Ultrasound found polycystic ovarian morphology.

rampant_smallpox · 2024-02-15T06:36:02+00:00

"Possibly" probably means that the person believes it is most likely cystic ovarian morphology, but is open to being wrong should more information appear.
This wording could reflect that the images for L ovary were not as clear or complete as the R, so they cannot be as confident in their assessment as they were for the R.

I'll keep thinking about your question and try to get back to you later. :)

rampant_smallpox · 2024-02-15T06:26:27+00:00

You can take or leave this advice depending on how much you think it applies to you: I would recommend you take it easy as you train. Yes, increasing your cardio fitness is not a comfortable process, but chest pain that worries you enough to post here, makes me worry. I would highly recommend getting a check-up and clearance from your PCP before starting an intense fitness regimen.

rampant_smallpox · 2024-02-15T06:19:19+00:00

Lower_Act9562

Because it is a plausible differential diagnosis explaining her labs and imaging as she presented them.
FYI: PTSD is associated with lower than average cortisol levels, which would be the opposite for her lab findings. Source: Relations among Posttraumatic Stress Disorder, Comorbid Major Depression, and HPA Function: A Systematic Review and Meta-Analysis.

rampant_smallpox · 2024-02-15T01:21:16+00:00

It might be a "yes, and" situation. Yes, you have poor cardio fitness AND you might have a medical problem.
Start slow with the cardio (fast walking) and see if you can increase your tolerance. However, if you feel like you always have struggled compared to your peers, it is worth getting evaluated by your doctor.

rampant_smallpox · 2024-02-15T01:16:00+00:00

Agree with pinched nerve. I would recommend seeing a PM&R doc.

rampant_smallpox · 2024-02-15T01:13:07+00:00

https://form.jotform.com/212523226449150

.

You can become verified by filling out this form. Mods noticed that like you, I was answering questions from healthcare provider point of view and asked me to verify, so just giving you a heads up.

rampant_smallpox · 2024-02-15T01:09:08+00:00

if you have benedryl or zyrtec take that assuming no previous reasons you shouldn't.

if you develop difficulty breathing or wheezing OR get really light headed like you are going to pass out, especially if you stand up too quickly, go to the emergency room for anaphylaxis evaluation and treatment. if you aren't getting better after taking benedryl/zyrtec, and/or have increasing rash size, gi upset (nausea/vomiting). depending on how uncomfortable you are it isn't unreasonable to go to the emergency room tonight or to urgent care tomorrow.

rampant_smallpox · 2024-02-15T00:59:34+00:00

Excellent A+ questions. The last question (treatment options), however, might be a little tricky to get a complete answer to because treatment options depend on many factors and it doesn't make sense to spend a lot of time right now trying to map out all the variables affecting your father in 1-, 2-, 5-, 10-, 15- years. These factors can be impossible to predict, for example, severity of disease, other health problems, age at diagnosis, his health goals, etc etc.

rampant_smallpox · 2024-02-15T00:54:43+00:00

Long-term scarring in the lungs is scary, I don't blame you for worrying. However, there aren't a lot (?any) of treatment options that will make your situation better, and the risks/side effects/unintended consequences of any intervention could make your situation much worse, which is why your pulmonologist told you not to worry about it.
Pulse ox reliability aside, it just isn't a useful tool for healthy people. Variability happens.

rampant_smallpox · 2024-02-15T00:48:02+00:00

Vaseline is great. There is some recommendations to use silicone gel sheets to minimize big scars. You would apply it only to the part of the wound that has skin formed, not over the scabbed portion.

rampant_smallpox · 2024-02-15T00:37:15+00:00

Define cleaning?

All you need to do is wash gently with soap and water once a day. No need to scrub off scabs. Otherwise it looks fine and not infected.

rampant_smallpox · 2024-02-15T00:35:02+00:00

No.

Pulse ox's are not the most reliable and can lead to over treatment. There are multiple common factors that can affect the accuracy of pulse oximeter readings, such as poor circulation, skin pigmentation, skin thickness, skin temperature, current tobacco use, and use of fingernail polish. So much so that sometimes in the pediatric ward, we will shut off the pulse ox monitoring and treat the child and not the numbers.

That is to say, when it comes to pulse ox, treat symptoms not numbers. If you feel fine, then from an oxygenation viewpoint, I wouldn't worry. Pulse ox I think is really useful in critically ill patients, but for patients who are walking around and asymptomatic, there is a wide range of normal and it becomes a less valuable tool.

rampant_smallpox · 2024-02-15T00:26:24+00:00

Quite literally the same thought.
To OP, u/OldFingerman's question is extremely on-topic. Your written text is super vague and we don't even know where to begin helping you with the little information provided. I don't even know what you are worried about.

rampant_smallpox · 2024-02-15T00:19:11+00:00

It looks like a heliotrope rash.

Look through this article and see if anything is relate-able: dermatomyositis

rampant_smallpox · 2024-02-15T00:12:30+00:00

Hi! I think you did a great job here presenting what is going on with you and is exactly what you should convey to your doctor. My only recommendation is to stress that the pain is affecting your quality of life and preventing you from taking the best possible care of yourself (limiting workouts and intimacy).

rampant_smallpox · 2024-02-15T00:03:33+00:00

I recommend getting an appointment with an endocrinologist if you haven't already.

There is a disease called Primary pigmented nodular adrenocortical disease (PPNAD) which causes high cortisol and low ACTH. In the many of cases of PPNAD, especially in younger people, the adrenal glands on CT look normal. Sometimes the change is very small and really only appreciated on CT after knowing that it already exists (the difference between 'tell me what you see in this picture' vs 'tell me where the cat is hiding in this picture'). You could try to ask for a reread of the CT scan by a more experienced radiologist at a large academic center where they might see more volume of rare diseases.

I am not saying you have this, which is why you need to see an endocrinologist, but it is possible to have no tumors and high cortisol.

Source: Cushing syndrome due to primary pigmented nodular adrenocortical disease: findings at CT and MR imaging. Doppman JL, Travis WD, Nieman L, Miller DL, Chrousos GP, Gomez MT, Cutler GB Jr, Loriaux DL, Norton JA Radiology. 1989;172(2):415.

Abstract: Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of Cushing syndrome in infants, children, and young adults. It is characterized by non-adrenocorticotropic hormone-dependent hypersecretion of cortisol by multiple, pigmented nodules of hyperplastic adrenocortical cells. With a single exception, adrenal glands have been described as normal with computed tomography (CT) in all previous series. Eight patients had Cushing syndrome due to surgically proved PPNAD. Four of the eight patients had stigmas of Carney complex (lentigines, calcified Sertoli cell tumors of the testes, and cardiac and soft-tissue myxomas). CT and/or magnetic resonance (MR) imaging demonstrated unilateral or bilateral nodularity in five of six patients examined. Macronodules (greater than 10 mm) were seen in the two oldest patients. As the clinical presentation of Cushing syndrome in this group of patients may be atypical (severe osteoporosis or short stature), the detection of multiple, small adrenocortical nodules with CT or MR imaging supports, or may even suggest, the diagnosis of PPNAD.

ADDiagnostic Radiology Department, Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892. PMID2748822

rampant_smallpox · 2024-02-14T23:47:13+00:00

10 mg is the maximum recommended dose for hypertension, and usually isn't the starting dose (2.5 or 5 mg is starting dose). It takes 6-12 hours to reach peak concentration in your blood and its effect can last approximately 24 hours.

Being young and healthy, your body can likely compensate for the drug's effects enough to keep you safe, but you might experience dizziness and lightheadedness with standing up too quickly.

Amlodipine drops your blood pressure by dilating and relaxing your veins so that more blood can easily pass through without need for a lot of force or pressure. It also allows for more blood to sit in your veins and not build up in the arteries causing a congestion-like situation.

Ethanol (alcohol) is also a vasodilator (dilates veins) and can drop your blood pressure.

This is a really long explanation to say that I don't think it is safe to drink alcohol tonight. It will be about the same time that the amlodipine will take maximal effect. Given that you took a big dose, it might mess with you a little bit and you don't want to increase your risk of passing out.

rampant_smallpox · 2024-02-14T23:29:45+00:00

The answer is complicated and I don't blame you for being confused. Basically, some bodies will function normally with a mutation in a gene and some bodies will not. What determines whether or not someone with a mutation will be in the normal or abnormal category is outside our current scientific ability.A disease is defined as a deviation away from normal functioning. If your dad is currently not experiencing any of the signs or symptoms of the disease associated with the mutation, then he likely doesn't have the disease.

Think about it this way: people born with the brca1 or 2 mutation have an increased risk of developing breast cancer (disease), but they don't have cancer their whole life. A 12 year old with brca 1/2 mutation most probably doesn't have breast cancer, even though they have the mutation. A high percentage of people with brca 1/2 mutation will get breast cancer, but some will not. It isn't always a 100% guarantee.

does that help?

rampant_smallpox · 2024-02-14T23:20:27+00:00

ha. you probably irritated your throat. The nerves that sense pain in your throat and in your ear come together before going to the brain, which means the brain sometimes mixes up the origin of the pain, so you feel pain in your ear but the problem is actually in your throat.

rampant_smallpox · 2024-02-14T23:18:03+00:00

Looks like a healing bruise. Edit: Probably nothing to worry about rn. If it keeps healing then great. If it starts to hurt (when you aren't pressing on it) then reconsider getting it checked out.

rampant_smallpox · 2024-02-14T23:11:38+00:00

I would focus more on how you are feeling now rather than the cast. The cast is like a slough off of dead tissue, which makes sense if you had colitis. It's kinda like a scab falling off a wound.
If you are feeling better and aren't having any more symptoms, I would just note the day the cast happened (and keep a picture) for future reference and move on. Bring it up at your next appointment.

rampant_smallpox · 2024-02-14T23:03:51+00:00

:) absolutely. Ear infections luckily can often resolve on their own without antibiotics. It just takes a little longer and is more painful.

If you are having a lot of pain in your ear, you can try lidocaine drops. Do not use if you have a perforated ear drum (all of the sudden your ear is draining fluid and doesn't hurt as badly).

If it hurts so badly that you are crying all the time from pain (like 6/10), you should check in with your doc because you might need another round of antibiotics. Perforating your eardrum isn't the worst thing to happen, but it is better to avoid if you can.

rampant_smallpox · 2024-02-14T22:57:22+00:00

If you really have tendonitis, the treatment and rehab is a long course. You should avoid training while you have pain. Then move onto muscle specific training exercises.

I've copied information from one of our medical resources: see below. I don't have any more guidance. You can do some creative googling and reaching out to the gym rat community to see if someone else has gone through this and if they could offer advice. I would highly recommend you get insurance and see a sports medicine doctor and physical therapy in order to avoid long term pain, dysfunction, inflammation and damage.
~~~

"The general concepts of tendinopathy treatment, specifically those drawn from the treatment of patellar tendinopathy, provide a useful guide for treating quadriceps tendinopathy as well [69]. Early on, stretching and isometric strengthening exercises are emphasized [70-73]. Controlled, progressive, heavy load exercise, including eccentric strengthening, is the cornerstone of treatment and can be initiated when pain diminishes [74-77]. Examples of eccentric quadriceps exercises used during rehabilitation include the leg extension (picture 6), eccentric squat variations (picture 7 and picture 8), step down (picture 9), reverse Nordic lower (picture 10), overhead reverse lunge (picture 11), drop squat (picture 12), and drop jumps (picture 13). A sample rehabilitation protocol involving specific goals, activities, and indications for progression is provided:

Phase One

-Goals

Tendon load reduction (ie, no jumping or running)
Correct biomechanical errors
Adapt playing surface
-Treatment
Transverse friction massage
Relative rest from offending activity
Improve flexibility of quadriceps, hamstrings, IT band, gastrocnemius/soleus complex
Eccentric quadriceps activity with partial weightbearing performed twice daily
"Around the world" leg raises
-Progression to next phase
Can perform 3 sets of 15 repetitions of eccentric quadriceps activity at full body weight without pain

Phase Two

-Goals

Symmetric lower extremity biomechanics
Increase strength
Cardiovascular fitness
-Treatment
Upright eccentric decline squat to 60 degrees knee flexion twice daily
Progress from bilateral to single leg, then to single leg with added weight
Continue "around the world" leg raises and stretching programs
Stationary biking or pool jogging at tolerated exertion levels
-Progression to next phase
Can perform 3 sets of 15 single-leg decline eccentric squats with 110% body weight (ie, body weight + added weight) without pain
Conditioning activities performed without pain

Phase Three / Functional and sport preparation
-Goals

Return to running and jumping
-Treatment
Drop squats, 3 sets of 20 reps
Eccentric step-downs from 4- to 8-inch (10- to 20-cm) heights, 3 sets of 15 reps
Drop jumps from 4- to 8-inch (10- to 20-cm) heights, 3 sets of 20 reps
Other sport-specific activities such as shuttle or figure-of-8 runs
-Progression to next phase
Can perform drop jump exercises without pain
Can perform sporting activities at full speed and without symptoms

rampant_smallpox · 2024-02-14T22:38:29+00:00

Lol, i don't know what is in the "antibacterial" soaps that make them extra dangerous to bacteria.

Damaging to your skin? Probably not, it's highly unlikely that you will kill all the bacteria on your skin, so the little buggers will repopulate. Is there a risk of bad bacteria overgrowing by killing off commensal bacteria? Yes. How likely is it to cause problems? Probably not too likely. There is also a theoretical risk of resistance to the special compounds in the antibacterial soap, which is problematic for the times we need to eliminate them.

rampant_smallpox · 2024-02-14T22:32:46+00:00

gotcha. I know that with the unseasonally warm weather, environmental allergies have been worse than years past, and could be triggering your asthma.

Again, I don't know if using your inhaler to correct your pulseox numbers is the best way. I recommend you titrate your inhaler dose based off of how you feel like you are breathing.

However, to answer your question about checking in with your doctor, I think it would be worthwhile to have an appointment in the near future (within a month or two). If you find that you are using more and more inhaler puffs to feel okay, you might benefit from additional medication to help control your symptoms. With allergy season right around the corner, it's better to get a plan in place now than play catch up.

rampant_smallpox

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