Not unless you have symptoms. A chest xray is only indicated prior to initiation of INH to rule out active disease. Asymptomatic patients who have been treated with a full 9 month course of INH are not indicated for a repeat chest xray even if the PPD is positive.
Category: Family Medicine
I’ve had raynoud’s disease for as long as i can remember. My fingers get really painful especially in the winter even with gloves. Is there anything else I can do for it?
Raynoud’s disease is characterized by constriction and spasms of peripheral blood vessels especially in the hands and feet causing blue, white, and red discoloration of the fingers and toes. The constrictions and spasms are often caused by exposure to cold. If conservative treatments with gloves and avoiding cold contact does not work, then pharmacological treatment… Continue reading I’ve had raynoud’s disease for as long as i can remember. My fingers get really painful especially in the winter even with gloves. Is there anything else I can do for it?
I take ibuprofen and steroids for arthritis. Everytime I try to stop my steroids, my joints all swell up and it hurts especially in the morning. My doctor now has me taking steroids indefinitely what should I be concerned about?
Ibuprofen has been shown to increase the likelihood of stomach ulcers because it thins the protective mucous lining of your stomach. You and your doctor should be aware of how much ibuprofen you are taking to minimize any chance of stomach ulcers. In addition, steroids, such as prednisone, decrease the normal absorption of calcium and… Continue reading I take ibuprofen and steroids for arthritis. Everytime I try to stop my steroids, my joints all swell up and it hurts especially in the morning. My doctor now has me taking steroids indefinitely what should I be concerned about?
I went to my doctor for my yearly check and he said that I have an abnormal thyroid function test. My tests show that my TSH is low but the other thyroid values were normal. I have a friend who has hyperthyroid but I have none of his symptoms. He said that I have a subclinical thyroid toxicity and we should recheck my labs in 2 months. Do I have anything to worry about?
That depends on your symptoms. If you are experiencing a change in energy level, change in body weight, rapid heart rate, palpitations, or excessive sweating, you should return to your doctor for further evaluation. Otherwise, it seems as if your doctor has diagnosed you with “subclinical thyrotoxicosis” which means that you have a low TSH… Continue reading I went to my doctor for my yearly check and he said that I have an abnormal thyroid function test. My tests show that my TSH is low but the other thyroid values were normal. I have a friend who has hyperthyroid but I have none of his symptoms. He said that I have a subclinical thyroid toxicity and we should recheck my labs in 2 months. Do I have anything to worry about?
I got diagnosed with something called Pagat’s disease and my doctor said that I may have decreased hearing over time. Is there anything I can do?
Paget’s disease is a systemic disease that is often asymptomatic. It causes increased bone turnover and results in thickening of bones. Hearing loss is a common complaint with Paget’s disease, believed to be because of thickening of the canal your auditory nerve travels through. It is thought to occur in about 40% of people with… Continue reading I got diagnosed with something called Pagat’s disease and my doctor said that I may have decreased hearing over time. Is there anything I can do?