476634?1207935033
J.M. Keyes, MD  
Female
Gainesville, FL

Specialties: Family Medicine

My Posts
Blood Test Results
May 17, 2010 in the Family / Internal Medicine Expert Forum
Hi there, I am sorry that I missed your question and have taken so long to get back to you. Atypical lymphoicytes can be seen in some kinds of cancer (eg leukemia/lymphoma), but they are also seen in various kinds of viral illness, such as Infectious mononucleosis (caused by a virus EBV), other viral and bacterial infections, and vaccination; certian drug...
Seriousness of illness check
May 17, 2010 in the Family / Internal Medicine Expert Forum
Hi there, Sorry to hear you have been feeling so ill. You do sound like you have a flu-like illness. Pepto Bismol can give you black stools, but the fact that you may be having bloody diarrhea along with coughing up blood (hemoptysis) makes me more concerned. You should see your primary care physician for an exam and you can decide together whether more i...
Prolonged nasal congestion that is no an allergy
May 01, 2010 in the Family / Internal Medicine Expert Forum
Hi Cielito, My advice would be to follow up with ENT and make sure they know that there has been no improvement. At this point, depending on her complete history and physical exam, along witht he fact she she is not getting any better, they may consider some imaging studies (CT scan for example). This may show if she does have chronic sinusitis, or maybe h...
Chest Pain
Apr 26, 2010 in the Family / Internal Medicine Expert Forum
Hi, The fact that you are young, and otherwise healthy are very good signs as far as the cause of your chest oain. also reassuring is the fact that the area is tender to touch, and painful with movement. this generally indicates that the pain is arising from the chest wall, and is musculoskeletal in origin. The most likely cause of your pain, from your de...
Stomach pain for 3 weeks
Apr 26, 2010 in the Family / Internal Medicine Expert Forum
Hi Kristen, I agree with the above member, that the most likely cause of your pain is due to biliary colic (ie gall stones getting stuck and causing pain). You should make an appointment with your doctor, who, depending on your complete history and physical exam may order an ultrasound to see if you have gall stones. If you do, surgical removal of the gall...
Muscle and tingling pain in both legs and feet since one month
Apr 11, 2010 in the Family / Internal Medicine Expert Forum
Hi Roger, I am sorry to heatr you aren't feeling well, and I am sure that your symptoms are especially frusrating when you are trying to keep up with the life of having 2 young children. The fact that all of your other blood tests, including the CK were normal is reassuring. I would follow up as suggested at the 4 week mark to have your aldolase rechcecked...
Potential lyme disease
Apr 09, 2010 in the Family / Internal Medicine Expert Forum
Hi Ben, Neurological symptoms can be a result of Lyme disease, including numbness/weakness of the limbs. I think that it is unlikely that your symptoms are due to Lyme disease, but you do need to keep an eye on it, because it is possible. Usually it takes a few weeks to develop antibodies that can be tested for, so consider asking your doctor about further...
Aspartame ?
Mar 21, 2010 in the Family / Internal Medicine Expert Forum
Hi there, There has been a lot of controversy about the safety of aspartame over the years, but generally, studies overwhelmingly show that it is safe. There are other diagnoses that could be causing your issues- such as osteoporotic fractures (which could be causing your pain and your forward lean in posture). As well, in your age group, it is important t...
4 year old with enlarged tonsil
Mar 18, 2010 in the Family / Internal Medicine Expert Forum
Hi there, From what you have told me, I would be very surprised if malignancy is a concern. It is not uncommon for children to have large tonsils, and if they are leading to complications such as ear infections (which may be the concern if she has fluid behind her drum), it may be reasonable to consider tonsillectomy. I don't know the whole story, but I th...
Enlarged Axillary Lymph Node or Muscle??
Mar 18, 2010 in the Family / Internal Medicine Expert Forum
Hi there, It could definitely be a part of your deltoid or one the heads of your triceps muscle. There are several lymph nosed in the axilla (armpit) though, so if you aren't sure you really should have it examined by your physician. If you are having any other symptoms that are unusual fo you, make sure to mention them to your physician at that time. Goo...