Question 1

I'm dealing with lymph node tuberculosis on my neck and after four months of taking medication, I noticed some pus coming out on its own, which was surprising. When I consulted with a surgeon about it, they mentioned surgery wasn't necessary. Now, I'm occasionally noticing some pus on my neck. What should I do about it?

Accepted Answer

Patient is advised tab augmentin 625 mg ,orally, thrice daily for 7 days, tab levocetrizine 10 mg bedtime for 5 days and syrup salbutamol 10 ml thrice dailly for 7 days .Surgeon opinion is advised to the patient.

Question 2

I've been taking Hetrazan 100 for three days and noticed that my lymph nodes are swollen. Could this be a side effect of the medication, like maybe the diethylcarbamazine in it is causing this? I'm a bit worried about this reaction. What should I do?

Accepted Answer

Summary:
 
 1. Enlarged liver (18.6cm) with:
 - Diffuse increase in echo texture
 - Fatty infiltration (fatty liver disease)
 - Hepatomegaly (liver enlargement)
 
 2. Bilateral Polycystic Ovarian Morphology (PCOM):
 - Multiple small cysts on ovaries
 - Suggestive of Polycystic Ovary Syndrome (PCOS)
 
 Recommendations:
 
 *Liver:*
 
 1. Lifestyle modifications:
 - Weight loss (if overweight)
 - Healthy diet
 - Regular exercise
 - Limit alcohol intake
 2. Medications:
 - Vitamin E
 - Pioglitazone (if insulin resistant)
 3. Regular monitoring:
 - Liver function tests (LFTs)
 - Ultrasound
 
 *PCOSPCOM:*
 
 1. Hormonal evaluation:
 - Testosterone levels
 - Thyroid function tests
 2. Menstrual regulation:
 - Birth control pills
 - Hormonal therapies
 3. Fertility considerations:
 - Consult a reproductive endocrinologist

Question 3

I recently had sex with a prostitute and even though I was using a condom, it ended up staying inside her after I ejaculated. I went and got an HIV test and it came back negative, but I'm still a bit anxious. Should I consider taking Post Exposure Prophylaxis?

Accepted Answer

Delayed Period, Clomid Treatment, and Positive Pregnancy Test

_Positive Pregnancy Test_

1. _Congratulations_: The positive pregnancy test suggests you are likely pregnant.
2. _Estimated Gestational Age_: Based on your last menstrual period (LMP) and assuming a regular 28-day cycle, your estimated gestational age would be around 10-11 weeks.

_Clomid Treatment and Multiple Cysts_

1. _Clomid stimulation_: Clomid can stimulate the ovaries, leading to multiple follicles and cysts.
2. _Ovarian cysts_: The presence of 5 cysts in your ovaries is likely a result of Clomid stimulation.

_Meprate (Medroxyprogesterone) and Pregnancy_

1. _Meprate use_: Meprate is often used to support early pregnancy and prevent miscarriage.
2. _Side effects_: Common side effects of Meprate include dizziness, headache, and breast tenderness.
3. _Pregnancy safety_: Meprate is generally considered safe during early pregnancy.

_Next Steps_

1. _Schedule an appointment_: Visit your gynecologist as soon as possible to confirm the pregnancy and discuss further management.
2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to confirm the pregnancy, check for any complications, and estimate the gestational age.
3. _Prenatal care_: Begin prenatal care, including regular check-ups, blood tests, and ultrasound scans, to monitor your health and the baby's development.

_Hypothyroidism Management_

1. _Thyroid hormone levels_: Monitor your thyroid hormone levels (TSH, T3, and T4) regularly during pregnancy.

How can we prevent communicable disease?

Handle & Prepare Food Safely as food can carry germs, Wash Hands Often, Clean & Disinfect Commonly Used Surfaces, Cough and Sneeze into a Tissue or Your Sleeve, Don't Share Personal Items, take appropriate vaccines, Avoid Touching Wild Animals and stay home when sick.

More Infectious Disease Health Queries

I've been taking Hetrazan 100 for three days and noticed that my lymph nodes are swollen. Could this be a side effect of the medication, like maybe the diethylcarbamazine in it is causing this? I'm a bit worried about this reaction. What should I do?

I recently had sex with a prostitute and even though I was using a condom, it ended up staying inside her after I ejaculated. I went and got an HIV test and it came back negative, but I'm still a bit anxious. Should I consider taking Post Exposure Prophylaxis?

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