Hypoxia and Medicine

What is a normal blood pressure reading? Also, what's the normal oxygen saturation and pulse rate? The info needed should be based on a female in her early 30's.

What is a normal oxygen saturation level? Is it different depending on altitude?

What blood oxygen saturation is normal? Now for some reason this question was deleted before because i asked "what O2 sat would someone pass out at" and i honestly asked it in the most medical meaning possible. My grandmother is currently dying of pulmonary anemia and her oxygen level is somewhere between 75 and 85. My question is what happens at different O2 sats. What level is normal, what causes confusion, fainting, coma, and death... I honestly hope this question wont be deleted, because i feel that i have done nothing wrong in posting it, i am just wondering about anatomy.

What is the normal blood oxygen saturation count in adults?

Normal oxygen saturation level(s)? Hi, went to the ER because there was a spot on my tonsil that had looked like it may have been bleeding. I'm okay. We just went there because we it didn't look right, and we didn't really want to wait till later in the week (Which we would of had to) and thankfully went there. I was close to developing strep. But i just wanted to know, I saw that my Oxygen sat. was 96% at triage, and later when waiting I decided to put on the pulsox thing back on my finger and saw it go back between 97 and 98. But 96% would be considered normal right? Also what are some causes of lower oxygen saturation? I know I'm fine just wanting to know :) very interested in medical science. Can something as simple and insignificant as phlegm in the airways (from airborne seasonal allergies) cause a little bit of lowering? Thanks.

what are the normal values for Oxygen Saturation at sleep for a normal person? I know about the normal SaO2 range but I've heard that SaO2 will drop at sleep because you are not doing anything and I would like to know that %. Thanks

What is the normal saturation of Oxygen in newnates,and O2 SATURATION? amount of blood in neonates? THANKS

a child with heart defect - tetralogy of fallot can ride an airplane? what is the normal oxygen saturation?

what is the normal oxygen saturation?

Blood Oxygen Saturation level - what is the fatal and normal range? Blood Oxygen Saturation level - what is the fatal and normal range? How long is a sub 85% level sustainable without more than a simple mask? This is about my son. He is on hospice care, and is terminal. He is 1 year old, 9 pounds 8 ounces. This is a good weight for him due to proportion. He has a disease called rhizomelic chondrodysplasia punctata. He almost passed in july and barely beat an rsv infection that weakened him significantly. He is on a nasal cannula @ 1l. His oxygen sat level is now in in the high 80s with the 1l nasal cannula delivery. It drops to low 80s or worse at times when he cries or strains, or even urinates. Before these recent episodes he was in the low 90s with no oxygen. We have also put him on a feeding pump, which works with ng tube, to spread out his feeds and avoid fluid shock to his sytem. We will no hospitalize him. He was on oxygen only supplemental until 4 days ago when he had some respiratory episodes and needed to go back on oxygen permanently. I'm trying to get a realistic picture from someone who is no bias.

Is having an oxygen saturation level of 98% normal while on 2 L of oxygen via nasal cannula? My fellow nursing students are completely stumped by this question. O2 stats of 95-100% are considered normal but the pt is on 2L O2 via n/c. Shouldn't the O2 be 100%. Is it normal for this pt?

is it normal for oxygen saturation level go down on exertion?

How is partial pressure link to apnoea time and oxygen saturation? For example, apnoea time=36, partial pressure of carbon dioxide=32 mm HG, partial pressure of oxygen=43 mm HG and oxygen saturation=99% with normal respiration. What does all this values interprets?

What is the normal range of oxygen saturations in a normal assumed fit adult?

Is it normal for a healthy persons oxygen saturation to drop to 93% when exercising? I have had progressive shortness of breath issues for 3 years. All tests have been normal. I had an elevated pulmonary pressure on echo of 48 but right heart catheterization was normal at 30/8. I am a 47 year old female. Recently, I was getting very irritable as well as SOB at the gym so my family doc asked me to do a walking oximetry(I am an RN working in a hospital) and that is when I noticed it went down to 93, then stayed at 94 for a while then went back up to 100%. My pulse coincided with the Massimo oximeter.

My oxygen saturation at the ER today was 99%. Is that healthy and normal?

What does it mean to have a oxygen saturation level of 100%? Is that normal, and is it good or bad?

low oxygen saturation levels? I just found out I have sleep apnea. I am fine with that but the doctors are concerned that my oxygen saturation levels dropped to 60 most of the night without the CPAP and 90 with it. Is it normal to have your oxygen levels down that low when you sleep?

causes for low oxygen saturation level? What exactly cause low oxygen saturation? and why is surgery unable to continue until levels are back to normal? does having diabetes have anything to do with LOS levels?

Oxygen Level For a Toddler? My nephew just went to the doc. His Oxygen Saturation was 83%. They are addmiting him into the hospital. What are they going to do to treat him! What is a normal oxygen saturation for a 2 year old boy? He has very bad asthema and allergies. Is there a point when your oxygen level is so low that it is dangerous?

Is an oxygen concentrator normal treatment for sleep apnea, and can oxygen cause headaches? I've had several test where overnight I wore the thing on my finger to test my oxygen saturation levels, and apparently the levels went down because now the Dr. has ordered an oxygen concentrator to wear at night. We're doing another oxygen level test in a few weeks, to see if the concentrator helps. I'm just wondering if this is a normal first step, because I see a lot of people on here use other things. I've also noticed that I'm waking up with horrible headeaches after sleeping with the oxygen, is that normal? It's just a normal concentrator with a humidifier bottle and nasal canula. I don't think the headaches are from it being too tight, because it only goes over my ears and is just tight enough that it doesn't fall off.

Asthma, oxygen saturation reading off? Also question about Xopenex (and nebulizer treatments in general).? Hi, I've been having some pretty bad asthma symptoms lately (bad enough where I went into the hospital last night). I was put on Prednisone 40 mg 2X daily. Anyway, my oxygen saturation was fine, and I'm wondering if my over-compensating breathing (i.e. I was trying to make up for my shallow breaths by taking more and taking them as deeply as possible, even though my chest was sore) would have highered it, when, if I had just let myself breathe without physically straining during the attack, it would have let my oxygen levels drop lower? There have also been times when I have a bad attack and my oxygen is close to normal, whereas a mild one is much lower. Could this be caused by my rapid breathing (in a desperate attempt to get more air in)? Lastly, can Xopenex nebulizer treatments cause high blood pressure temporarily (like 120/85)? I'm usually 90/60, but last night my BP was high. Thanks so much!

Oxygen saturation vs Blood Pressure!? Can someone explain why the blood pressure goes down when the oxygen saturation is great. Also when the saturation is poor, the blood pressure is normal. Does this have anything to do with cardiac output or optimal peep?

Oxygen saturation of 81? we took some little test at school that clicks onto your finger and tells you oxygen saturation and heart rate. My heart rate came out normal- 72, but my o2 sat came out 81%, I looked it up and thats considered severly low. Is the test probably wrong? Because wouldn't I have symptoms if it was that low? My friend thinks it could be the cause of my chronic nausea, but I think the test is wrong.

anybody know why my oxygen saturation rises(spo2) right after exercising? my at rest o2 sats fluctuates 94%-98%, but right after exercising(huffing and puffing), my o2 stats, increases to 99% and stays there for a while. to my knowledge, when normal people exercise, their o2 stats falls. any experts out there? thanks in advance

I have a very low oxygen saturation level. Lows around 70% to high of 88%. What are some possible causes? In the last four months, I've had a Ct scan, Hide-a-Scan, two heart studies, three halter monitors, sleep study,Sonogram, full body bone scan, endoscopy and complete blood work up. My cholesterol was slightly above normal. The sleep study showed I have sleep apnea. ( I now wear a C-Pap @ 17 psi w/ 5 lpm o2). The endoscopy showed some signs of mild damage due to aspirin and tylenol taken for the pain. The CT scan showed mild degeneration of L1 & L2 but otherwise nothing significant. (History of prostate cancer. Dr thought maybe the cancer had metastasized into the spine but bone scan showed no evidence of cancer) Moderate to severe pain in RUQ was diagnosed as costal condritis. Symptoms of this are improving. Bone chilling fatigue haunts me. I'm fairly certain that this is a direct result of the low o2 sats. Any ideas? So far, the doctors have not found out the problem. Thanks!

Hi guys, does anyone know what the blood oxygen saturation levels are supposed to be after tetralogy of fallot? corrective surgery? My 6 month old son has just been operated and still in ICU and his sats are at 82-89% with 70% oxygen on the ventilator. Is this normal, I thought it would be 95%+?? His sats before fluctuated between 70-85% when inactive and as low as 55% when crying. The pediatrician also told us yesterday that they discovered another hole in his heart so I don't know if this is the cause of the low current sats although they say it isn't, I'm very confused....

My oxygen level was 83 when I got pneumonia after H1N1. I can't make sense of this number. How low can it go? When the doctor told me that I had 83% oxygen saturation level, I thought that sounded pretty good. He was alarmed and thought I should go to the hospital. He explained to me why 83 wasn't good and he arranged for oxygen to be delivered to my home. I followed all doctors' orders in regard to oxygen treatment and now I fully understand the difference between 83 and normal oxygen levels. What I don't understand is the extent to which I was ill, in other words, what is the range of bad oxygen levels when patients get pneumonia? I don't know whether patients can have oxygen levels in the 50's, 60's, 70's and an 83 is a decent number or whether the most ill patients only go down to 80. In other words, how sick was I? I do know that 88 is the lowest acceptable level and that 95 is a normal level.

Breathing problems. Is it possible to keep oxygen saturation in the flat equally high as outside? I sometimes have problems getting 100% oxygen from breathing. It is because my nose has reduced inhailing capability, it was broken as i was a kid... I see now, that if i go outside this problem virtually doesn't exist, but in my flat i get tired easely, and fell asleep sometimes. Normal ways like ventilation don't work that well and in the winter are rather impossible. Are there ways, special air conditioners or something medical, which can increase the oxygen level or regularely "pump" the fresh air from outside?? it is not about "my particular flat", it is in any flat . I.e. if many people are in the room without open windows i might fall asleep or experience blackout:(

Oxygen of 81, is that even possible? we took a test at school where you put your finger in and it give your heart rate and oxygen saturation. My heart rate was normal but my O2 sats was 81? I looked up oxygen depravation and it said anything below 86 is considered severe. I do get dizzy from time to time and feel like throwing up all the time, but wouldn't I know if my oxygen was really that low?

Lack of Oxygen at birth, what is the likely outcome? (symptoms below)? My son was born by crash c-section 2 days ago. When he was born he had no heartbeat but had an apgar of 1 after 5mins then 6 after 10mins. When he left the theatre his heart rate was normal at 140bpm. He is on intensive care, but has been breathing for himself since day one, and all other obs (blood pressure, oxygen saturation etc are all normal) He has had two fits involving limb shaking and mouth movements as well as desat. They have mentioned cerebral irritation, and has had a 3rd dose of phenobarb today after the 2nd fit. After this he has slept peacefully most of the day. Can anyone suggest the likelyhood of a full recovery and possible future problems (I'm guessing his life is now safe) the doctors are very cautious and refuse to look past the day ahead. We live in the UK.

Smoking before a a surgery? I am getting my wisdom teeth pulled tomorrow and I have been smoking for a little under 9 months with about 3-8 cigarettes a day and want to know if i should be worried about anything happening when I go under. I have no reduced function of my lungs my blood pressure is normal, oxygen saturation is 100% and my doctor never heard anything wrong with my lungs when I saw him last week. I haven't had a cigarette for a day now so my monoxide level should be normal but I just want to know what are my risks. My surgery went 100% as planned. Just the last thing I remembered was looking at the ekg and my heart rate was 100 then I woke up 3 hours later asleep on my couch at home.

Select the correct statement about oxygen transport in blood:? 1) during normal activity, a molecule of hemoglobin returning to the lungs contains one molecule of O2 2) during conditions of acidosis, hemoglobin is able to carry oxygen more efficiently 3) increased BPG levels in the red blood cells enhance oxygen-carrying capacity 4) a 50% oxygen saturation level of blood returning to the lungs might indicate an activity level higher than normal

Can a person have normal to high O2 saturation, but low respiration 9-11 breaths per minute? I am getting frustrated with doctors. I have sleep apnea and hypersomnolence. I have been using a Bi-Pap for a month or so but, swallow so much air that I wake with cramps which seem to never go away throughout the day. Lots of belching, flatulance, just a full feeling, and long before all of these problems began I came down with a nasty case of hiccoughs, which I still have. Soxmetimes I just don't know what is going to come out. While awake I breathe 9-11 breaths a minute and my O2 levels are 96-98. My sleep doc said that I did not have bradypnea because saturation was so high, in an article describing bradypnea though it said nothing of O2 content. 15 years ago I dehydrated and most likely had accute kidney failure. I made a "full" recovery, although I have had the hiccoughs every day since. I most likely had the sleep problems before this occurance but, it was undiagnosed. 6 years ago someone suggested I get tested for Heavy Metals and I tested high in Mercury. At the time I did nothing about it because I could not afford to get my amalgam fillings replaced and did not know all of the illnesses associated with Mercury. I had been diagnosed with Bi-Polar disorder six months after dehydration and later with psychotic features. In my recent research I have read that Mercury can cause breathing problems, but they are unspecified, mental health problems, and also tics. Two months ago I had fillings replaced, I weaned off of all psychiatric medications while updating psychiatrist. I still take medication for Hypersomnolance, still have low energy, still have hiccoughs alot, they seem to worsen greatly with sugars and carbohydrates, still use Bi-Pap for as long as I can tolerate; 2-4 hours on a good night, and as previously stated feel sick alot with it. Three days ago I started a Homeopathic cleanse for Toxins and Metals, prescribed by Integrative Health Doc (doesn't accept insurance--big problem). The cleanse says that there can be several side effects, but, should not be long lasting, diahrea is among them. I do have diahrea, maybe some of the pain that I expiriencing is from that. I realize it has taken me long to get tho the point and I am still not sure that I am there yet, my apologies, thanks for reading. I am kind of wondering if the detox agent takes away the metals which can cause breathing problems, is it because I am learning to breathe properly that I am swallowing so much air, this happens while awake now also. I never actually caught myself taking a gulp of air, however, it seems all at once, that it is there. Or, is it that the Bi-Pap is forcing me to breathe more often than I would normally and therefore am swallowing it. I would think that I really do need to breathe more often, afterall isn't it lack of oxygen that causes hiccoughs? Docs won't answer. If someone out there can make sense of what I have written, please help.

Tight feeling in my throat? For the past few months, on and off for several weeks at a time, I've been having a seriously obnoxious feeling of tightness in my throat, and shortness of breath. It feels as though I can't clear my throat.. I've had a CT, MRI, and X-ray of my neck, all normal. All thyroid and other blood tests were normal. My oxygen saturation is normal. Yet somehow, I still feel like I'm choking and can't get enough air for weeks on end (it seems to happen in "episodes"). I don't have asthma either btw. It keeps me up at night. It won't go away with muscle relaxants or medicine for anxiety. Any other ideas? I'm absolutely miserable!

Normal ranges for... Easy nursing ques? I'm freaking out in regards to nursing placements tomorrow. Could anyone please tell me the normal ranges for for these: -systolic blood pressure -diastolic blood pressure -heart rate - oxygen saturations - respiratory rate - temperature - blood sugar levels - urine output for 1/24 Thank you so much!!!!!!

differential diagnosis of desaturation during inhalational induction espcially with assisted ventilation? when the 2 year child was awaken and spontenous ventillation returned oxygen saturation returned to normal

Baby has heart murmur and rapid breathing? My baby is 4 days old and needed to be rescucitated at birth. She has quite rapid breathing which they have been watching. Her heart rate, pulse, temperature and oxygen saturation levels are all normal. They can hear a heart murmur which they say may be related to the rapid breathing. She doesn't have blue lips, feeds well so far and lost less than 5% of her weight at her 3-day weighing (well within the allowed 10%). She was 4.505kg at birth (just under 9lb 15oz). So she is healthy in every way apart from the rapid breathing and the heart murmur. Does anyone know if the rapid breathing and heart murmur are likely to point towards a congenital heart condition?

"Pulse-ox" reading inaccurate? Hi, I've been having some pretty bad asthma symptoms lately (bad enough where I went into the hospital last night). I was put on Prednisone 40 mg 2X daily. Anyway, my oxygen saturation was fine, and I'm wondering if my over-compensating breathing (i.e. I was trying to make up for my shallow breaths by taking more and taking them as deeply as possible, even though my chest was sore) would have highered it, when, if I had just let myself breathe without physically straining during the attack, would it have made my oxygen levels drop lower? There have also been times when I have a bad attack and my oxygen is close to normal, whereas with a mild one, the reading is much lower. Could this be caused by my rapid breathing (in a desperate attempt to get more air in)? Thanks! Would the nail polish, poor circulation, and cold hands cause a LOWER reading than normal, or a higher reading? (If you don't mind, can you hit the "edit" on your answer and add that in please? I don't think you can reply to a question twice. :) Thank you so much!) Oh my gosh! That could explain why it read normal ... I'm very anemic (Ferritin was 7 I believe). Thank you so much!

Reduced Blood Oxygen Levels after Exercise? Hi, all. Earlier this year, I had some pulmonary function tests performed. Overall, the results were normal. However, one of the results showed a decrease in my blood oxygen levels after doing a 6-minute brisk walk. My sitting blood oxygen level was measured at 98%. After exercise, the saturation was 94%. At the time, I hadn't done any regular exercise for a long time, so between that and my weight issues, the result is understandable. All my doctor said was to start exercising regularly and this should help. I've been doing daily cardio for a month now (30 minutes minimum) plus weight training and I don't feel like I'm making much, if any, headway. If I really exert myself, I feel like I can't catch my breath (I have a personal trainer who really pushes me...). I'm worried that this might not be a problem related to my lungs but rather my heart...that I've got blocked arteries and that's the reason why I have a low saturation level after exercising. I've had chest xrays done and they've come back normal. Does anyone have any suggestions or ideas as to (1) why this might be happening and (2) what I could do to improve my lung function?

I need help with a biology respiration question? If a healthy individual was given 100% oxygen to breathe, which of the following would occur compared with when breathing normal air? A.The percentage saturation of haemoglobin with oxygen in the blood would increase B.The percentage saturation of haemoglobin with oxygen in the blood would be unchanged C.The percentage saturation of haemoglobin with oxygen in the blood would be decreased D.The total oxygen content of the blood would be unchanged E.The ventilation rate would increase

critical levels of oxgen saturation.? I have a friend who is a juvinile diabetic and was pregnant. She went in for an induction being told to take half her longlating insuling that night before, and cut her short lasting in half when she ate but to take no longlasting in the morning at ALL. when she got in there the failes to check her for keytones as instructed and did not properly moniter her baby or her sugars(she was also not given long lasting insulin for at least30 hours). Her oxgen saturation at one point was 66% .....is that bad? also they took her off the moniters that night despite fetal decelarations and told her to shower, they next morning her sugar was 200 and something and her baby heartrate was in the 60-90s. after c-section the baby was still born and resuccitated but they still lost her due to severe brain damage. she also had a hi-blood gas(not sure what that is)and after she was born the mother was found to be in ketoacidosis. could this be because of the hospitals failure to care for her properly......and what is a normal heartrate(mother ended up being tachycardic at 121, could she have died?) and oxygen saturantion levels?

Unresolved Q#9 ? Top Contributers And Med Ppl Plz ! Fast Answer Your Opinion ~ 10 Pnts.? Raymond Harrison, a 64-year-old male was admitted to the hospital with fever, shaking chills, a nonproductive cough, and chest pain for six days. A chest x-ray revealed extensive accumulation of fluid in both lungs. The patient had mild hypertension and a275 pack/year smoking history. A physical exam revealed a blood pressure of 150/90, a body temperature of 101.8°F, and the patient was cyanotic (looked blue) and in respiratory distress. The patient’s heart rate was elevated at 100 beats per minute. An arterial blood gas test was performed and the oxygen saturation of the arterial blood was 72% (normal would be 94–100%). The blood test revealed an elevated How does the abnormal oxygen saturation value relate to the patient’s elevated heart rate? If you had to choose between emphysema and chronic bronchitis as your diagnosis, which would you choose and what evidence did you use to make this choice? Explain why doctors are using antibiotics and bronchodilators to treat this patient?

Father,74, admitted since 26.8.2010 after catheterization, is drowsy, on ventilator, no identified cause.? case of DM/HT/DYSLIPEDEMIApresented with complaints of fever since 9 days, urinary retention since 4 days and altered sensorium since 4 days. Patient was admitted in stroke ICU with these complaints and investigated. His blood and urine cultures were negative and he was showing pus cells in urine (sterile pyuria) his leucocyte counts were elevated and kidney function tests were deranged. Chest X-ray showed right basal haziness seen, opacity seen along the 5th rib in right? bony? parenchymal. CT head showed age related atrophic in brain. CT chest showed anterior mediastinal mass for which CT guided cytology was suggestive of spindle cell neoplasm. PET CT showed non-FDG avid enlarged prostrate gland with significant median lobe hypertrophy protruding into bladder lumen. The fat planes with the recto-sigmoid are obscured at places, non-FDG avid lesion in segment VIII of the liver, bulky faintly FDG left adrenal gland and non-FDG avid, well defined, oval shaped, hyperdense enhancing lesion, likely a lymph node, measuring approx. 5.9 x 3.5 cm in the prevascular region (? Metastases). On clinical examination prostate was found to be enlarged, smooth in consistency and serum PSA level on 30th August, 2010 were 8.0 units. 2 D ECHO showed no RWMA, global LVEF=55%. Ultrasound whole abdomen showed the liver with 4.3 x 3.4 cm hyperechoic lesion in right lobe, there is a well defined hypoechoic lesion measuring 4.8 x 4.3 cm along postero- lateral wall of urinary bladder. Fat planes with prostate are lost. The prostate is enlarged in size and measuring 54 gms. Ultrasound both limb venous Doppler showed patent deep venous system bilateral lower limbs. MRI brain showed small acute lacunar infarct in splenium of corpus callosum. MRI screening revealed degenerative marginal osteophytes involving the cervical, dorsal and lumber vertebral bodies, altered area of signal intensity is seen involving D7 and D9 vertebral body appearing hyperintense on T2 weighted images ? haemangioma. MRI spine cervical showed reversal of cervical curvature with OA changes and compression on thecal sac and cord at C4 – C6 level. Consultation was sought from Dr. Puneet Agarwal (Neurologist) and NCV study is done in both lower limbs and right upper limb with H reflex. MNCS is showing normal latency with reduced CMAP amplitude is seen in right median, bilateral CPN and PTN. Normal MNCS in right ulnar motor. RNS test is showing normal study with 3 Hz & 100 Hz. Patient was admitted in stroke ICU where his conscious level improved and hence extubated. He was shifted to the ward on 10.9.2010 but he remained persistently drowsy in the ward. His electrolyte study showed low sodium levels which was corrected but drowsiness persisted. Neurologist opinion were being sought. He remained drowsy, weak and was not able to communicate. Fibre optic laryngoscopy was planned for vocal cord assessment but relative refused. His leucocyte counts are within normal limits and kidney function tests were also normal. However his drowsiness did not improve. In the evening of 18th September, 2010 patient started developing dyspnea. His oxygen saturation level at room air was falling and hence continuous oxygen was started but the patient’s condition remained unstable and hence shifted to ICU for monitoring where he was intubated and put on ventilator. He developed haematuria on 20.9.2010 and had deranged coagulation profile (INR- 2.1) for which cystoscopy was done and clots were evacuated. Prostatic biopsy was planned at the same sitting but deferred due to deranged INR. Patient was tracheostomised on 23.9.2010 for his poor cough reflex. At present patient has been on tracheostomy tube (T- piece) with 5 litres of oxygen and is maintaining saturation levels of 96-97%. His other parameters are within normal limits. His coagulation profile has improved and his prostatic biopsy has been sent. Serum PSA levels are static (8.89 IU). His blood and urine cultures are sterile and counts are within normal limits. Presently being treated with Actamase, etc.

Lymphoma? Or something else? I have posted on here before, and Tiny provided great advice. I have updated information and am unsure of where to turn; hopefully someone can give me an opinion? 20 y/o obese female. I have no swollen lymph nodes, but I experienced a sudden re-growth of my right tonsil (tonsils removed at age 7), measuring to be approx 1cm by 1cm and growing. I also have pain on that side of my neck that comes and goes, and is aggravated by drinking alcohol. There is also pain in my inner ear, as if I have an ear infection, but it has been checked and is fine. The ENT has decided to remove the tonsil tag (as he calls it) and surgery should be scheduled for December. I suffer from extreme fatigue, frequent hot/sweaty flashes - mostly at night), headaches, dizziness, pain in my collarbone, underarms and one episode of fainting. Frequently itchy, but always chalked it up to dry skin. Lately I've developed shortness of breath and abdominal pain located under my rib cage on each side. It is to the point where I cannot sleep at night because I sleep on my stomach, but the pressure in my belly/chest is so immense that it is painful. I was sent for a chest xray that came back clear, however, my blood work shows extremely elevated liver enzymes. My gallbladder was removed in Feb, so it's not that. My blood oxygen saturation ranged from 91-94, which is apparently the low side of normal and the doctor was concerned. They are currently testing me for hepatitis and I have an abdominal ultrasound scheduled for the end of the month, as is my next appt with my doctor. I know I should just be waiting to see what the doctor says, but I am getting very fustrated. Does any of this sound like lymphoma? Or should I be looking in a different direction? Thank you. Hey Denise! Tonsils can grow back if a little bit of tissue was left during the original surgery. It has something to do with the lymphatic tissue? This is what my ENT told me. They will never grow to their original size, but it is possible for them to regenerate.

Shortness of breath with chest pain? Ok hi my name is ben im 18 years old have no history of any Health problems.. Ive had over 20/30 EKGS done .. ECG done no abnormality's.. but i have chest pain where the heart is located and have shoulder and arm pain once in a while.. I have Alot of gas in my stomach that makes me belch and i also have Chronic Anxiety I have an Anxiety attack just thinking about my health I've been to the ER rooms So many times they don't even check me anymore.. ive been to 3 different hospitals.. same thing.. Blood tests normal..my shortness of breath is not as bad as it was a few days ago but it comes and goes..comes and goes i have to take full breaths to get back to a normal breathing pattern.. if i get to worried my heart goes really high.. now is this a serious sign of Heart Failure Heart Congestion?... On the OXygen machine even though i feel short of breath i have 100 Precent Saturation but the chest pains are bothersome how worried should i be how serious is this.. this is not a Panic Attack... because it lasts with or with out anxiety at that moment.. i shake violently sometimes.. and have chest pain.. mostly on the left side BUT sometimes on the right side when i move my cholesterol level is low..158.. and going lower.. Im eating healthy.. sometimes i feel flushed in the face for no reason.. the breathing doesnt really get worse when walking but because Of the way im breathing it Seems to get worse but still 100 precent oxygen saturation on both fingers i can still hold my breath for a minute and half...but still feel short of breath... doctor says my X-rays are fine all the times i've been to the hospital..my chest pain how ever makes me think its something so serious its gonna kill me..I have been diagnosed by a physcologist with bi-polar panic disorder and Generlized anxiety disorder but it could be anxiety thats doing this this is what all the doctors are saying..it can cause unstable chest pain unstable breathing Constaly as i said earlier this is not A panic attack cause im not panicking at every second and I dont have weezing problems but i do spit flem once in a while

Shortness of breath ? Ok hi my name is ben im 18 years old have no history of any Health problems.. Ive had over 20/30 EKGS done .. ECG done no abnormality's.. but i have chest pain where the heart is located and have shoulder and arm pain once in a while.. I have Alot of gas in my stomach that makes me belch and i also have Chronic Anxiety I have an Anxiety attack just thinking about my health I've been to the ER rooms So many times they don't even check me anymore.. ive been to 3 different hospitals.. same thing.. Blood tests normal..my shortness of breath is not as bad as it was a few days ago but it comes and goes..comes and goes i have to take full breaths to get back to a normal breathing pattern.. if i get to worried my heart goes really high.. now is this a serious sign of Heart Failure Heart Congestion?... On the OXygen machine even though i feel short of breath i have 100 Precent Saturation but the chest pains are bothersome how worried should i be how serious is this.. this is not a Panic Attack... because it lasts with or with out anxiety at that moment.. i shake violently sometimes.. and have chest pain.. mostly on the left side BUT sometimes on the right side when i move my cholesterol level is low..158.. and going lower.. Im eating healthy.. sometimes i feel flushed in the face for no reason.. the breathing doesnt really get worse when walking but because Of the way im breathing it Seems to get worse but still 100 precent oxygen saturation on both fingers i can still hold my breath for a minute and half...but still feel short of breath... doctor says my X-rays are fine all the times i've been to the hospital..my chest pain how ever makes me think its something so serious its gonna kill me..I have been diagnosed by a physcologist with bi-polar panic disorder and Generlized anxiety disorder but it could be anxiety thats doing this this is what all the doctors are saying..it can cause unstable chest pain unstable breathing Constaly as i said earlier this is not A panic attack cause im not panicking at every second and I dont have weezing problems but i do spit flem once in a while Im getting an ECHo and stress test done whats the likleness that it will be SUPER severe heart diease at 18 i know its possible but How super severe is it probley gonna be after i get the results?

Academic question part 2!!!!!!? BACKGROUND A 41-year-old man presents with fever, malaise, and a 20-lb weight loss over the past 3 months. The patient also has intermittent headaches, coughing with occasional hemoptysis, and multiple chronic skin lesions. The lesions initially appeared as hyperpigmented scaly plaques on his lower back (see Image 1). They have enlarged over the last year, spreading to his arms, nose (see Images 2-3), and penis (see Image 4). The lesions are not itchy or painful. Over the last few weeks, the lesions on the patient’s nose and penis have begun to ulcerate and produce a bloody, purulent discharge. The patient was diagnosed with HIV infection 13 years ago. He denies having any chest discomfort, shortness of breath, nausea, or diarrhea. He has not traveled recently and has not had any contact with people who were sick. He has not spent any time in environments where the risk of tuberculosis is high (eg, prison, shelters). On physical examination, the patient is afebrile with a blood pressure of 116/58 mm Hg and a heart rate of 92 bpm. His respiratory rate is 14 breaths/min, and his oxygen saturation while breathing room air is 96%. On his nose is a crusted, indurated plaque with irregular borders and central ulceration that produces thick, blood-tinged, suppurative discharge (see Image 3). A nontender oval-shaped crusted plaque with superficial ulceration is located on his penis at the base of the glans (see Image 4). Numerous skin-colored umbilicated papules, of about 3-6 mm and with central hemorrhagic crusts, are scattered irregularly on his arms and face (see Image 2). A diffuse, hyperpigmented lichenification of the skin is noted on his back, with many small areas of superficial ulceration (see Image 1). No retinal lesions are noted on funduscopic examination. No frank nuchal rigidity is present; however, the patient expresses moderate discomfort with neck flexion. The lungs are clear to auscultation with no rales, rhonchi, or wheezing; the cardiac examination is normal. The remainder of the physical examination yields unremarkable results. The patient is transferred to the adjoining emergency department (ED) and, because infectious meningitis is suspected, is placed in respiratory isolation. A lumbar puncture reveals an opening pressure of 22 cm H2O. A cerebrospinal fluid (CSF) sample is sent for laboratory evaluation and shows a WBC count of 450/mm33 (0.450 X 109/L) with a mononuclear predominance, a mildly elevated protein level, and a slightly decreased glucose concentration. India ink staining reveals the presence of fungi. What is the etiology of the patient’s symptoms? Are all of the lesions from the same disease process?

WTF happened to me!!!? (brain damage)? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally ****** in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire ******* night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the **** did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?

please help..Need a really smart MD. My father fell ill approx 3 weeks ago..? after consuming alcohol. He started to feel weak and began to vomit(not an isolated incident as this has happened before) along with the vomiting he has high pulse (120) and low oxygen saturation 84. His blood pressure was 148/84. While he was at the hospital he had a continuous fever of 101.5 and above. He also developed asites during his stay at the hospital. The ultimately diagnoised him with having pancreatitis. Although he was no longer vomiting his oxygen level was low and he still had a fever 5 days later...he was discharged home with levaquin and medications he takes for cholestoral, hypertension, and plavix for the stint that was done in 2008. I felt uneasy about him being discharge so we went to another hospital that took an x-ray based on my observations and temp checks over the last two days at home. The notice not only he had develped pneumonia but also and plerual effusion on the left side of his lung. This was drain and he is now feeling alot better, also the asites has almost dissappeared. MY QUESTION NOW IS WHY DOES MY FATHER CONTINUE TO HAVE A FEVER AND HAS HAD ONE FOR THE PAST 3 WEEKS. It flucuates but usually tends to go back up. He is still in the hospital but I want to do my own digging as it seems as family members tend to be the voice when a family member is ill. So here is the run down. diagnoised with pancreatitis asites fatty liver stint in heart high blood pressure that has normalize during stay in hospital oxygen is now in the 95 range heart rate is now 93 age of patient 68 years old Male 50 pounds overweight and no diabetes please help me find the culprit. I believe that many heads are better than one, and possibly the yahoo community may have some insight or has and have the same thing happen to them. I just want my dad back home and feeling back to normal thanks I will give the 10 points!

what the **** happened!!? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally fucked in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire fucking night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the fuck did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?

Sleep Apnea Question? I just had a sleep study done. Results were: 28 sponatneous arousals.' 1 REM arousals 31 Snoring arousals total: 61 Mild, intermittent snoring was noted while supine. Apnea-hypoapnea events per hour .89 1 during REM and 4 events in Non REM Respiratory related arousals per hour: 5.69 Mean Oxygen saturation: 96.61 0 desaturation episodes below 90% with a nadir of 90% Cadiac monitoring: Normal sinus rythm with no significant arrythmias noted. Diagnosis: Mild Obstructive Sleep Apnea syndrome, adult. I am 26, currently BMI of 35, get only about 3 hours a sleep at night with exesseive daytime sleepiness, and have asthma. Should I worry?

Do these sleep study results look bad? I just had a sleep study done. Results were: 28 sponatneous arousals.' 1 REM arousals 31 Snoring arousals total: 61 Mild, intermittent snoring was noted while supine. Apnea-hypoapnea events per hour .89 1 during REM and 4 events in Non REM Respiratory related arousals per hour: 5.69 Mean Oxygen saturation: 96.61 0 desaturation episodes below 90% with a nadir of 90% Cadiac monitoring: Normal sinus rythm with no significant arrythmias noted. Diagnosis: Mild Obstructive Sleep Apnea syndrome, adult. I am 26, currently BMI of 35, get only about 3 hours a sleep at night with exesseive daytime sleepiness, and have asthma. Should I worry? ETA: I slept 337.5 minutes of the required 438.5 minutes and it says sleep onsent latency: 7.5 minutes REM onset latency:128 minutes

█▓▓░█▓▓░ Chronic Anxiety (advise please)█▓▓░█▓▓░? Hi My names ben for the last 5 months ive stoped Cold turky eating Meats.. exept fat free ones that are processed.. which is not really good but ya.. ok well.. i started geting short of breath Severe chest pain that i kept thinking was heart related called EMS 324235238952710 times.. *47* to be exact.. Nothing wrong with heart.. went to hospital blood levels checked *basic* ENZYMES* for you know.. Fine.. then.. Finally went to PH doctor.. you know a physician.. and checked me out did EKG Fine.. but because my dad had a heart attack.. He decided to send me to a heart hospital here In San Antonio Texas.. They did ECHO and Stress. im waiting for ECHO results but stress test came back awesome.. as the doctor said.. *awesome* I have chronic Anxiety.. panic attacks etc.. about a month ago i devloped severe Shortness of breath *still had 100 % oxygen saturation from the finger thing* but i was feeling short of breath ALLLLLL DAY and night so i thought it would go away and it didnt then i devloped chest pains which are quite scary so here i am AGAIN calling ems.. they still hit me even today sometimes it feels exactually where the heart is at.. and sometimes in other places.. sometimes i feel a pulling sensation chest area.. but it goes away.. and mostly comes on when im VERY VERY NERVOUS!.. didn't think anxiety could cause that kinda closeness to major heart diease... so again...i searched and searched for any other suggestions.. looked and looked for hours on the PC HOURS! and days.. my exact symptoms.. and BAM Chest pain Shortness of breath *non cardiac* or lungs they did a lung test PERFECTLY FINE!!!!!!! Im 18 btw.. so i started and started and started and BAM ! when my dad had the heart attack i stoped eating all kinds of meats and dairy .. nothing but salads all day.. almost no SAT FAT IN ANYTHING... I kept looking and looking and looking AND BAM Vitamin B12 DEFIENCY symptoms EXACTUALY!!!!!! as said... on WEBMD and other medical websites.. so i took it apon my self to Get Some VitaminB12 Tabs from SamsClub MembersMark Vitamin B12 with high potency.. the one underthe tung thing WHICH TASTES AWESOME LIKE CANDY.. i just started taking them last night my symptoms are still there but NOT as bad? as they have been for the last 3 weeks..if it is Vitamin b12 definciny.. can it be possible that my fatigue is caused by that.. and my memory concentration really scrambled can that be because of vitamin b12 and can it cause shortness of breath? and chest pains? if so please explain to me if yall have it and what you have done to elievate it some what.. or all of it i get enough iron they checked for tapeworm non and liver kindney and everything else is fine.. could it be Vitamin b12 and Possibly Chronic Anxiety making me feel like im always dying and the Lorazapam calms me down when having chest pains... but they come and go and come and go sometimes on the right side sometimes on the left side I really hope yall took the time to read this and hopeffully will give me some experience yall may or may not have.. and if possible its vitamin b12 im also taking anothor vitamin supplement Centrum multimineral supplement Thanks for taking the time to read PLEASE READ THIS TO: yestarday i was feeling sucidale homocidale i went to the ER room and complained of chest pain to check me EKG fine.. White blood cell was a little high everyother test they did was fine.. so they made me wait in the Emergency room by the doors where they bring in patients and around 7pm I HAD THE WORST PANIC ATTACK IVE EVER EXPERIENCED IN MY LIFE!!!!!! I ALMOST FAINTED!!!!!! so many people hurt so many people screaming so many people in pain and BAM! ok.. so i feeling like im dying BEFORE I HAD THE PANIC ATTACK THEY TOOK THE BLOOD TESTS... ENZYMES IN HEART AND EKG. AFTER THE PANIC ATTACK SAME THING EKG NORMAL ENYMES NORMAL... NEGATIVE... WHITE BLOOD CELL ABOUT THE SAME A LITTLE LOWER... WHATS GOING ON!!!!!? OH AND THEY GAVE ME 5MB OF VALUM AND AND I FINALLY CALMED DOWN .. THEN IN THE UNIT I FELT BETTER.. BUT I STARTED GETTING ANXIETY CAUSE IT WAS LOCATED IN THE BASEMENT AND THERE WAS NO WINDOWS TO LOOK OUT OF... SO I TOLD THEM I NEEDED SOME MORE MEDICINE AND GAVE ME 1 MG of Atavan.. What does this sound like to yall If yall sufer from what im going threw tell me how you feel and what makes you feel that way and what triggers it

Chronic Anxiety (Advice Please)? Hi My names ben for the last 5 months ive stoped Cold turky eating Meats.. exept fat free ones that are processed.. which is not really good but ya.. ok well.. i started geting short of breath Severe chest pain that i kept thinking was heart related called EMS 324235238952710 times.. *47* to be exact.. Nothing wrong with heart.. went to hospital blood levels checked *basic* ENZYMES* for you know.. Fine.. then.. Finally went to PH doctor.. you know a physician.. and checked me out did EKG Fine.. but because my dad had a heart attack.. He decided to send me to a heart hospital here In San Antonio Texas.. They did ECHO and Stress. im waiting for ECHO results but stress test came back awesome.. as the doctor said.. *awesome* I have chronic Anxiety.. panic attacks etc.. about a month ago i devloped severe Shortness of breath *still had 100 % oxygen saturation from the finger thing* but i was feeling short of breath ALLLLLL DAY and night so i thought it would go away and it didnt then i devloped chest pains which are quite scary so here i am AGAIN calling ems.. they still hit me even today sometimes it feels exactually where the heart is at.. and sometimes in other places.. sometimes i feel a pulling sensation chest area.. but it goes away.. and mostly comes on when im VERY VERY NERVOUS!.. didn't think anxiety could cause that kinda closeness to major heart diease... so again...i searched and searched for any other suggestions.. looked and looked for hours on the PC HOURS! and days.. my exact symptoms.. and BAM Chest pain Shortness of breath *non cardiac* or lungs they did a lung test PERFECTLY FINE!!!!!!! Im 18 btw.. so i started and started and started and BAM ! when my dad had the heart attack i stoped eating all kinds of meats and dairy .. nothing but salads all day.. almost no SAT FAT IN ANYTHING... I kept looking and looking and looking AND BAM Vitamin B12 DEFIENCY symptoms EXACTUALY!!!!!! as said... on WEBMD and other medical websites.. so i took it apon my self to Get Some VitaminB12 Tabs from SamsClub MembersMark Vitamin B12 with high potency.. the one underthe tung thing WHICH TASTES AWESOME LIKE CANDY.. i just started taking them last night my symptoms are still there but NOT as bad? as they have been for the last 3 weeks..if it is Vitamin b12 definciny.. can it be possible that my fatigue is caused by that.. and my memory concentration really scrambled can that be because of vitamin b12 and can it cause shortness of breath? and chest pains? if so please explain to me if yall have it and what you have done to elievate it some what.. or all of it i get enough iron they checked for tapeworm non and liver kindney and everything else is fine.. could it be Vitamin b12 and Possibly Chronic Anxiety making me feel like im always dying and the Lorazapam calms me down when having chest pains... but they come and go and come and go sometimes on the right side sometimes on the left side I really hope yall took the time to read this and hopeffully will give me some experience yall may or may not have.. and if possible its vitamin b12 im also taking anothor vitamin supplement Centrum multimineral supplement Thanks for taking the time to read PLEASE READ THIS TO: yestarday i was feeling sucidale homocidale i went to the ER room and complained of chest pain to check me EKG fine.. White blood cell was a little high everyother test they did was fine.. so they made me wait in the Emergency room by the doors where they bring in patients and around 7pm I HAD THE WORST PANIC ATTACK IVE EVER EXPERIENCED IN MY LIFE!!!!!! I ALMOST FAINTED!!!!!! so many people hurt so many people screaming so many people in pain and BAM! ok.. so i feeling like im dying BEFORE I HAD THE PANIC ATTACK THEY TOOK THE BLOOD TESTS... ENZYMES IN HEART AND EKG. AFTER THE PANIC ATTACK SAME THING EKG NORMAL ENYMES NORMAL... NEGATIVE... WHITE BLOOD CELL ABOUT THE SAME A LITTLE LOWER... WHATS GOING ON!!!!!? OH AND THEY GAVE ME 5MB OF VALUM AND AND I FINALLY CALMED DOWN .. THEN IN THE UNIT I FELT BETTER.. BUT I STARTED GETTING ANXIETY CAUSE IT WAS LOCATED IN THE BASEMENT AND THERE WAS NO WINDOWS TO LOOK OUT OF... SO I TOLD THEM I NEEDED SOME MORE MEDICINE AND GAVE ME 1 MG of Atavan.. What does this sound like to yall

Any Doctor's or Nurses here? vaccine? Medical case study: 24 hours after a family celebration, a 75 y/o woman developed nausea, short-lived vomiting and acute diarrhea that persisted for 4 days which resulted in an emergency admission into hospital. By the time she reached hospital she was too weak to stand and complained of persistent mid-abdominal camps. On admission into hospital, the patient was conscious and orientated, complaining of severe thirst and generalized episodic abdominal pains. Her respiratory rate was 25/ breather per min. Her oxygen saturation was 90%, pulse rate 120 and a lying blood pressure of 90/70 falling to 70/40 on sitting upright. The temperature was elevated at 38.5C and the BM stix was normal at 6.0.mmol/L in spite of 4 days virtual starvation. The patients abdomen seemed soft but generally tender with very active bowel sounds. There was no previous history of diarrhea, recent antibiotic treatment or other illness. Several other gusts at the function had also developed diarrhea. There had been about 8 bowel actions in the past 24 hours but only two or three small amounts of urine had been passed over the previous 4 days. Question: What would be the Doctor's initial thoughts based on this case study information and what would be the immediate management given this information? Thank you. Sorry "vaccine" shouldn't be there. that was another question I was asking.

Hi it's Christmas! Can you help me with my case...just any ideas you have...I would really apprreciate it... A case of a 60 year old male , with a body weight of 17.9 kg/m2 , brought in the emergency room for shortness of breath. The patient is a known smoker for 30 pack years. He occasionally drinks. He is a known hypertensive and has congestive heart failure. He is already on maintenance medications for hypertension for 10 years. He claims to have a lung problem but could not recall the diagnosis, but is currently taking a combination of inhaled long acting bronchodilators and steroids. He is already a retired public transportation driver. His condition started around 4 days prior to admission as cough which was productive with whitish sputum. There was no associated fever. Patient just took in some cough medications which afforded only temporary relief. 3 days prior to admission noted to have body malaise this time associated with slight shortness of breath, tried having some nebulizations at a local clinic which afforded only slight relief, thus continued having it every 4 hours. 2 days prior to admission condition still persisted thus decided to seek consult with a doctor in their locality, was given some antibiotics, cough medications and was told to continue his nebulization. On the day of admission, noted his shortness of breath to increase in severity despite of the nebulizations, thus decided to be brought in the emergency room at a hospital in their locality. On Physical examination, patient was examined to be in distress: BP: 110/80 mm Hg HR-120 beats/min RR: 28 cycles /min T: 36.9 C Skin: cold with clammy sweats, Neck: prominent sternocleidomastoid muscles, no lymphadenopathy, (+) neck vein engorgement, HEENT: non icteric, pinkish palpebral conjunctiva, no tonsillophryngeal congestion, uvula in the middle, tonsils not enlarged, Chest/Lungs: no deformities, barrel chested, no scars, On physical examination, Mr. Winstone was found to have a body mass index of 27.9, his blood pressure was 133/90, pulse was 110, respiratory rate was 14, and his oxygen saturation was 88% on room air. The results of his head and neck exam were unremarkable, with no jugular venous distension noted. His chest excursions were symmetric with evidence of hyperinflation. Mr. Winstone's breath sounds were decreased throughout, and the expiratory phase was prolonged. His heart exam was notable for distant but otherwise normal heart sounds. The abdominal exam was unremarkable. There was no clubbing of his digits noted, but there was mild cyanosis and peripheral edema. His neurologic exam was nonfocal. Arterial blood gas drawn on room air revealed a pH of 7.39, PaO2 of 53, and PaCO2 of 44. His pulmonary function results before bronchodilators (% predicted) were forced expiratory volume in 1 second (FEV1): 1.25 L (41%), forced vital capacity (FVC): 2.53 L (60%), and FEV1/FVC: 49. Post bronchodilator, his results were: FEV1: 1.29 L (42%) and FVC: 2.64 L (62%). His residual volume was 6.74 L (329%), total lung capacity: 9.45 L (150%) and his diffusing capacity was 6.96 L (25%). Questions: 1.What is your impression? 2.Give at least 5 differential diagnosis? 3.What is your management? (+) neck vein engorgement, DISREGARD "with no jugular venous distension noted.

Can anyone advise me about best practice treatment options for a post operative pulmonary embolism? My husband is 48. He is a healthy, normal weight range, very fit non smoker . He had an arthroscopy with some unexpected other repair work done to his femur and knee cap on 22nd Dec.It was done under general anaesthetic which lasted less than four hours. It was a day stay procedure. He was given no asprin, no compression stockings and had no follow up appointment scheduled until 15th January. There was no referral letter to his GP. He was given codeine 60 mg every 6 hours as a pain reliever. He began coughing blood at 9 am 29th Dec and had spent a night with severe pain in his left side...which he didn't tell me about at the time!! He is being treated with Clexane and Warfarin subcutaneously. His oxygen saturation is being monitored. He will be in hospital for a minimum of 3 days. Is this the best course of action?

why cant i breath been going on 4 days now!!!? im constantly breathless! i have ectopic heartbeats that the cardiologist said was down to stress, i have had 2 holter mons, a chest xray, blood work (about 10 months ago, does that count?) a heart trace and heart scan all were normal or showing benign ectopic beats, i was so breathless the other day i went to AnE the dr said i didnt look anemic and my oxygen saturation level was 100 which is good she put it down to anxiety, BUT i am constantly breathless and im not working myself up or breathing really fast like a typical panic i need to know whats up with me and i feel like no one i go to really gives 1! im 23 5ft 6 a little over weight but nothing drastic, i dont smoke or drink no they didnt do bloods, they just said it was anxiety

I finally had my precious little girl? Hey everyone I just wanted to say I gave birth December 30th at 7:43 pm to my beautiful baby Hatee Lee. She was 9 pounds 12 ounces and 22 inches long (she's huge LOL). Right now she is still in the hospital in the NICU she is having a hard time keeping her oxygen saturation up but she is getting lots better and hopefully I will be able to bring her home soon. It is really hard having her in there I have been crying A LOT!! I had a son in the NICU also 3 years ago. I got it with him he was early and sick. He looked sick and acted sick. Hatee wasn't early she looks great and acts normal. I am having such a hard hard time i think I have post pardem depression. How do I deal with this? She might get to come home tomorrow but I am not positive. Any advice? Thanks :-s they moved my due date to the 10th i never changed it on here

Methemoglobinemia treatment question? Methemoglobinemia is a condition of inadequate oxygen delivery caused by accumulation of hemoglobin that has an oxidized (3+) rather than reduced (2+) iron atom and is therefore incapable of binding O2 at high affinity. The first line treatment for methemoglobinemia is to administer supplemental oxygen and the drug methylene blue. Using the hemoglobin binding curve and the oxygen-binding properties of hemoglobin, explain how each of these treatments serve to correct the disorder. Would you expect PAO2 and O2 saturation levels to be normal or abnormal, and why?

How bad is it to have an O2 level of 73? I had a sleep study done a few nights ago and the results said that I stopped breathing quite often and had episodes of de-saturation where the level of oxygen in my blood went down as low as the low 70's at times. Next week they are going to do another study, but use a CPAP on me. I'm seeing my main doctor in three days and he'll explain more to me then, but I'm wondering now and just want to know. I know that a normal O2 range is 95-100 and below 85 is getting fairly bad. So how bad is 73? I'm kind of freaked out knowing how often I stop breathing and its making it even harder to fall to sleep! Anyone with medical experience, or with a similar condition that would know about this, can you please answer? Pray? What are you saying? That 73 is THAT bad or that praying is just a good thing to do if you're sick? You didn't answer my question at all.

Breathing difficulties? Hi there I really need some advice. Firstly, let me explain - I am asthmatic but can generally control it - I take my Serotide inhaler twice in the morning and twice at night. I use my Ventolin when I feel a little chesty. I also smoke socially - on a normal day I may smoke 2 cigarettes. If I go out, it can be 10 in a night. I am also about 5 stone overweight but am currently working on losing weight, having already lost 1 stone. So, last week, I was in the office, and around midday I started to feel very asthmatic. I took a puff of Ventolin but nothing. I took another 2 puffs still nothing. I was in the office on my own and I started to panic. I called a friend of mine who came dashing to the office and he managed to calm me down. Eventually he said I should get some fresh air so we headed out into the corridor. All of sudden I felt like something was crushing my chest and I literally was gasping for air. I got upset and worked myself up even more as I was so frightened. I went back to my office and managed to calm down again with some deep slow breathing. The paramedics were called and they tested all my vitals - heart rate, blood pressure and pulse. All were normal. I had calmed down again at this point so they suggested I come with them to sign some paper work etc. Again as I walked out of the office the same thing happened. I felt like something was crushing me and I couldn't breathe. Again I got really upset. My office was admittedly very stuffy that day. This time 2 ambulance staff turned up and took me to the ambulance. They managed to talk me through my next attack as I was heading to the ambulance. On the way to the hospital I was fine, just a little breathless, light headed and very shaky. Once in the hospital all my vitals were checked again. Once again everything showed normal. The Doctor went off to get the paperwork and I had another attack. My friend had to call another Doctor and they gave me some oxygen - eventually I calmed down. As they couldn't find anything wrong and didn't feel it was worth, I quote 'sticking needles in me' as all my vitals were fine, they let me go. All they could suggest was that I had some kind of anxiety or panic attack. Apart from feeling very spaced out, lightheaded and shaky I managed to get home in a taxi without feeling breathless. I was also fine that night. Luckily I had the remaining week booked off of work so I was able to relax. I went to see my GP as well, and updated her on what happened. We had a good chat about it and again she seemed bemused as to what happened to me. My pulse was fine, and she also tested my peak flow which showed that my saturation levels were fine, suggesting it was not asthmatic. She also seemed to think it could be some kind of panic attack although she said normally your heart rate would go through the roof. So the problem is, I am not sure what happened to me last week, however I am frequently getting quite breathless and its upsetting me as I am not very good at controlling it. Today was my first day back in the office after last week’s attacks, and I was really nervous going in. Luckily the office was not as stuffy and the windows were all open and we have a huge fan. However about 3pm I started feeling chesty and couldn’t breathe easily. I kept taking deep breaths to try and get more air in my lungs but it never seemed enough. So I was fighting to take in more air and subsequently made myself lightheaded and dizzy!!! It took over an hour until I finally calmed down by taking a little walk and sitting in a slightly cooler room. I was fine for the rest of the day. However when I got home this evening, after dinner I started feeling really breathless again and it took half an hour for it to pass. All my windows are open, and I have a fan on here too. I have not done anything this evening other than watch TV! So why do I keep getting so breathless?? Apparently my asthma is fine, my vitals are fine, so why am I getting so tight chested and breathless when I am not doing anything active?? And why does it take so long for me to calm myself and get my breathing back to normal? As I am writing this I am feeling breathless but I am so tired and I want to go to sleep but I can’t think of that until I control my breathing again. I read somewhere it could be to do anaemia? My lung capacity apparently is fine considering my asthmatic yet I feel as if I can’t get enough air in my lungs. As a result of this I have decided to quit smoking – I needed a good excuse. Friends have recommended Yoga, but I get really dizzy and feel sick due to the breathing technique and feel even more breathless!! Does anyone have any ideas what is going on with me and why I am feeling breathless all the time (its not only uncomfortable and makes me lose concentration, its also scary) when my asthma is fine, my saturation levels are fine and so is my heart rate and blood pressure? I am no

Oxygen Level For a Toddler? My nephew just went to the doc. His Oxygen Saturation was 83%. They are addmiting him into the hospital. What are they going to do to treat him! What is a normal oxygen saturation for a 2 year old boy?

what the **** happened!!? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally f'ed in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire fucking night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the fuck did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?

Hi it's Christmas! Can you help me with my case...just any ideas you have...I would really apprreciate it... A case of a 60 year old male , with a body weight of 17.9 kg/m2 , brought in the emergency room for shortness of breath. The patient is a known smoker for 30 pack years. He occasionally drinks. He is a known hypertensive and has congestive heart failure. He is already on maintenance medications for hypertension for 10 years. He claims to have a lung problem but could not recall the diagnosis, but is currently taking a combination of inhaled long acting bronchodilators and steroids. He is already a retired public transportation driver. His condition started around 4 days prior to admission as cough which was productive with whitish sputum. There was no associated fever. Patient just took in some cough medications which afforded only temporary relief. 3 days prior to admission noted to have body malaise this time associated with slight shortness of breath, tried having some nebulizations at a local clinic which afforded only slight relief, thus continued having it every 4 hours. 2 days prior to admission condition still persisted thus decided to seek consult with a doctor in their locality, was given some antibiotics, cough medications and was told to continue his nebulization. On the day of admission, noted his shortness of breath to increase in severity despite of the nebulizations, thus decided to be brought in the emergency room at a hospital in their locality. On Physical examination, patient was examined to be in distress: BP: 110/80 mm Hg HR-120 beats/min RR: 28 cycles /min T: 36.9 C Skin: cold with clammy sweats, Neck: prominent sternocleidomastoid muscles, no lymphadenopathy, (+) neck vein engorgement, HEENT: non icteric, pinkish palpebral conjunctiva, no tonsillophryngeal congestion, uvula in the middle, tonsils not enlarged, Chest/Lungs: no deformities, barrel chested, no scars, On physical examination, Mr. Winstone was found to have a body mass index of 27.9, his blood pressure was 133/90, pulse was 110, respiratory rate was 14, and his oxygen saturation was 88% on room air. The results of his head and neck exam were unremarkable, with no jugular venous distension noted. His chest excursions were symmetric with evidence of hyperinflation. Mr. Winstone's breath sounds were decreased throughout, and the expiratory phase was prolonged. His heart exam was notable for distant but otherwise normal heart sounds. The abdominal exam was unremarkable. There was no clubbing of his digits noted, but there was mild cyanosis and peripheral edema. His neurologic exam was nonfocal. Arterial blood gas drawn on room air revealed a pH of 7.39, PaO2 of 53, and PaCO2 of 44. His pulmonary function results before bronchodilators (% predicted) were forced expiratory volume in 1 second (FEV1): 1.25 L (41%), forced vital capacity (FVC): 2.53 L (60%), and FEV1/FVC: 49. Post bronchodilator, his results were: FEV1: 1.29 L (42%) and FVC: 2.64 L (62%). His residual volume was 6.74 L (329%), total lung capacity: 9.45 L (150%) and his diffusing capacity was 6.96 L (25%). Questions: 1.What is your impression? 2.Give at least 5 differential diagnosis? 3.What is your management? (+) neck vein engorgement, DISREGARD "with no jugular venous distension noted.

cardiac tamponade,pleural effusion and many thrombosis ,is it mesothelioma? My aunt is 40 years old,housewife,has 2 daughters and a son ,she had a history of intrauterine fetal death 5 years ago, her youngest child is now 2 years old,not diabetic or hypertensive, she came to internal medicine clinic for abdominal pain,pain was diffuse in abdomen ,but sharp in right hypochondrium, no refered pain to shoulder. she had nausea,vomiting.she looked very ill and pale in the same day she had chest x ray which revealed cardiomegaly and elevated right copula of the diaphragm,no pleural effusion detected. she had abdominal ultrasound that showed mild ascites,mild right pleural effusion,mildly enlarged liver with no focal lesions,mild thickened gall bladder. She did liver enzymes,amylase and were within normal. Next day she was very ill and was admitted to hospital,ICU unit,she was shocked and collapsed,80\50 blood pressure,36.5 T,tachypnea,congested neck veins,and she was given saline and ringer through central venous cannula,she had blood transfusion. Echo revealed massive pericardial effusion and tamponade. She had life saving pericardiocentesis, sample of the bloody effusion revealed atypical mesothelial cells,and no organisms was detected,further investgation revealed: -Hb 9.3 -leucocyosis -thrombcytopenia -Ast 64 -Alt 156 an window operation was recommended,but postponed for 1 day for blood, platlet trasfusion . the operation was done ,effusion was revealed,cautrey was used for some pericardial erosions,biopsy from pericardium showed; gross; muliple flattened pieces 6*6 cm with rough brownish surfaces of average thickness 0.3 cm. microscopey; sectiones showed thickened non-specific inflammation.hyperplastic mesothelium was recorded.clotted fibrin and blood were seen. Conclusion: non specific inflammation,mesothelial hyperplasis and wide fibrosis. Patient then was admitted to icu unit after operation,with ventilator,chest tube got mild bloody effusion,echo revealed mild pericardial effusion without tamponade that became markedly decreased in rate later. After 3 hours of ventilator removal,patient became dyspnic,low oxygen saturation,ventilator was used again and c.t was done and showed; Chest_ Bil pleural effusion more voluminous on right side with bil basal&left mid zonal underlying consolidation collapse.bil basal,left upper&mid zonal atelectasis&pneumonitic plates. Pericardial thickening(mesh put on operation?) Mediastinal fat blurring&increased density,mediastinitis, ant chest wall subcutaneous,soft tissue thickening&surgical emphysema. Abd&pelvis_ Mild fullness of right pelvicalyceal system&proximal part of its draining ureter. Bulky uterus? 3days after, ventilator was removed and oxygen mask used,general state became better. dopler was recommended& showed: popliteal,bil iliac,superficial femoral v thrombosis,clexane 40,and corticosteroids was given. after 2 days she had more thrombi,on subclavian and axillary vein?? Dose of clexane was increased To 60,corticosteroid also to 1 gm Investigation for auto- immune diseases systemic lupus and antiphospholipid,anticardiolipin was done and negative One day after,marked hemiparesis was noted,urgent ct brain was done to reveal: Left tempro-parietal hypodense lesion,mass effect on left frontal horn. MRI was recommended and revealed: Reactive pleural thickening,oedema involving left parietal,diaphragmatic pleura. Small left pleural sac effusion. Segmental consolidative pneumonic process in lower lobe of left lung involving the post and lat basal segments in the form of hetregenous alveolar filling and traceable air bronchogram. Right lung showed patchy consolidation. Reactive pericardium thickening,no sizeable pericardial collections. Abnormal appearance of the left chest wall in the form of anterior swelling and oedema like signal with intermuscular fat planes obliteration. Mildly enlarged liver . Right lower abdominal uretropathy . VITAL SIGNS OF PATIENT AND GENERAL CONDITION IS STABLE AND PHYSIOTHERABY HAS BEGUN,BUT SHE HAS HAEMOPYSIS,ANTIBIOTICS WAS GIVEN FOR MRSA THAT APPEARED IN NASAL SWAP,AND DOSE OF CORTICOSTEROID ARE GRADUALLY DECRASED. IS IT MESOTHELOMA? SHOULD PATIENT DO FURTHER INVESTIGATION(LAB&IMAGING)? IS POSITERON EMISSION TOMOGRAPHY(PET) NEEDED? WHAT DRUGS SHOULD WE ADD? IN OTHER WORDS WHAT IS DIAGNOSIS AND MANAGEMENT?

Pathophysiology questions....? These questions are due tomorrow and im stuck.... any help is appreciated.. Heres the case study: A healthy 21 year old male weighing 80kg sustained a crushing injury to both lower extremities. After beign stabilized in the E.D., he was transferred to teh operating room for an open-reduction external fixation. He was admitted post operativey for close observation and mointoring to the ICU with 0.9% normal salineinfusing at 125 ml/hr. The next morning his vital signs were stable and his lungs were clear,so the 0.9% normal saline was decreased to 50ml/hr. Later that same day, he was transferred to the surgical floor in stable condition. At 0900 on post op day 3, he began experiencing sudden shortness of breath with Sp02 of 90% on room air. The nurse placed him on 3L of oxygen via nasal canula, and the physician was immediately notified. At 1200 his oxygen saturation remained low and his oxygen was increased to 50% face mask. The physician was again notified, and additional orders were received for a STAT ABG and portable chest radiograph. ABG results revealed the following: pH 7.50, pCO2 58, HCO3 24, and SaO2 85%. Chest radiograph revealed diffuse bilateral infiltrates. Subsequently, the physician was notified of both the ABG and chest x-ray results. By 1600, the patient was diaphoretic, tachypneic, and experiencing intercostal retractions. His vital signs were as follows: BP 140/85; HR 110; RR 40; SpO2 83%. He was becoming more difficult to arouse, so the rapid assessment team was called to come and evaluate the patient. Upon arrival of the RAT, the patient was orally intubated and transferred back to the ICU. Upon auscultation on the patients lungs, coarse rhonchi were heard bilaterally. He was placed on the ventilator with the following settings: AC, rate 20; Fi02 70, Vt 450 and PEEP 10cm h20. Thirty minutes later, an ABG showed the following results: pH 7.54; pCO2 38, pO2 46, HCO3 22, and SpO2 78%. The intensivist was notified, and additional changes were made to the ventilator. Over the course of the next 24 hours, the patients condition continued to deteriorate and a pulmonary artery catheter was placed. His PAOP is now 10mm Hg, and there is no eveidence of left atrial hypertension. The most recent chest radiograph showed worsening diffuse bilateral alveolar infiltrates, but the cardiac silhouette appeared normal. 1. What physiological process has occured to cause the change in the condition of this patient? 2. What were the predisposing factors associated with the deveolpment of this particular medical condition? 3. What are the priority nursing diagnoses for this patient? 4. Which interventions do you anticipate while caring for this patient, and why? 5. Is this patient at risk for developing any complications? If so, which ones? 6. HOw can you support the patients family members and friends?

Biology/medical help? Raymond Harrison, a 64-year-old male was admitted to the hospital with fever, shaking chills, a nonproductive cough, and chest pain for six days. A chest x-ray revealed extensive accumulation of fluid in both lungs. The patient had mild hypertension and a275 pack/year smoking history. A physical exam revealed a blood pressure of 150/90, a body temperature of 101.8°F, and the patient was cyanotic (looked blue) and in respiratory distress. The patient’s heart rate was elevated at 100 beats per minute. An arterial blood gas test was performed and the oxygen saturation of the arterial blood was 72% (normal would be 94–100%). The blood test revealed an elevated How does the abnormal oxygen saturation value relate to the patient’s elevated heart rate? If you had to choose between emphysema and chronic bronchitis as your diagnosis, which would you choose and what evidence did you use to make this choice? Explain why doctors are using antibiotics and bronchodilators to treat this patient?

BIOLOGY HELP Please? Raymond Harrison, a 64-year-old male was admitted to the hospital with fever, shaking chills, a nonproductive cough, and chest pain for six days. A chest x-ray revealed extensive accumulation of fluid in both lungs. The patient had mild hypertension and a275 pack/year smoking history. A physical exam revealed a blood pressure of 150/90, a body temperature of 101.8°F, and the patient was cyanotic (looked blue) and in respiratory distress. The patient’s heart rate was elevated at 100 beats per minute. An arterial blood gas test was performed and the oxygen saturation of the arterial blood was 72% (normal would be 94–100%). The blood test revealed an elevated How does the abnormal oxygen saturation value relate to the patient’s elevated heart rate? If you had to choose between emphysema and chronic bronchitis as your diagnosis, which would you choose and what evidence did you use to make this choice? Explain why doctors are using antibiotics and bronchodilators to treat this patient?