Dr. William T Durkin M.D.
Emergency Physician3101 N. Hampton Dr. 505 Alexandria VA, 22302
Dr. William Durkin practices Emergency Medicine in Alexandria, VA. Dr. Durkin 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. Durkin examines patients, determines means of testing, diagnoses conditions, and decides the best treatment methods.
Emergency MedicineAmerican Board of Emergency MedicineABEM
Dr. William T Durkin M.D.'s Expert Contributions
Your neighbor should have immediately gone to an ER to be evaliated, including a head CT scan. A seizure after any kind of head trauma is indicative of brain injury and needs immediate evaluation and treatment. If someone does have a seizure disorder, they are started on a daily medication regimen to control them. They are usually under the treatment of a neurologist who can manage the problem. READ MORE
This is an interesting predicament. I would consult with the hospital attorney for their opinion. Looks as though the prognosis is dismal. Should she be successfully resuscitated, what is the future for her? Does a patient have the right to choose to end their life when there is no hope for a cure? Will they be a financial burden to their family? Is/will she be suffering pain? Tough situation. Personally, I would lean to honoring her wishes and not resuscitating her. However, many overdose patients do not require resuscitation, but merely supportive care until the drug wears off. I would be inclined to give the supportive care and not resuscitate her should she suddenly code. READ MORE
Sometimes. If the organism causing the infection is resistant or only slightly sensitive to the antibiotic prescribed, then it will recur soon. Getting a culture of the urine along with antibiotic sensitivities will be the best course in this case. If the antibiotic is appropriate given the culture/sensitivity of the bacteria, one should consider other reasons for the recurrence. READ MORE
If there is blood in the stool, recent foreign travel, then you should go. Otherwise, try the usual remedies and be sure to drink fluids. Dry toast, rice, bananas, dry shredded wheat, metamucil will help to decrease the frequency of your stool and make them less liquid. If you are having 4-5 stools/day, feel lightheaded, then you should also be seen. READ MORE
Pinch both nostrils shut, tilt his head back for about 10". IF he is still bleeding at that time, he should be seen by a doctor. If he is on aspirin or "blood thinners," then he may be more prone to nosebleeds. Also, an elevated blood pressure can also cause someone to have a nose bleed. Humidifying the air in his room, especially at night if the heat is on, can also help prevent the nose bleeds. READ MORE
The ER will give you any pain meds that they think to be appropriate for your condition. More important is to determine what is causing your pain. If the pain is chronic, they may refer you to a pain management specialist. Understand that most ED's do not give narcotics for chronic pain. READ MORE
Yes, you can. The doctor will advise you of the risks of leaving against medical advice. You need to sign a release acknowledging that you have been advised to stay but elect to leave against the advice of the treating physician. READ MORE
There are "morning after" pills available at any pharmacy. Follow the directions. You can also call your doctor and have them prescribe something for you. The best way to prevent pregnancy is to be on some form of contraception. Consult your gynecologist to discuss the best options for you! READ MORE
Yes. It is important to distinguish between a dislocated knee and a dislocated knee cap (patella). A dislocated patella can be relocated in the field. A follow up exam is advisable. A dislocated knee is a true emergency as the likelihood of a vascular injury is quite high. READ MORE
The best way to get her treated is to have her seen by a nephrologist, a kidney specialist. IF she becomes short of breath, light headed or having chest pains, bring her to the nearest ER to have her evaluated. READ MORE
Probably the best thing to do is to carry around a bottle of water or a Gatorade type of drink and drink throughout the day. Usually a liter/day is about right, more if you are outside in warmer weather. A crude gauge of your hydration status is to look at your urine. It should be clear in color. If it is dark yellow, drink more. READ MORE
Try washing it out with warm water or place a warm, moist washcloth over the eye for a few minutes. Once the eye is open, she should see a doctor for a more complete evaluation. An urgent care is fine unless she had trauma to the eye itself. READ MORE
By newborn, I am assuming the child is 60 days old or less. If that is the case, take them to the ER for an evaluation. Before you go, give the child the appropriate dose of Tylenol or Advil. Dose will be on the bottle. READ MORE
It is possible. The in patient beds may be full or there are no psychiatric beds in your area and they are waiting for one to open. This is not the best situation but, unfortunately, one that is becoming common in many areas. READ MORE
Pinch the nostrils closed, tilt your head back. Do this for about 5-10 minutes. If the bleeding persists, seek medical attention. READ MORE
From what you describe, it would be prudent to go to the ER when this happens. It could be due to an electrolyte disorder, low blood sugar, dehydration or other, more serious, issues. READ MORE
Yes, it could be that or other things. You need to go see a physician and have them evaluate you. READ MORE
She should carry some type of sugary substance with her for just such an event. If at home, orange juice would be appropriate. For when she is out and about, try getting a package of the sugary gels that bike riders use. That or a piece of candy will work. If this is a regular occurrence, you need to discuss this with her doctor. READ MORE
Maybe. Apply pressure to the area. The head and face are highly vascular and, therefore, bleed easily. If there is a cut (laceration) he should go to an urgent care or ER to have it repaired. READ MORE
Yes. Urgent care clinics are there for these types of problems. READ MORE
Dr. William T Durkin M.D.'s Practice location
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What is lightheadedness?Lightheadedness or feeling faint may not always be a cause for concern. However, it may also indicate an underlying health problem and can increase the risk of falling and fall-related injuries. If you feel lightheaded, drink water or fluids containing electrolytes and take...
- What Is Epistaxis?
What is epistaxis?Epistaxis or commonly called a nosebleed is defined as a type of bleeding that occurs from the nostrils, the nasal cavity, or the nasopharynx. Nosebleeds are mostly caused by the rupture of blood vessels inside the nose. Bleeding may be spontaneous or caused by injuries or trauma....
- What Causes Dehydration?
Humans have approximately 60 percent of water in the body. Even if 1.5-2 percent of that water is lost, mild dehydration will start, which can lead to severe dehydration requiring immediate medical attention. Because your mood, energy level, and coordination deteriorate with the loss of body fluids,...
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Introduction A GI cocktail or gastrointestinal cocktail is a mixture of liquid antacid, viscous lidocaine, and an anticholinergic agent. A GI cocktail is primarily used to treat dyspepsia.There are a wide variety of GI cocktail recipes nowadays. One popular recipe is a mixture of viscous lidocaine,...
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Introduction Chikungunya is a viral infection that is transmitted by mosquitoes. The chikungunya virus causes a sudden onset of fever along with severe joint pain. The illness is not considered as contagious, but in rare instances, the virus can get transmitted through contact with a person's...
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