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Original poster

really need a DOCTOR or NURSE to tell me what this means??

72 replies

lilsmum · 17/09/2005 12:20

i obtained a copy of dd's medical notes, and cant really understand what exactly the MRI scan results of her foot mean?

PLEASE can anyone tell me in "normal" terms what this means exactly?

MR LEFT FOOT : a band of marrow oedema is present in the posterior calcaneum just below the cartilage, extending anteriorly into the body of the calcaneum. a small focal irregularity is seen at the posterior osseous margin. a small amount of oedema is present in the subcutaneous tissues of the heel. the tendons, muscles and other bones demonstrate normal appearances.

the calcaneal marrow oedema is consistent with a focal intrinsic pathology and would account for the patients symptoms. appearances are not compatible with tumour and given the history injury seems unlikely.

on balance therefore a low grage chronic infection seems most likely.

i was wondering what the mention of tumour is referring to, and also the mention of "history injury"....

really need someone to help me out with this

OP posts:
puff · 17/09/2005 12:26

lilsmum, I'm neither, but just in case no - one comes along (Saturday can be quiet on here), I read the following into what is written:

There are no signs of a tumour (I expect they have to rule this out).

It's not the result of some sort of injury.

SenoraPostrophe · 17/09/2005 12:27

can't tell you what it all means, but they've only mentioned tunour to say it isn't one.

there should also be a comma between history and injury - "given the history, injury seems unlikely" - i.e. given her medical history, they don't think it's an injury either.

foxinsocks · 17/09/2005 12:29

I'm neither but I know the calcaneus is the heel bone (hurt mine a while back!) so it sounds like there's a swelling (oedema) in the marrow of that bone? and that it doesn't appear to be a tumour or the result of an injury (suppose they have to rule out all possible causes with a tumour/injury being 2 of those possible causes)

I'm no way medical though

how is she anyway?

Flossam · 17/09/2005 12:29

God. Not a foot expert by any means. Oedema means water, basically. An oedematous leg is swollen and often leaks water. Assuming oedematous bone is the same.

History injury, read it like, 'given the history, injury seems unlikely' ie, she hasn't hurt it.

Does low grage mean low grade and is a typo? If yes, means slight infection. HTH.

Nemo1977 · 17/09/2005 12:29

not either but it sounds like there is water swelling to the heel and ankle. No known reason or injury has occured. No sign of it being a tumour.

happymerryberries · 17/09/2005 12:33

NB I am NOT a doc or a nurse.

But I did work in medical infomation for a while

There is a swelling in the bone marrow (the spngy bit in the middle of the bone). It gows back from the part of the bone called the calcaneum, below the cartiledge (the tough bit that covers the end of the bone). There is a small 'contained' odd bit in the fleshy part of the heal (not the bone) Everything else is normal.

This is NOT a tumour....bit is most probably due to a small infection which has been there for a while. THis hasn't been cuaed by an injury.

HTH

Original poster
lilsmum · 17/09/2005 12:34

flossam...yep was a typo

thanks for all the replies,

i know its saying appearances not compatible with tumour...but dont understand what type of tumour they were looking for ?

the history/injury bit, if any of you know the history of lillys probs, what does this mean?

in her notes it said the gastroenteritis was caused by ROTAVIRUS (which cannot cause bone infections,( only E.COLI)so i dont "get" what they are saying about the injury part.

she didnt have a injury, other than them trying to cannulate (very roughly), no injury at home etc.

OP posts:
spacecadet · 17/09/2005 12:37

oedema, is swelling and the use of the word history merely means the symptoms that your dd had when she presented with her foot injury or pain, there is no evidence of a tumour and an infection is present, chronic means it has been persistant and will be easily treatable as opposed to acute which would mean nastier(not doing a good job of explaining!!), hope that helps, im afraid i worked on general surgery not orthopaedics!

Original poster
lilsmum · 17/09/2005 12:37

so is it a bone infection? they said it is.

my head is so battered with all this

OP posts:
SenoraPostrophe · 17/09/2005 12:37

I would imagine they just mean there is no injury in her medical history, lilsmum.

happymerryberries · 17/09/2005 12:38

They wouldn't have been 'looking ' for a tumour, but that would be one of the options. It could either have been a tumour of the bone, or of the soft tissue if it is causing physical symptoms of pain or difficulty in movement. But is *ISN@T consistant with a tumour.

If the bone marrow has freaked your re leukemia, the teasts are very different....blood tests not bone scan in the first instance.

HTH

happymerryberries · 17/09/2005 12:39

In medicine BTW chronic meens more longe term and on going. Acute means a sudden flare up.

So dh has Chronic leukemia which just moulders along quiety. Acute would meen sudden probels and a awift progression.

spacecadet · 17/09/2005 12:39

in laymans terms, if you fainted at home and went to hospital, they would say..you had a history of blackout, even if you had never fainted before, dont be alarmed at that term.

Original poster
lilsmum · 17/09/2005 12:40

sorry for being a pain, just wish someone would sit down and tell me exactly what it is all about

OP posts:
spacecadet · 17/09/2005 12:41

if her foot was swollen and painful, then they would rule out tumour, which they have, they have found no evidence of it, dont be alarmed.

happymerryberries · 17/09/2005 12:41

They said

'the calcaneal marrow oedema is consistent with a focal intrinsic pathology and would account for the patients symptoms. appearances are not compatible with tumour and given the history injury seems unlikely. '

What they have said, I think is given the history (ie what you have told them has been the background to the problem) to *doesn't seem likely that the probelm was caused my an injury.

They are looking at a low level infection of the bone.

happymerryberries · 17/09/2005 12:42

Don't worry. No tumour, no injury, it is an infection

Original poster
lilsmum · 17/09/2005 12:42

link{http://www.nlm.nih.gov/medlineplus/ency/article/002312.htmthis

\chronic}

acute

OP posts:
spacecadet · 17/09/2005 12:43

a rotovirus is a virus which can affect lots of diff parts of the body so can cause diff symptoms, not very pleasant, most common being gastro-enteritis and flu like illness, it wouldnt have caused her foot infection.

Original poster
lilsmum · 17/09/2005 12:43

chronic

OP posts:
spacecadet · 17/09/2005 12:45

yes spot on, so your dd;s infection did not come on suddenly but is best described as being milder and slow burning.

spacecadet · 17/09/2005 12:45

it might be more persistant to get rid of thats all.

Original poster
lilsmum · 17/09/2005 12:46

info about bone infection

i just feel so alone, like no one wants to help me etc, everything they say/write/do is like some sort of puzzle, that i have to work out...sorry for annoying you all

OP posts:
spacecadet · 17/09/2005 12:47

dont be daft! have you asked the doctors to explain to you whats happening?

Original poster
lilsmum · 17/09/2005 12:48

thwy are leaving her, no treatment, feel like i am being left in the lurch...all i have is a number to phone if her foot become bad again (which they said is very likely) no follow up appointments...nothing.

OP posts:
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