Questions and answers p. 7

My knee hurts, I often hear a creak, crepitus inside it. It seems like there is something inside. Unpleasant sensations occur when I go down or up stairs. What could it be? I have already tried to apply ointment and bandage the knee with an elastic bandage. Would like to consult an online trauma doctor if possible
Answer: 15.02.2021

Hello! The symptoms you describe can be a manifestation of several diseases and require in-depth study, including examination, laboratory tests, an X-ray and ultrasound examinations, possibly CT (computed tomography) scanning of the knee joint. Therefore, I would strongly recommend that you consult a doctor and undergo the necessary examination, which will make it possible to find out the true cause of the problem with the joint.

Orlov Stanislav Yurievich
Orthopedic traumatologist. First category. Work experience 21 years.
I would like to get an online medical opinion from a cardiologist. The fact is that the child began to complain of joint pain, swelling, and, in general, atony. What kind of disease could it be and what tests should be done first?
Answer: 08.02.2021

Hello! You need to do a general blood count, general urine test, kidney, liver and rheumatic tests. Unfortunately, the initial online consultation by a cardio rheumatologist is not possible. The doctor must examine and listen to the child. Based on the test and examination results, the doctor will diagnose and give recommendations.

Makarova Maryana Iosifovna
Pediatric`s cardio-rheumatologist. Highest category. Work experience 25 years.
If a child already has a known disease and has a cardiac failure, but the symptoms have changed a bit, is it possible to get online consultation by a pediatric cardio rheumatologist? Or does one have to visit? We do not live in a city and it is not very convenient for us to travel.
Answer: 08.02.2021

Hello! The examination is needed for any cardiac failure. It is also necessary to do an ultrasound of the heart and electrocardiogram before the visit. Unfortunately, the initial online consultation by a cardio rheumatologist is not possible. The doctor must examine and listen to the child.

Makarova Maryana Iosifovna
Pediatric`s cardio-rheumatologist. Highest category. Work experience 25 years.
The child has mitral valve prolapse, he was born with such a cardiac failure. But I still cannot be reconciled to the fact that one can die from this disease, therefore, I want to ask a question online to a cardiologist. If you follow the regimen and visit a pediatric cardio rheumatologist, is there a chance for the child to live long?
Answer: 08.02.2021

Hello! Mitral valve prolapse can be hemodynamically significant and not. You need to do an ultrasound of the heart and electrocardiogram. Having the examination results and medical history, make an appointment with a cardio rheumatologist. A doctor's examination is required, primarily auscultation.

Makarova Maryana Iosifovna
Pediatric`s cardio-rheumatologist. Highest category. Work experience 25 years.
Recently, I began to notice that my child is gaining weight very poorly, has become whiny and fussy, gets tired quickly, and does not really blush when he screams. I start to worry, it seems to me that the child has heart problems. What examinations do you need to undergo? Is it possible to consult a cardiologist online? So that I can understand where to start. Because I would not really like to travel with a child to consultations and sit in line during the pandemic.
Answer: 08.02.2021

Good day! The age of the child was not specified. First of all, you need to make your child a cardiogram and ultrasound of the heart. With the results of these examinations, make an appointment with a cardio rheumatologist. Initial consultation online is not possible, because the doctor must examine and listen to the child.

Makarova Maryana Iosifovna
Pediatric`s cardio-rheumatologist. Highest category. Work experience 25 years.
Consultation by a cardiologist is required, the child began to complain that his heart began to beat out of rhythm, not as usual. The child does not engage in any active sports, he often sits at the computer, no one in the family has had any heart disease, the only thing is that his blood pressure is always low. What can it be and how can we treat this disease?
Answer: 08.02.2021

Hello! If the child complains of irregular heart rhythm, we recommend that you do an electrocardiogram and make an appointment for a consultation by a cardiologist. The doctor must listen to the child. Based on the visit results, the doctor will give recommendations.

Makarova Maryana Iosifovna
Pediatric`s cardio-rheumatologist. Highest category. Work experience 25 years.
hurt my shoulder while wrestling. When I came to see a traumatologist, he just examined me, sent me for an X-ray, prescribed painkillers and wearing a special bandage so as not to disturb the injured shoulder. It seems that the pains have passed over time, but now my shoulder is constantly popping out. I can't cope with elementary tasks, and after a while, I noticed that the muscles on my arm became much smaller. I would like to get a qualified consultation by a traumatologist since the last doctor did not tell me what was wrong with the joint.
Answer: 08.02.2021

Hello! First of all, it is necessary to start with an examination in order to determine the method of additional examination. From the description, the shoulder joint is periodically in subluxation, then it will be necessary to do MRI, then it will be possible to determine the damage and recommend surgical treatment.

Popov Yevgenii Vladimirovich
Orthopedic traumatologist, pediatric orthopedic traumatologist. Superior category. Work experience is 11 years.
I have a strange pain in the groin irradiating to the thigh. I noticed that I could not move normally, and sitting on a chair became a real challenge. I would like to ask the doctor a question, what could it be? I have never fallen, I have not received any injuries. Thank you in advance!
Answer: 08.02.2021

Hello! There are several options. First of all, you need to undergo examination, check the pulsation on the main vessels of lower extremities, comparative assessment of two limbs, assessment of movements in the hip joints, knee joints, ankles, then order either ultrasound of hip joints, or ultrasound of vessels of the lower extremities, or comparative radiograph of hip joints. It may be either inguinal hernia, or coxarthrosis, or neoplasm of the upper third of the thigh. To determine additional examination methods, first, an initial examination is needed, then an additional examination will be prescribed.

Popov Yevgenii Vladimirovich
Orthopedic traumatologist, pediatric orthopedic traumatologist. Superior category. Work experience is 11 years.
For half a year the temperature has been constantly elevated to 37 °C, blood tests show an increased content of eosinophils, erythrocytes and leukocytes. What could it be? Thank you!
Answer: 09.12.2020

Temperature of 37.0 is considered normal. Elevated level of eosinophils indicates an allergic reaction. Increased content of erythrocytes and leukocytes - there may be different options. Therefore, it is necessary to make an appointment with a therapist for a more thorough examination and additional diagnostics.

Tretyakova Lesya Alexandrovna
General practitioner. Highest category. Work experience - 26 years.
Hello. Two years ago, I had a sharp pain in the scrotum, after which it sometimes continued throughout this time. About a year ago, during palpation, I felt a lump on my right testicle (about 1.5-2 mm in diameter) similar to a bubble, all this time it did not change in size, the testicle did not increase. A couple of days ago, I noticed a slight increase in the inguinal lymph nodes on the right side, in comparison with the other side, the differences are minimal, they do not hurt. Could you please tell me what to do?
Answer: 09.12.2020

It is necessary to see urologist on an empty stomach to give a blood sample for oncomarkers of the prostate, ultrasound examination of scrotum and for palpation.

Eroshenko Igor Aleksandrovich
Urologist. The first category. Experience more than 25 years.
Hello, I have a problem, I have a growth on the penis frenulum; it is quite large and my sexual partner noticed that during ejaculation, sperm came out with blood. Could you please explain to me what it is and how to get rid of it?
Answer: 09.12.2020

First of all, you need to make an appointment with urologist for examination. Most likely, the appearance of blood in the semen is associated with inflammation of the prostate gland, and its inflammation may be associated with infection that somehow got into the penis urethra. To do this, it is necessary that the doctor refers you to preliminary tests and, based on the results, prescribes treatment.

Eroshenko Igor Aleksandrovich
Urologist. The first category. Experience more than 25 years.
Recently I noticed that one breast became larger than the other. There was a difference before, but now it became clearly noticeable. I'm starting to worry, I had problems with hormones and now I don’t know what doctor to see, is it a question for the gynecologist who treated me or to a mammologist after all?
Answer: 09.12.2020

Hormonal diseases can cause asymmetry in the mammary glands - in very rare cases from early childhood. In this situation, you need a consultation by mammologist and, possibly, later by a plastic surgeon.

Mykutsya Inna Ivanovna
Mammologist. Highest category. Work experience - 21 years.

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