Jeremiah Pavelka, MD, MPH, Emergency Physician
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Jeremiah Pavelka, MD, MPH

Emergency Physician

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About

Dr. Jeremiah Pavelka practices Emergency Medicine in Unknown City, Unknown State. 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.

Provider Details

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Jeremiah Pavelka, MD, MPH
Jeremiah Pavelka, MD, MPH's Expert Contributions
  • 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, and receive antibiotics if necessary. READ MORE

  • Broken rib

    X-ray. Go get one. READ MORE

  • Broken collarbone?

    X-ray. Go get one. READ MORE

  • 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, 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. READ MORE

  • 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 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. READ MORE

  • Incident on my private parts?

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

  • 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 department for proper evaluation. You should especially do this if you are unsure of your last tetanus shot. READ MORE

  • 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 shot I would definitely go in. READ MORE

  • 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 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. READ MORE

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