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Forum Name: Degenerative Bone Diseases

Question: degen joint disease plus


 dcbowiemmd - Wed Feb 15, 2006 1:36 am

I am 47,male,asym hiv,neuropathy,mild IgaNeph,toprol xl 50mg,altace 10mg,lipitor 10mg,sustiva 600mg,epzicom,undetectable hiv. Recent dexa showed mild bone loss,

wound up in er last week, bone pain, having consipation,some breathing probls, massive xrays showed:

LUMBAR SPINE
Comparison: None.
Findings: There is mild scoliosis with convexity to the left. There
are mild degenerative changes with minimal intervertebral disc space
narrowing at the L3-4, L4-5 and L5-S1 levels with small anterior
osteophytes at these levels. The vertebral body heights are normal.
There is no fracture or subluxation seen. There is minimal facet
hypertrophy at the L5 level.
IMPRESSION:
1. Negative fracture.
2. Mild scoliosis with convexity to the left.
3. Mild degenerative changes at L3-4, L4-5 and L5-S1.

CHEST, PA AND LATERAL VIEWS:
Comparison: None.
Findings: The cardiac silhouette is within normal limits. There is
right hilar fullness, which may be related to adenopathy or
vasculature. An underlying mass in this location cannot be entirely
excluded. There is a 3 mm nodular density in the left upper lobe,
which is nonspecific. Recommend comparison with outside films or
follow-up in three to six months. The remainder of the lung fields
are grossly clear. There is no focal consolidation, pneumothorax or
pleural effusion.

SACRUM COCCYX
INDICATION: Pain.
SACROCOCCYGEAL FILM:
Suboptimal positioning provided. No definite fracture or dislocation
is seen. If there is strong suspicion of a sacrococcygeal fracture,
consider CT scan.


BILATERAL HIPS
There is no fracture, dislocation or other bony abnormality detected.
There is a 6.6 x 3.3 cm air collection at the level of the pubic
symphysis. Question attempted Foley catheter placement or herniated
bowel.
IMPRESSION:
1. Negative fracture.
2. Air collection at the level of the pubic symphysis, as above
described.

Also .. swooshing noise in my left ear .. dr told me I have an ear effusion.

Anyway ... They said I have degen joint disease based on the xrays and I guess because of the pain I was in. Gave me two pain meds .. they help so much .. oxycodone w/apap and naproxen.

So what type of doc do I see now? I am at a loss. I will be seeing a bone doctor .. but after reading the reports I got to bring with me ... I just don't know ..

I find it hard to work with all of this .. If I did not have the pain and dull feeling I could work .. but all of this is disabling .. (try to convince the higher powers of that! ) ...

anyway .. can you email give me your thoughts and what my next step/s should be?

Thanks
 Theresa Jones, RN - Fri Aug 11, 2006 6:14 am

User avatar Hi dcbowiemmd,
The "bone doctor" or Orthopedic Physician, will be able to best identify appropriate treatment options regarding the pain you are experiencing. There are medications that decrease pain levels to a more tolerable level that are non-narcotic based. However, with regards to the statement in the report "right hilar fullness" should also be followed up on. I hope you are being evaluated and treated by an Infectious Disease Specialist.
Sincerely,
Theresa Jones, RN

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