420chan now has a web-based IRC client available, right here
Leave these fields empty (spam trap):
You can leave this blank to post anonymously, or you can create a Tripcode by using the float Name#Password
A subject is required when posting a new thread
[*]Italic Text[/*]
[**]Bold Text[/**]
[~]Taimapedia Article[/~]
[%]Spoiler Text[/%]
>Highlight/Quote Text
[pre]Preformatted & Monospace text[/pre]
1. Numbered lists become ordered lists
* Bulleted lists become unordered lists


penis pump

Community Updates

420chan now supports HTTPS! If you find any issues, you may report them in this thread
Vitamin supplements by Simon Borrynurk - Mon, 19 Oct 2015 03:57:57 EST ID:8oLlz2PQ No.53305 Ignore Report Reply Quick Reply
File: 1445241477334.jpg -(34502B / 33.69KB, 600x479) Thumbnail displayed, click image for full size. 34502
I am horrible when it comes to eating the right things, but ive been thinking lately that i might try out the vitamin supplements to get stuff like vitamin C, B, D etc.

But what does /med think? what should i take? should i just buy a multi vitamin? or should i buy individual vitamins?
im a 26 year old female by the way

i was thinking Iron, Calcium, Vitamin C, A, B6, B12, D and fish oil.

Would i just be making very expensive pee or will this actually help me?
25 posts and 12 images omitted. Click Reply to view.
Graham Singerpedge - Sun, 01 Nov 2015 23:02:34 EST ID:5KAH/h1r No.53391 Ignore Report Quick Reply
1446436954296.png -(263567B / 257.39KB, 1920x1080) Thumbnail displayed, click image for full size.
Graham Singerpedge - Sun, 01 Nov 2015 23:05:17 EST ID:5KAH/h1r No.53392 Ignore Report Quick Reply
1446437117296.png -(317034B / 309.60KB, 1920x1080) Thumbnail displayed, click image for full size.

Not going to even bother with mutivitamins. Total waste. You can google this and get tons of results.

>Now on to your essential question!
The golden test website you have to pass for. You can get one free test result. I did get one test results and posted it in the previous post.

Also, as a stated before, too much of any vitamin will eventually be bad. Everything, even medicines, can be poisonous at the right dose. Here's one example:

A few slight points I would like to make additional. Some products do contain listed amounts but, others don't. This is what happens when there is zero government oversight. Taking vitamin supplements isn't bad for you and in a few early trail suggest that some vitamins are good. Taking vitamins probably wouldn't do anything if you have a healthy diet and a normal lifestyle. Abnormal states such a pregnancy or some of the things I listed one of my other post is a good thing to do. Realistically, you wouldn't receive any significant side effects unless you really take a extreme amount.
Comment too long. Click here to view the full text.
Jenny Hevingbanks - Wed, 11 Nov 2015 02:40:03 EST ID:lNhIONHx No.53446 Ignore Report Quick Reply

Hey guys, OP again with another update.

I never actually believed in vitamins before i started taking them, like even what frederick said only made me want to try them, but woah, i have to literally force myself to eat 3 meals a day.
i havent had a chocolate craving since i began taking the vitamins and have a bigger desire to try new fruit (i tried a mango today and going to try kiwi fruit tomorrow).

I just feel so awesome in general! i cant believe it.

Im only really responding because all you guys are debating if vitamins work and well... from my experience they seem to, like sure i haven't "noticed" any of the benefits they claim on the bottle, but i feel so different and just.... awesome lately!
Barnaby Bullerbanks - Mon, 07 Dec 2015 08:42:00 EST ID:Rn6tktGM No.53538 Ignore Report Quick Reply
Adding magnesium to the list, it's helped me more than anything.

I'm actually about to see a doctor in a few hours to ask about that, because I'm not sure if supplements are supposed to work this well.
Nigger Buvingfodge - Mon, 28 Dec 2015 23:30:45 EST ID:yyuyFZvj No.53615 Ignore Report Quick Reply
Relevant Video:

RANDOM QUESTION by Emma Garringville - Sun, 27 Dec 2015 19:59:45 EST ID:a3M3X/bz No.53602 Ignore Report Reply Quick Reply
File: 1451264385214.jpg -(10923B / 10.67KB, 264x191) Thumbnail displayed, click image for full size. 10923
I'm trying to find the name of a certain genetic disorder.

It is caused by a random mutation usually. A deletion. Removes the body's ability to make protective tissue over muscle and nerves. Neither of his parents had it.

This kid had it that I knew. He had braces and his teeth kept getting worse. He had huge bruises on his shins and wore shinguards to school because how vulnerable those are. He smelled bad because showering hurt, and he was really really weak.

He made a presentation about it during class about genetic disorders. By that point he was really mean to everyone and everyone had hated him for a long time, but I feel like it was brought about by loneliness because of his illness causing him pain whenever he tried to be normal.

He was scrawny and his eyes bugged out. Not sure if it was part of the disorder though.

Help a brother out!
Sidney Brockleshaw - Mon, 28 Dec 2015 02:18:25 EST ID:SMGnY2x5 No.53612 Ignore Report Quick Reply

Online Pharmacy by Nathaniel Conningford - Wed, 23 Dec 2015 19:49:16 EST ID:jaNZsltE No.53593 Ignore Report Reply Quick Reply
File: 1450918156126.gif -(203107B / 198.35KB, 250x141) Thumbnail displayed, click image for full size. 203107
I was recently in the hospital for mental issues and was diagnosed and treated for high blood pressure at the same time. I was prescribed lisinopril and hydrochlorothiazide. I can't afford a doctor but I think I can afford the prescription. A friend of mine has a blood pressure machine so I am able to get feedback on how well the medicine is working.

Does anyone know a website where I can purchase lisinopril and HCTZ without a prescription? Any advice for adjusting the dosage?
Barnaby Gurringhood - Thu, 24 Dec 2015 01:06:42 EST ID:b2eoh8l2 No.53594 Ignore Report Quick Reply
nowhere in the US will do that without a prescription. However, you may be able to get whoever prescribed you the drugs in the first place to renew the prescription without a visit to the hospital. Give a pharmacy the prescriber's contact information and they can fax him or whatever and get a renewed prescription. This may not work, depending on how long ago you were first prescribed, or any number of reasons.
Those are cheap drugs, though, especially if you get a prescription for each instead of going with the combined tablet. All chain pharmacies have some sort of universal discount card they can apply, or you can just go to walmart or costco who lose money on their cheap drugs because they can make up the difference elsewhere.
Walter Nunderhall - Thu, 24 Dec 2015 20:11:58 EST ID:53ec9H03 No.53596 Ignore Report Quick Reply
>I was prescribed...
>without a prescription?
Nell Dungerbetch - Sun, 27 Dec 2015 01:43:08 EST ID:6IIpQlwM No.53597 Ignore Report Quick Reply
You can definitely get both of those shipped over from somewhere.

I can't help you in terms of where but HCTZ especially is available in generic form online. Do some poking around online pharmacy forums like drug buyers guide and see what you can dig up. Don't get scammed by some stupid fucking Paki.
Nathaniel Sinkinlock - Mon, 28 Dec 2015 01:49:14 EST ID:jaNZsltE No.53610 Ignore Report Quick Reply

I'll check with the hospital and see if they'll write a prescription.

I was prescribed while in the hospital. I don't have a current prescription

>drug buyers guide

Oh cool they have some websites up that replaced drug buyers. Anyone know what happened to that forum anyway?

Depakote OR Lithium-CR with Invega by Reuben Grandfoot - Mon, 21 Dec 2015 05:13:41 EST ID:IDbkkWf+ No.53591 Ignore Report Reply Quick Reply
File: 1450692821537.jpg -(40593B / 39.64KB, 500x333) Thumbnail displayed, click image for full size. 40593
I have been having a lot of issues with my new medications. I used to take Lithium until I had a toxic level. There were times when it would help me a lot and then go into a mini-mania-session where I would need a hospital stay for adjustments. During my last hospital stay I was prescribed Depakote instead of Lithium and I have had some major issues with living a daily routine.

First of all there is a sleeping issue where it takes me forever to fall asleep and when I do fall asleep it's for a very long time into the day. Another issue is my lack of a libido and it really bothers me. I cannot even manage arousal or getting an erection. My final issue is this weight gain. I haven't gained much, but in the month I have been on the medication—about 5-10 pounds gained and it shifts a lot each day with a strange plateau. I guess my psychosis is getting a bit more unpredictable, but it's being gaining momentum since I have been on this switch.

What medications should I look into or talk about at my next psychiatrist visit? I really like Lithium, but I think since I have been on it for so long and had the high toxicity level during my last hospital visit—she probably won't let me back on it AND I had to miss my last appointment because of timing and bus error.

>I take a heart medication and blood pressure medication along with a multivitamin and the Invega for anti-psychotic purposes.

I pretty much drink alcohol once a month and smoke an eighth of weed in about a week or 10 days for the month. Since I rarely even consume any other substances I would hope to find relief with a really nice change in my mood-stabilizer.

>Schizoaffective Disorder
3 posts omitted. Click Reply to view.
Emma Garringville - Sun, 27 Dec 2015 20:14:05 EST ID:a3M3X/bz No.53603 Ignore Report Quick Reply
wait wait, OP.

maybe you should take LSD to- HA jk.
I'm kidding. don't take it. You'll go insane.

Why do you like a drug that makes yo gain weight and does not help with your illness?

weed is NOT helpful to schizo-anything.
Ian Furryhat - Sun, 27 Dec 2015 20:47:47 EST ID:Gvvfunhl No.53606 Ignore Report Quick Reply
>made me fat
Wait wut?
Emma Garringville - Sun, 27 Dec 2015 23:39:10 EST ID:a3M3X/bz No.53608 Ignore Report Quick Reply
ok uh

It made my appetite increase in a huge way and decreased my energy levels.

It made me hungry and tired.

it was bad.
Sidney Brockleshaw - Mon, 28 Dec 2015 01:21:15 EST ID:SMGnY2x5 No.53609 Ignore Report Quick Reply

>As an antipsychotic

Depakote isn't an antipsychotic. It's an anticonvulsant that's used in bipolar disorder as a mood stabilizer.

Unfortunately, it can have serious side effects. Most psych meds do. Of course, that's why they're not handed out for fun. Mania is no picnic, either. Or maybe it's too much of a picnic. Like having a picnic on meth, and there's a good chance that when the picnic's over, you'll be bankrupt, in jail, or dead.
Ian Furryhat - Mon, 28 Dec 2015 18:19:02 EST ID:Gvvfunhl No.53614 Ignore Report Quick Reply
1451344742158.jpg -(25145B / 24.56KB, 500x270) Thumbnail displayed, click image for full size.
Ooooh. I was worried it by default made you fat as a chemical because I take it and I don't wanna be fat!

Parents' mental health issues by Jenny Gishwill - Mon, 21 Dec 2015 15:34:12 EST ID:esErHTDJ No.53592 Ignore Report Reply Quick Reply
File: 1450730052663.jpg -(48585B / 47.45KB, 500x365) Thumbnail displayed, click image for full size. 48585
I just had a bit of an alarming moment. Backstory, my parents drink quite a bit and I'm home for holidays. They don't pass out or binge for days or anything, but they drink almost every day and often they start very early, and while my dad often gets slightly delirious from drinking, I've never paid much attention to it.

Just now my mom was about to go to sleep though and acted very strange, never seen her like that. She came to me and said something freely translated to "Goes like that", and when I asked what goes like what, she froze for a while and uttered "how do you say it... goes like dingly dong". When trying to talk to her, that's all I got out of her. She seemed calm but confused.

Now that seems like normal behaviour on shrooms but I have no reason to assume she was on drugs, she's very anti-drugs.

From what she said I interpreted that she has experienced some issues like this before and wanted to tell me. I think I'll talk to her in the morning. Any idea what could be up? Aphasia? Dementia?
Fuck Gottingfoot - Sun, 27 Dec 2015 21:36:47 EST ID:6IIpQlwM No.53607 Ignore Report Quick Reply
Could be a little bit of both. Just how much would you estimate they are drinking every day in terms units? It's not a secret that long term boozing will fuck your brain up terribly.

Plugging by Caroline Nummleway - Sun, 20 Dec 2015 20:31:58 EST ID:0QxKDQGw No.53587 Ignore Report Reply Quick Reply
File: 1450661518036.gif -(1473965B / 1.41MB, 525x525) Thumbnail displayed, click image for full size. 1473965
Lets talk about the most taboo ROA. I sometimes hear plugging compared to IM/V, while other times I hear it compared to sublingual use. Which is generally a more apt comparison when it comes to dose and duration? Is plugging more effective than sublingual use for poorly soluble molecules such as salvinorin A? What is a good solvent for such chemicals because obviously everclear wouldn't do. Thanks.
Fanny Fogglestere - Sun, 20 Dec 2015 23:36:03 EST ID:qXyufRC1 No.53588 Ignore Report Quick Reply

Rectal administration is usually somewhere between IV and oral in terms of rapidity of onset.

>What is a good solvent for such chemicals because obviously everclear wouldn't do.

What makes you say that? People administer ethanol rectally all the time. It's called "butt chugging." It's probably inadvisable, but then so is drug abuse in general, and you're obviously no stranger to that.
Samuel Climmerham - Mon, 21 Dec 2015 00:17:57 EST ID:0hcTp+8/ No.53589 Ignore Report Quick Reply
Salvinorin A is a thousand times less toxic than ethanol. You answered one question just fine; why scoff at OP for trying to not die? I can't imagine being shwasted and on salvia at the same time would be too pleasant either.

OP, any vegetable oil will work just fine (and provide you some lube too) ;). Do it for science.
Hugh Dartman - Mon, 21 Dec 2015 01:19:18 EST ID:djSGe/FL No.53590 Ignore Report Quick Reply

Salvinorin A is active at 500 μg (micrograms). If it is, in fact, soluble in ethanol, you would need very little ethanol to make a preparation of salvinorin A for rectal administration. Little enough ethanol that one would not end up "shwasted", or even buzzed.

alcohol, benzos and urethral swab tests by Shit Creshham - Thu, 17 Dec 2015 09:42:44 EST ID:Gw2SXSpN No.53573 Ignore Report Reply Quick Reply
File: 1450363364759.jpg -(8464B / 8.27KB, 225x225) Thumbnail displayed, click image for full size. 8464
so yeah, there is a possibility i might have to have these tests done and im a complete pussy when it comes to medical procedures. hence, i am planning on drinking and taking some benzos to calm my mind a bit beforehand. my question is, would these substances hinder the results of tests in any way? /std tests for gono and chmalydia mainly i guess./ and yeah, i know taking benzos and alcohol is stupid, and i know it is especially stupid when going to the docs, but i really need these tests done and i see no other way. sooo.. would the results theoretically be actually less accurate? thanks in advance
Frederick Feppersen - Sun, 20 Dec 2015 05:39:06 EST ID:6uPmXcoD No.53586 Ignore Report Quick Reply
No i really doubt it, like you said though thats probably stupid. I can't blame you for wanting to take the edge off a urethral swab though lol

Visual impairment following migraine by Ernest Babblefield - Thu, 17 Dec 2015 19:24:27 EST ID:y4MjtSBr No.53578 Ignore Report Reply Quick Reply
File: 1450398267213.jpg -(38246B / 37.35KB, 600x424) Thumbnail displayed, click image for full size. 38246
I had a migraine a few days ago, only the second one in my life, it was preceded by visual impairment in the form of a blind spot in one eye, which I recognized from the first time a few years ago and so took precautions.
In many ways this one was less severe than the first, it was much less painful but included nausea and numbness in my right arm and face.
It lasted maybe 6 hours and I had recovered later that night and was back to my usual business.

However what is worrying me is that normal vision has still not returned to my right eye. It remains blurred and distorted days later. The best way to describe it is blurring and diminished peripheral vision, but only in the right eye, the left one is clear and normal.

I've been reading about it but can't find much information, do you know if this is just a protracted symptom of the migraine and will correct itself, or if I'll have to see a doctor about it?
Esther Snodgold - Thu, 17 Dec 2015 19:57:01 EST ID:lQLoj1gx No.53579 Ignore Report Quick Reply
1450400221117.jpg -(71089B / 69.42KB, 720x720) Thumbnail displayed, click image for full size.
What you have is called Migraine with Aura. Google that.

As for your post-migraine fuckery, I don't know. I also have migraine with aura and I don't remember ever having that. I do get what I call a 'migraine hangover' but that's just me feeling slightly out of it for the rest of the day, like just a smidge stoned.
Ernest Babblefield - Thu, 17 Dec 2015 22:15:52 EST ID:y4MjtSBr No.53580 Ignore Report Quick Reply
Yeah I know what it's called, I've had it before.
Seems to be pretty common in migraine sufferers and is no cause for alarm, it usually dissipates quickly.
In this case it's sticking around though.
Molly Mebbermedge - Fri, 18 Dec 2015 03:18:18 EST ID:LFQ0hjfL No.53582 Ignore Report Quick Reply

if the op is really worried id suggest a few milligrams of your favorite /benz/ and sleeping it off, since worrying about it is most likely not helping at all.

>>I call a 'migraine hangover' but that's just me feeling slightly out of it for the rest of the day, like just a smidge stoned.

lol i get that too. pretty pleasant feeling
Frederick Feppersen - Sun, 20 Dec 2015 04:56:09 EST ID:6uPmXcoD No.53585 Ignore Report Quick Reply
If its making you seriously blind even in a little spot after the migraine is over that's gotta be a bigger problem than a migraine alone there's something else going on with you i would go to a doctor to make sure its not seriousish to be on the safe side

Shingles! by Ian Pushsure - Wed, 16 Dec 2015 17:39:26 EST ID:fJGyMVjN No.53570 Ignore Report Reply Quick Reply
File: 1450305566315.jpg -(17179B / 16.78KB, 286x405) Thumbnail displayed, click image for full size. 17179
Alright, so I'm suffering an outbreak of shingles, most likely due to stress. I've got the blisters that are starting to pop and scab over.

I've already visited the doctor, I'm on day 2 of an antiviral (valacyclovir) but I forgot to ask him an important question while I was there,

How worried do I need to be about accidentally touching/leaking this pus? I don't want to accidentally spread this shit to my eyes or genitals so every time I accidentally touch that general area I wash my hands. I'm also worried about my bed though, like that I might be leaking pus through my shirt onto my pillow or something while I sleep, do I need to wash my sheets to prevent an outbreak from reoccurring?

I'm just being paranoid right, I mean this virus is always inside those of us who have it, it's just usually dormant. So If I always have it I shouldn't worry about spreading it... or are my paranoid precautions justified and I need to change my sheets soon?

Ebenezer Drirringway - Wed, 16 Dec 2015 18:36:23 EST ID:/vLIXZIq No.53571 Ignore Report Quick Reply
You will not spread the infection to other parts of your body. You should make sure that no children, un immunized people, or immuno compromised have contact with your lesions and secretions because you can spread it to them.
Ernest Wimmerlotch - Fri, 18 Dec 2015 01:18:38 EST ID:fJGyMVjN No.53581 Ignore Report Quick Reply

That's a load off of my mind, thanks mate!

How do I fucking sleep by Caroline Cruvingfoot - Tue, 01 Dec 2015 21:41:00 EST ID:Z8nATBj3 No.53526 Ignore Report Reply Quick Reply
File: 1449024060223.jpg -(95606B / 93.37KB, 480x555) Thumbnail displayed, click image for full size. 95606
I've tried everything. The only thing that consistently works is a small dose of any antipsychotic, i'm currently taking 50mgs of clozapine daily, but that visibly drains emotion out of me, I become unable to laugh and I get fat.
Drinking or large doses of benzos work, I take about 4mg of alprazolam daily, but I can't do them every night. Haven't tried flunitrazepam. I can't really recall if z-drugs worked, but I do recall using them and still staying awake. Melatonin doesn't work either, and i'm currently testing out agomelatine and by itself it also doesn't get the job done.
What can I do to get some shut-eye for the love of god
4 posts and 1 images omitted. Click Reply to view.
Thomas Buzzridge - Thu, 10 Dec 2015 12:00:49 EST ID:LmamKjAL No.53556 Ignore Report Quick Reply
Martha Greenworth - Thu, 10 Dec 2015 21:31:46 EST ID:jk85xcUV No.53558 Ignore Report Quick Reply
1449801106017.jpg -(32343B / 31.58KB, 300x168) Thumbnail displayed, click image for full size.
A Wizard - Tue, 15 Dec 2015 20:21:22 EST ID:FrVU8puz No.53569 Ignore Report Quick Reply

Well, I have other more complicated and medical sounding ideas, but fuck it.

#1 Have some sex.
#2 Smoke a good bowl of heady sleepy weed.
#3 Begin eating a whole pie.

I usually fall asleep before the end of #3, often at only the half way point.
William Chenkinfeg - Thu, 17 Dec 2015 19:10:11 EST ID:cKCjktJN No.53576 Ignore Report Quick Reply
Mirtazapine will make you absolutely starved for food. Will you sleep? YES. Will you gain 40-50 pounds in a month? Most likely. Will power plays a role, of course. But anyone who is taking a sleeping pill in the first place is going to be low in will power in the first place (no offense, seriously, I take 25 mg of Trazodone to sleep).

After a month of Mirtazapine, I told my doctor "nope". It's not just about weight gain, the insatiable hunger it causes is very distracting and causes you to wake up in the middle of the night in order to eat. I never took Mirtazapine and slept through the night, I always woke up hungry.

If you're aiming for a sleep aid, I recommend Trazodone. It's heavy like benadryl, but not so aggressive. It gets the job done and I've been able to take it as needed for many years, no side effects from suddenly stopping or starting again. Any doc who prescribes Mirtazapine will prescribe Trazodone, and he may even suggest it.
William Chenkinfeg - Thu, 17 Dec 2015 19:11:48 EST ID:cKCjktJN No.53577 Ignore Report Quick Reply
p.s. I am also convinced by my own experience that Mirtazapine alters the way the body processes calories, because I am on a very strict diet and I still gained 10 pounds in two weeks on the medication, despite not changing a single eating habit and exercising regularly. Went from 181-200 pounds.

The Grand 420 Rounds by Vehk !7HYGxe5v5c - Fri, 30 Oct 2015 10:59:35 EST ID:aOkivDog No.53357 Ignore Report Reply Quick Reply
File: 1446217175832.jpg -(37722B / 36.84KB, 480x764) Thumbnail displayed, click image for full size. 37722
I've noticed that there is not a significant amount of content devoted purely to clinical medicine on this board (much more material about strange dick spots and inhaled insects, which is also interesting, but repetitive after a while).

Thus, I've come up with the an idea.

Enter; the grand 420 rounds.

Every week, I'll post a new case study, and /med/ must attempt to perform a differential diagnosis and solve the case, either preventing or explaining the patient's death. I have the answers to each study, and will be providing hints in the right direction for each case if a certain amount of time elapses without project.

It should be fun for everyone and productive for those here involved professionally in Healthcare. I won't be using the same book every time and will mix it up with some more creative case studies as time goes by. If anyone has a copy of the book + answer sheet, please don't spoil.

For our first question, we have an interesting but straightforward case - the answer is more obvious than you think. Why did this gentleman of the road die, and how could it have been prevented?

Have fun, nerds.
29 posts and 13 images omitted. Click Reply to view.
Martin Duckspear - Mon, 07 Dec 2015 22:37:57 EST ID:/vLIXZIq No.53541 Ignore Report Quick Reply
>>53536 Was reading your answer and realized i fucked up the presentation (sorry about that). Your right about bilious emesis being suggestive of GI obstruction bellow the Duodenum (didnt mean to convey that). Also right about a sunken fontanel being consistent with dehydration (little guy is not getting enough in and loosing too much through vomit). His labs show a hypochloremic metabolic alkilosis (loosing too much hydrochloric acid / stomach secretions). I was going for pyloric stenosis. (https://en.wikipedia.org/wiki/Pyloric_stenosis). An "olive" mass is a classic exam finding for this. Also right about diagnostic study; ultrasound is study of choice (if this baby showed up and you ordered that you would safe his life).

>>53535 Right about intervention; call a surgeon to cut the pyloris.
Vehk !7HYGxe5v5c - Wed, 09 Dec 2015 09:09:27 EST ID:yNntISn5 No.53549 Ignore Report Quick Reply
1449670167918.jpg -(304487B / 297.35KB, 725x1080) Thumbnail displayed, click image for full size.

Hey, guys. Sorry I dropped this and it's great to see if it going again. I'll drop in a case sometime after the next one is solved and try to contribute.
Vehk !7HYGxe5v5c - Tue, 15 Dec 2015 12:40:11 EST ID:neuPHath No.53567 Ignore Report Quick Reply
1450201211738.jpg -(42739B / 41.74KB, 540x540) Thumbnail displayed, click image for full size.

Jessica, a 22-year-old student, comes to see you, her internist, because over the last three or four months she has been feeling increasingly tired. Initially, she thought that this was due to stress, but over the last month she has developed a rash on her face and neck and has pain in her hands. Upon questioning, she also reports joint stiffness inthe mornings and recurrent painless sores in her mouth.
On physical examination you note that Jessica is slightly hypertensive (blood pressure 150/95). In addition, she has three small ulcers in her mouth and has skin rashes, the latter consisting of an erythematous, indurated
rash on her checks and bridge of her nose that spares the nasolabial folds and a second erythematous rash with small circumscribed elevations and discoloration on the sun-exposed areas of her neck and upper chest. Finally, she also has evidence of bilateral swelling and stiffness in her metacarpophalangeal joints that is consistent with arthritis.

  1. What is the diagnosis?
  2. Present a rough sketch of how treatment should proceed.
Ebenezer Drirringway - Wed, 16 Dec 2015 18:44:46 EST ID:/vLIXZIq No.53572 Ignore Report Quick Reply
1450309486844.gif -(79171B / 77.32KB, 500x256) Thumbnail displayed, click image for full size.
Holy Shit Lupus???
Malar rash/rash to sun exposed areas (photosensitive rash). Decreased energy (secondary to autoimmune hemolytic anemia), high blood pressure (kidney involvement, lupus nephritis).

Obtain antinuclear antibody levels to confirm.
Treat with steroids
Start her on hydroxycholorquine
Vehk !7HYGxe5v5c - Thu, 17 Dec 2015 18:42:01 EST ID:8aSHIX6j No.53575 Ignore Report Quick Reply
1450395721769.jpg -(44230B / 43.19KB, 525x946) Thumbnail displayed, click image for full size.

Mah nigga. It is, finally, for once, lupus.

Systemic Lupus Eythematosus with lupus nephritis.

Quick call, stay tuned comrades, I'll be back with something to give you a proper challenge, such as we had in the halcyon days of the road-bound gentleman.

Read your books of internal medicine, chainsmoke cigs while marathoning House, and keep the fire lit inside you.

Small amount of shit in blood by Isabella Geffingwark - Mon, 30 Nov 2015 10:50:03 EST ID:Jf1odO/c No.53518 Ignore Report Reply Quick Reply
File: 1448898603517.png -(167986B / 164.05KB, 540x560) Thumbnail displayed, click image for full size. 167986
I've been occasionaly getting small amounts of blood in my shit for a very long time.

It's very bright red and the amounts are usualy very small. Most of the time there is no pain accompanied with it. Sometimes my asshole or the are inside immediatedly inside just kind of tingles a bit.

I went to the doctor once and they couldn't find pretty much anything except possible hemorhoids.

But I've been wondering if that's reall all there is to it. I also have loose, but not quite liquid, shits very often. I don't think I eat a particularily fiber-deprived diet either.

I don't have other gastrointestinal problems as far as I know.

I know this all must sound kinda weird since blood in shit is apparently considered pretty severe...it's just so, I don't know, minor with me?
4 posts and 2 images omitted. Click Reply to view.
David Tootwill - Tue, 01 Dec 2015 17:31:05 EST ID:Fsddn2MF No.53525 Ignore Report Quick Reply
1449009065045.jpg -(41123B / 40.16KB, 640x480) Thumbnail displayed, click image for full size.
To clarify: you're seeing the blood even after your non-hard poops? Do you see it after your soft or runny poops?
Sidney Chubblespear - Wed, 02 Dec 2015 04:27:31 EST ID:Jf1odO/c No.53527 Ignore Report Quick Reply
more often with the runny poops. In fact I just took a pretty explosive liquid shit and there was a bit of blood when I wiped. I think it's the, uh, more explosive nature of liquid shits that's causing it. It's straining my rectum too much.
A Wizard - Wed, 09 Dec 2015 16:34:17 EST ID:x1dwROX3 No.53551 Ignore Report Quick Reply

See a doctor already man. These things can get worse, regardless of what the problem is, and they all lead to other problems. Suck it up and get this fixed properly.

And Guy, I'm A Wizard and you can quote me on this. If your shitter is bleeding, SEE A DOCTOR!
A Wizard - Wed, 09 Dec 2015 16:35:32 EST ID:x1dwROX3 No.53552 Ignore Report Quick Reply

Sorry for doublepost, got a bit of opium on my weed apparently.

See a BETTER doctor.
Albert Fommlebury - Thu, 17 Dec 2015 17:27:52 EST ID:QSUajFLe No.53574 Ignore Report Quick Reply
Fiber never helps when you are shitting blood. I don't know where the fuck this comes from but fiber is a bulking agent. It makes shit bigger. To a point it can help to increase bowel movements to a degree because the intestinal movement is more efficient with larger stools than with water or thin stool. With something solid to push, it can get it out faster/more regularly. That said, you only need 10g of fiber a day for the average person. Anything more will only exacerbate OP's problem.

Given that there is no pain, I would normally say it is a fissure but given that it has been going on over a long period of time, that isn't the mostly likely cause.

>Bright red.
Lower area bleeding.
>No pain.
Inside the anus or higher. There are no nerves in certain areas of the rectum. I am not sure exactly where they start and end but generally, anything above the outer sphincter won't have painful sensations.

Are the few solid stools narrow? Are the dime sized? Quarter sized? Lime sized?

How old are you as well?
Comment too long. Click here to view the full text.

<<Last Pages Next>>
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Report Post
Please be descriptive with report notes,
this helps staff resolve issues quicker.