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Jeremiah Pavelka

Emergency Physician

Dr. Jeremiah Pavelka practices Emergency Medicine in Fort Worth, TX. Dr. Pavelka assesses patients who seek immediate medical attention at any time of day or night. Emergency Medicine Physicians are trained to efficiently work with each patient and situation no matter how acute or life-threatening. Dr. Pavelka examines patients, determines means of testing, diagnoses conditions, and decides the best treatment methods.
Jeremiah Pavelka
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Should I wait to see if it resolves? Or go to the ER?

You quite possibly have a urinary tract infection spreading to your kidneys. We call this pyelonephritis. I strongly advise you to go to see a provider and be tested for confirmation, READ MORE
You quite possibly have a urinary tract infection spreading to your kidneys. We call this pyelonephritis. I strongly advise you to go to see a provider and be tested for confirmation, and receive antibiotics if necessary.

Broken rib

X-ray. Go get one.

Broken collarbone?

X-ray. Go get one.

Kidney Tumor

There are two types of genes that can cause tumors, proto-oncogenes or tumor-suppressor genes. Tumors occur when a gene sequence gets inappropriately turned on or off respectively, READ MORE
There are two types of genes that can cause tumors, proto-oncogenes or tumor-suppressor genes. Tumors occur when a gene sequence gets inappropriately turned on or off respectively, thereby causing uncontrolled growth. This can occur by a number of mechanisms: damage from environmental factors such as radiation or chemicals, an error in the replication of DNA when the cell divides, even changes in diet or physical conditioning (obesity has been linked directly to several cancers). While a tumor may start as benign (little to no chance of metastasis or invasive growth), additional changes to DNA may turn off genes that were keeping it controlled or turn on genes that promote uncontrolled growth. There are some protective factors, but many of these changes are cumulative and increase over time. The older we get, the higher the chance that the right combination of errors occur.

Stomach hurting

This can be several things ranging from simple cramps, to constipation, to infection, to small bowel obstruction. History of abdominal surgery can increase the risk of problems READ MORE
This can be several things ranging from simple cramps, to constipation, to infection, to small bowel obstruction. History of abdominal surgery can increase the risk of problems later on such as adhesions. If your listed history of cysts are related to your ovaries or uterus it is also very possible you have had changes in the size or quality of them. The only way to know for sure is to have a proper evaluation which will likely include urine and blood tests, as well as imaging such as an xray, ultrasound, or CAT scan. If you are still having these symptoms (I understand the post is 4 days old) I would advise you to go to an emergency room.

Incident on my private parts?

You should go to an urgent care or emergency room for proper evaluation.

Do I need stitches?

After three days we do not tightly close wounds due to the increased risk of infection. There are some things that may be done, but you would have to go to an urgent care or emergency READ MORE
After three days we do not tightly close wounds due to the increased risk of infection. There are some things that may be done, but you would have to go to an urgent care or emergency department for proper evaluation. You should especially do this if you are unsure of your last tetanus shot.

Possible stitches?

From these photos I cannot say for sure if he needs stitches, he would have to go to an urgent care/ER for proper evaluation. If he is unsure of the last time he received a tetanus READ MORE
From these photos I cannot say for sure if he needs stitches, he would have to go to an urgent care/ER for proper evaluation. If he is unsure of the last time he received a tetanus shot I would definitely go in.

Do I have an std?

If the condom covered your urethral opening (hole at the tip) the entire time and you have no open sores/cuts/scrapes anywhere else on your penis or scrotum there is a very small READ MORE
If the condom covered your urethral opening (hole at the tip) the entire time and you have no open sores/cuts/scrapes anywhere else on your penis or scrotum there is a very small likelihood that you have contracted anything. That said, the only way to know 100% is to go get tested. Certain diseases, particularly HIV, can take up to 3 months to show up on tests. My advice, if you're that concern go get tested for just about everything else in the meantime if it will give you peace of mind. Or, you can wait and see if you develop any symptoms first. It is recommended by fancy public health organizations (USPSTF) that every adult be tested for HIV at least once in their life regardless of sexual activity. I would have this done 3 months after your erotic encounter even if you have no symptoms.