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Questions and answers p. 5

Recently, I have had a strange sensation in my knee, as if there is something in it and interferes me walking. The skin is red and swollen, but overall the knee does not hurt much. What is this disease and how can I treat it? Is it possible to get a consultation by a traumatologist online or house-call a traumatologist?
Answer: 26.02.2021

Hello! According to your complaints, you can suspect a problem with the meniscus and ligamentous apparatus of the knee joint. You will have to find an opportunity to visit the clinic for a more detailed examination by an orthopedic traumatologist and additional examination to confirm this condition.

I began to notice joint pain after physical exertion. I have been going in for sport for a long time, I lead an active lifestyle. Maybe constant training has worsened the condition of my joints? Also, after sport, my knees swell and become hot. Very unpleasant sensations, I do not know how to deal with it, I have already tried various alternative treatment methods, but I would like to get a medical opinion from a traumatologist.
Answer: 26.02.2021

Of course, you can get a consultation from an orthopedic traumatologist and undergo the necessary examination at our clinic. The symptoms that you describe can correspond to degenerative-destructive joint diseases. In order to confirm or exclude this, it is necessary to do a visual examination and additional examination (an X-ray, ultrasound of joints).

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.

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.

Kanevska Iryna Viktorivna
Pediatric cardiorheumatologist. The highest category.
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.

Kanevska Iryna Viktorivna
Pediatric cardiorheumatologist. The highest category.
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.

Kanevska Iryna Viktorivna
Pediatric cardiorheumatologist. The highest category.
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.

Kanevska Iryna Viktorivna
Pediatric cardiorheumatologist. The highest category.
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.

Kanevska Iryna Viktorivna
Pediatric cardiorheumatologist. The highest category.
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.

Plakhotnii Vladyslav Volodymyrovych
Physician orthopedist-traumatologist.
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.

Vashchenko Serhii Oleksandrovych
Physician orthopedist-traumatologist.
I have a question for a dermatologist. Is it possible to have online consultation if I have psoriasis? I was prescribed ointments and pills but they do not help me. Can you please tell me what to do?
Answer: 22.12.2020

Online consultation is possible for any disease. But in the case of unsuccessful treatment of psoriasis, a personal consultation with the additional examination is still desirable.

Vitsinskaia Olena Ihorevna
Dermatologist-trichologist. Higher category.
Do I need a doctor's consultation if I bruised the glans penis during intercourse? Nothing hurts now, but a cyanotic spot has appeared. Is there a reason for concern? Perhaps I can get an online urologist consultation? I live in the suburbs of the city.
Answer: 22.12.2020

Of course, a doctor's consultation is necessary for injuries or bruises of the genital organ. If it is not possible to visit us, then you can have an online consultation. Perhaps, based on the examination results, it will be necessary to prescribe medicines for external use.

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