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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest The Type Of Specialist To Consult For High Cholesterol And Chronic Wrist Pain

hi my brother has lost 50 lbs within the last six months, he also has a big difference between the size of his arms the left is much smaller, prior high cholesterol, uses pain killers regularly for chronic pain in his left wrist he broke 20 years prior, no insurance muscle loss in left arm only so far can anyone tell me what kind of doctor he needs, and or whats wrong with him
Tue, 17 Nov 2015
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

I understand your concern and would explain that it is necessary to exclude a possible tumor or inflammatory disorder, which could lead to this extreme weight loss.

I don't thing that the cholesterol levels are related to his actual situation.

The difference in the size of his arms may be related to inflammation or to edema of other causes (like lymphatic drainage obstruction).

I recommend consulting with the GP for a careful physical examination for a careful physical examination and some tests :

- chest X ray study
- abdominal ultrasound
- arm chest X ray study
- blood lab tests (complete blood count, sedimentation rate, PCR, kidney and liver function tests, fasting glucose, thyroid hormone levels, blood electrolytes, Rheumatoid factor, ANA, ANCA, etc.).

Tumoral antigens like CEA, Ca 19.9, etc. should be done if suspicions of a possible tumor are raised.

Hope to have been helpful!

Greetings!

Dr. Iliri
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Suggest The Type Of Specialist To Consult For High Cholesterol And Chronic Wrist Pain

Hello! Thank you for asking on HCM! I understand your concern and would explain that it is necessary to exclude a possible tumor or inflammatory disorder, which could lead to this extreme weight loss. I don t thing that the cholesterol levels are related to his actual situation. The difference in the size of his arms may be related to inflammation or to edema of other causes (like lymphatic drainage obstruction). I recommend consulting with the GP for a careful physical examination for a careful physical examination and some tests : - chest X ray study - abdominal ultrasound - arm chest X ray study - blood lab tests (complete blood count, sedimentation rate, PCR, kidney and liver function tests, fasting glucose, thyroid hormone levels, blood electrolytes, Rheumatoid factor, ANA, ANCA, etc.). Tumoral antigens like CEA, Ca 19.9, etc. should be done if suspicions of a possible tumor are raised. Hope to have been helpful! Greetings! Dr. Iliri