Months ago some qualified researchers (physician specialists in this case) published an article in Annals of Allergy , Asthma and Immunology which reported superior outcomes of intranasal steroid (INS) compared to antibiotic or placebo (a substance containing no medication but made to look like medication) in a clinical trial involving over nine hundred patients.
Acute Rhinosinusitis (ARS) is typically manifested by nasal congestion, runny nose, facial pressure or pain, postnasal drip and headache. It is often caused by viruses (like the common cold virus) and lasts up to 4-12 weeks according to these researchers. Interestingly, I’ve told patients for years, that viral based sinus symptoms shouldn’t last more than one and a half to two weeks.
Many healthcare professionals agree that antibiotics are grossly over prescribed for upper respiratory tract infections. Concerns about sinus infections are one of the most common reasons patients contact their doctor. Physici...
Alternative Names Cholecystitis - acute Symptoms The main symptom is abdominal pain that is located on the upper right side or upper middle of the abdomen. The pain may: Be sharp, cramping, or dull Come and go Spread to the back or below the right shoulder blade Occur within minutes of a meal Other symptoms that may occur include: Abdominal fullness Clay-colored stools Fever Nausea and vomiting Yellowing of skin and whites of the eyes (jaundice) Signs and tests A physical exam will show that your abdomen is tender to the touch. Your doctor may order the following blood tests: Amylase and lipase Bilirubin Complete blood count ( CBC ) -- may show a higher than normal white blood cell count Liver function tests Imaging tests that can show gallstones or inflammation include: Abdominal ultrasound Abdominal CT scan Abdominal x-ray Oral cholecystogram Gallbladder radionuclide scan
Mitral insufficiency; Acute mitral regurgitation
-- unrelated to coronary artery disease or a heart attack
Shortness of breath
that increases when lying flat (orthopnea)
Sensation of feeling the heart beat ( palpitations )
Note: Symptoms may start suddenly.
Signs and tests
The doctor may detect a thrill (vibration) over the heart when feeling ( palpating ) the chest area. An extra heart sound (S4 gallop) and a distinctive heart murmur may be heard when listening to the chest with a stethoscope. However, some patients may not have this murmur. If fluid backs up into the lungs, there may be crackles heard in the lungs.
is usually normal.
The following tests may be performed:
Chest MRI scan
- may also show fluid in the lungs or prominent lu...
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