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Suggest Treatment For Cough And Recurrent DVT
hi I am male person 55 years old have recurrent DVT of unknown etiology and also have DM , HTN, and on xarelto since 2months, also complaining of irritating cough since few months and CT chest revealed bilateral hilar and mediastinal LNS largest subcarinal about 4 * 3 cm and I will do Mediastinoscopy for LNS biopsies and I ask when I stop xarelto before endoscopy and when I start after and whate your opinion about the diagnosis and DD thanks alot
Mon, 29 Apr 2019
Hi,
The biopsy is must to rule out any possibility of lymphoma. Xeralto may be stopped three days before mediastinoscopy and can be restarted after 48 hours post procedure. Rest of the management plan as you shared is satisfactory.
Hope I have answered your query. Let me know if I can assist you further.
Thank you.
Regards,
Dr. Saddiq Ulabidin
General & Family Physician
The biopsy is must to rule out any possibility of lymphoma. Xeralto may be stopped three days before mediastinoscopy and can be restarted after 48 hours post procedure. Rest of the management plan as you shared is satisfactory.
Hope I have answered your query. Let me know if I can assist you further.
Thank you.
Regards,
Dr. Saddiq Ulabidin
General & Family Physician
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