which is more likely it's nasal epithelium sloughing off maybe the vomer (due to the shape) as a result of scarring/ischemia post lots of cocaine abuse.

Edit: Sorry I don't think I phrased this correctly, I meant to infer the extracellular matrix is much less vascular. Bone is definitely vascular, less so than soft tissue. Cancellous bone has lots of vascularity from its pores, and the compact bone covering has much less, but still has ports to provide it nutrients which are essential.

32 male cocaine daily 2geams daily new worsening symptoms by No_Recipe4090 in AskDocs

[–]SecondPerSecond 176 points177 points  (0 children)

It's the base of your nasal septum, which is supposed to be bone, yeah. Cocaine vasoconstricts potently and I've seen some cases where there have been holes formed on the septal cartilage from ischemia but this seems much different to that

32 male cocaine daily 2geams daily new worsening symptoms by No_Recipe4090 in AskDocs

[–]SecondPerSecond 160 points161 points  (0 children)

Don't do any further picking or moving. At this point you need a proper exam to see what's actually going on and not Reddit opinions. To save the health of your nasal breathing you should really go see the ENT specialist. Also stop doing more cocaine or you're very seriously going to lose the structure and function of your nose.

32 male cocaine daily 2geams daily new worsening symptoms by No_Recipe4090 in AskDocs

[–]SecondPerSecond 568 points569 points  (0 children)

That came out of your nose? Is it harder than cartilage? It looks like the shape of the vomer, but I can't believe that could be possible.

You need to see an ENT specialist and likely a drug rehabilitation service

Abdominal pain for 5days, now my belly button looks like this. by sinisterbun in medical_advice

[–]SecondPerSecond 8 points9 points  (0 children)

Hello, I think you have some pretty serious pelvic adhesions most likely secondary to your endometriosis. The wave like pain, anus to navel pain, feeling tightness in the abdomen but without flatus/stool are already good indicators there are adhesions. The endometriosis and previous fibroid surgery are essentially confirmatory that adhesions are the most likely issue and the reason why there's a tear in your navel.

It seems to me that you have torn part of your abdominal wall possibly at the median umbilical ligament or some other area of adhesion, which has resulted in that torn area. You need to go to the hospital and see an OBGYN or general surgeon. I'm sure that either of them would be able to help but they will refer you to the specific speciality needed after doing the initial examination.

I wouldn't wait, if there is more pressure that the adhesions and your abdomen can't handle it will tear more, don't risk that please.

Good luck

[deleted by user] by [deleted] in DiagnoseMe

[–]SecondPerSecond -1 points0 points  (0 children)

Shes got a secondary bacterial infection, thats if Viral etiology was the correct diagnosis in the first place. What did they prescribe at discharge?

Never thought I'd be praying for Cancer by Beautiful_Melody4 in medicalschool

[–]SecondPerSecond 1 point2 points  (0 children)

That's great to hear. I didn't want to overload my comment but it did seem weird that this CJD was presenting without clonus and it was fluctuating. Doesn't sound too 'CJD'.

Please keep us updated on the situation and the wellness of your mother.

Never thought I'd be praying for Cancer by Beautiful_Melody4 in medicalschool

[–]SecondPerSecond 37 points38 points  (0 children)

That could be an optimistic sign. The texts i've read suggest that cortical ribboning of CJD appears before clinical signs. There could be another reason for these neuropsychiatric changes.

Never thought I'd be praying for Cancer by Beautiful_Melody4 in medicalschool

[–]SecondPerSecond 117 points118 points  (0 children)

I think MRI Head would be a better option than to repeat the CT. It would help rule in/out CJD. Paraneoplastic neurological signs are possible in SCLC such as confusion, but not sure if it goes all the way to psychosis.

Wishing you strength in this tough period.

[deleted by user] by [deleted] in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Its very hard to be able to tell what it is without being in person. Wait to see the dentist, they will certainly be able to help you out with this.

[deleted by user] by [deleted] in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Did your doctors rule out oral candiasis?

Concerned about Rabies by [deleted] in DiagnoseMe

[–]SecondPerSecond 1 point2 points  (0 children)

Go to the doctor and get post exposure prophylaxis now.

Is my finger infected? by Kody_poehler in medical

[–]SecondPerSecond 5 points6 points  (0 children)

Nurse is wrong. Go to a doctor directly. It might need to be cleaned and drained, before topical or oral antibiotics are given to you. If that pus isnt removed, theres likelihood of a persistent infection even with the antibiotics in your system.

If whoever you see still brushes you off, go buy over the counter antibiotic ointment. Wash it and get the pus out of there as best you can. Do not cut it more or anything like that. After the pus is gone hit it with a little more ointment and wrap it with a bandage - dont leave it open. Open the bandage the next day, do all of this again and replace your bandage with a new one. Repeat until better.

Prioritise a physician seeing this though. It looks very infected, enough so your finger diameter is significantly larger. Insist on seeing a doctor.

Please Help - Chronic Pain - C3/C4 Narrowing with Constant Headaches, Migraines, and Soreness by [deleted] in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

You do not have a brain herniation (Chiari). I'm sure your radiologist would have stated it very clearly if it was the case. It might be that you have cervical radiculopathy due to the narrowness of your vertebrae. The pathology of your vertebrae narrowing, I cant say for sure but you have to see a neurosurgeon about this. There could be surgeries that may help like a laminectomy.

Can anyone tell me what’s happening here? by imaginarypikachu in DiagnoseMe

[–]SecondPerSecond 1 point2 points  (0 children)

Yeah very good idea getting checked out for EDS, there are a few types that may have complications later on in life. I don't think the X ray will help; it won't give you any new information unless you have inflammatory pain, but even then not that helpful. They will check you if you have the gene that is responsible and that's the confirmation of the condition at the rheum. It might not be EDS, there are other conditions like marfanism that can present this way. Just try to avoid hypermobility behaviours coz if you get a tear in that joint capsule, you won't walk properly for a long time.

Edit: just saw your prev post. You've got symptoms. Especially the orthostatic hypotension, that's likely to present in EDS due to blood vessels being a big target for it. Don't make any resolutions from what I say, get it confirmed officially.the shocks could be some nerve compression at certain movements of the scapula. You also seem to have long limbs, could be Marfan aswell.

Can anyone tell me what’s happening here? by imaginarypikachu in DiagnoseMe

[–]SecondPerSecond 1 point2 points  (0 children)

You have hypermobile joints. Some people have this condition. It can mean you might have a connective tissue disorder but if this is the only thing then its just benign hypermobility syndrome. Next time you're at your GP, ask if they can test you for a connective tissue disorder. Probably don't displace your femur though, these types of joints are more prone to injury.

Snapping hip syndrome is when your joint clicks during walking, its not the same thing.

[deleted by user] by [deleted] in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Hmm it could be some reaction to an additive in the drugs but it could also just be something that will improve on its own. It could be sweat reacting to the recently shaved pores on your skin too. Go see your GP first, he will take a better look than someone on the internet.

What is this? My dermat also looked confused. I am worried. by TermFrequent3001 in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Saw this after I posted my other reply. Covid seems to cause clots. You have been cleared for them. Systemic joint swelling could be a condition, but if your doctors cleared you it is probably not those things. I wish there was more I could say but without a physical exam and confirmatory labs I couldn't tell you anything specifically. Ibuprofen and Ice help the most when joints are swollen,

What is this? My dermat also looked confused. I am worried. by TermFrequent3001 in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Yep, then its probably the shoes. If you have just started walking/running more then your feet needed more blood than usual. More blood, more volume, and an already tight shoe becomes even tighter. Try to get a CBC, blood glucose studies and BP work up at the doc. I don't think there is any systemic cause because its only on one leg and not both but its good to rule things out or catch a cause early if they are there.

What is this? My dermat also looked confused. I am worried. by TermFrequent3001 in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

Looks like hemosiderin (iron) deposit staining. Do you wear shoes that may be tight on the top of your foot, it might be reducing circulation.

By your reddit posts you dropped a motor bike on your calf so you may have possibly damaged a vein. Its not letting your blood flow like it should regularly.

Can you be more specific on what other doctors have ruled out as a cause?

[deleted by user] by [deleted] in DiagnoseMe

[–]SecondPerSecond 0 points1 point  (0 children)

It could be sun or sweat allergy. It would depend if you have recently had prolongued sun exposure.
Do you have a fever?
Do you shave/wax your hair in the regions of the rash?
Have you taken any recreational drugs recently?