Question 1

I've noticed that every time I get a fever, malaria P. vivax seems to be the diagnosis, and I'm usually treated with Resochin 250mg and Basokuine. The problem is, it seems to come back again after some time. I'm really looking to find a way to prevent this from happening permanently. Any advice on what to do?

Accepted Answer

To prevent recurrent malaria caused by P. vivax, you will need a radical cure, usually with primaquine or tafenoquine, in addition to the standard treatment. Ensure you complete the full course of treatment, and take preventive measures to avoid mosquito bites and reinfection. Regular follow-up with your healthcare provider is essential to ensure there is no relapse. If you have frequent relapses, it's important to discuss this with your doctor, as they may recommend further investigation or a change in treatment approach.

Question 2

I'm really worried about something that happened during a recent blood draw. At the private lab, I noticed the seal on the vacutainer needle was already torn before my blood was drawn, and now, a month later, I'm experiencing some unsettling symptoms like severe fatigue, headaches, dizziness, and red spots on my legs. My sore throat has continued, and there's a swollen lymph node near my elbow even after three months. I did an HIV test, the 4th-generation kind, and it came back negative after 8 weeks and 7 days. But I'm still concerned, especially since there was about a 7-minute gap between me and the previous patient. Can HIV be a concern here? Is it possible for vacutainer needles to be reused? I just want to understand if there's something more I should be looking out for.

Accepted Answer

Throat Pain After Vomiting

_Causes_

1. Stomach acid irritation
2. Inflammation of the throat lining

_Remedy_

1. _Stay hydrated_: Drink plenty of water to help soothe the throat.
2. _Gargle with salt water_: Mix 14 teaspoon of salt with 8 ounces of warm water to reduce inflammation.
3. _Throat lozenges_: Suck on lozenges or cough drops to help soothe the throat.
4. _Avoid irritants_: Stay away from spicy or acidic foods and drinks.
5. _Rest your voice_: Avoid talking or shouting to give your throat time to heal.

_When to Seek Medical Attention_

1. _Severe pain_: If pain persists or worsens.
2. _Difficulty swallowing_: If you experience trouble swallowing food or water.
3. _Fever_: If you have a fever over 101.5F (38.6C).
4. _Blood in vomit or saliva_: If you notice blood in your vomit or saliva.

Question 3

I'm really worried about my mom. She's a diabetic patient and recently had some pain and inflammation in her right underarm. We went to a breast center where they did a mammogram with contrast, and the report said something about necrotic right axillary lymphadenopathy, described as BIRADS 4, and suggested a biopsy. They also mentioned some masses in her right breast, probably benign, and suggested to follow up in 6 months. There was also a simple cyst in her left breast and retroareolar duct ectasia in the right one, but they said it's benign.

After that, she had a USG guided FNAC, and it came back with something called necrotising granulomatous lymphadenitis, which they said could mean TB. But we did all the TB tests like AFB smear, pus stain, X-ray, AFB stain, culture, and gene xpert, and everything was negative. They also did a biopsy by removing a lymph node, and it showed no malignancy. The doctor mentioned there were many lymph nodes, and a few had pus, so they checked for infections like HIV, HCV, and HBsAg, and those were negative too.

I'm trying to understand why she has multiple lymph nodes, some with pus, and if this is something serious. Should we be seeing a specific specialist or doing any additional tests? This is so worrying, and we're not sure what steps to take next.

Accepted Answer

consult rheumatologist  immunologist

yes it can be transfered to other body parts. continue medicines

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