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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Trouble Spelling And Pronouncing Easy Words?

i do not have the money to pay. my ex husband who is 61 had a itch on back on knee which is swollen his ankles looked swollen o me the other day as well as purplish. He scratched itch behind knee once and blood did not run down leg (like a shaving nick) it squirted OUT SPRAYED he said ALOT. He is not an alarmist and will play it down to the max. He has a pre existing heart condition and has been limping (only one side that has been bothering him off and on with being swollwen or pain (left) He also has been having trouble spelling and pronouncing words that he should not have trouble with (mini strokes?? I think. ) He is scaring me with his refusal of dr.
Tue, 27 Dec 2016
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Neurologist,  's  Response
Hello!

Welcome on HCM!

Regarding your concern, I would explain that the swollen ankles can be related to inflammation or fluid retention (possible caused by heart failure).

From the other hand the troubles with spelling and pronunciation could be caused by stroke or any other disorders (including low blood pressure, dementia, etc.).

Coming to this point, considering the fact that he is a heart patient, I would recommend consulting with his doctor for a physical check up and some tests:

- a resting ECG and cardiac ultrasound
- liver and kidney function tests
- complete blood count
- PCR, sedimentation rate for inflammation
- a chest X ray study
- a brain CT scan or MRI.

You should discuss with his doctor on the above issues.

Hope to have been helpful!

Best wishes, Dr. Aida
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What Causes Trouble Spelling And Pronouncing Easy Words?

Hello! Welcome on HCM! Regarding your concern, I would explain that the swollen ankles can be related to inflammation or fluid retention (possible caused by heart failure). From the other hand the troubles with spelling and pronunciation could be caused by stroke or any other disorders (including low blood pressure, dementia, etc.). Coming to this point, considering the fact that he is a heart patient, I would recommend consulting with his doctor for a physical check up and some tests: - a resting ECG and cardiac ultrasound - liver and kidney function tests - complete blood count - PCR, sedimentation rate for inflammation - a chest X ray study - a brain CT scan or MRI. You should discuss with his doctor on the above issues. Hope to have been helpful! Best wishes, Dr. Aida