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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Disturbed After A Gang Kicked

58year old man assaulted by gang kicked many times in head and body. treated in hospital for section 18 wounds. lesions to face and dog bites to torso and bruising to torso and head. had concussion was ri scan to head xray of chest ultrasound of abdomen mltiple blood tests on 0000. was already on warfarin and bisoprolel, fumerate and citalopram for heart condition and depression. had niggling pain back right just below ribs on discharge from hosp on 26/3 this has come and gone no pattern has become ore intense in last 48hrs, releif slightly if presses fist into pain area. now disturbingly uncomfortable, please advise possible problem and any action needed.
Sat, 5 May 2012
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General & Family Physician,  's  Response
Hi Cald, I would like to know whether you are still continuing wit Warfarin. If yes, do monitor you coagulation profile (Prothrombin Time-international standardized ratio), if deranged these pains could be due to developing hematomas in your wounds. Do take analgesics prescribed for pain, if no relief visit closed Emergency for help for a visual inspection of your healing injuries.Do continue your escitalopam.
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Oncologist,  Dr. dr. Jawahar Ticku's  Response
Please carry on with the treatment you are taking for various ailments. Have simply Tylenol 1tab. Three times a day your pain after trauma will slowly disappear and you will be alright. Reassure yourself that every thing is alright.
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Disturbed After A Gang Kicked

Hi Cald, I would like to know whether you are still continuing wit Warfarin. If yes, do monitor you coagulation profile (Prothrombin Time-international standardized ratio), if deranged these pains could be due to developing hematomas in your wounds. Do take analgesics prescribed for pain, if no relief visit closed Emergency for help for a visual inspection of your healing injuries.Do continue your escitalopam.