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could it be "right minor fissure"?

Posted By: mp on 2009-04-30
In Reply to: s/l "right narrow fissure" on chest x-ray? - abby

Subject: could it be "right minor fissure"?




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s/l "right narrow fissure" on chest x-ray?
Subject: s/l "right narrow fissure" on chest x-ray?

Chest x-ray showed a small amount of fluid in the right s/l "narrow fissure"???


Anyone know of this??


Thanks,


 


Abby


I just wasn't sure if there was a "right" way..
Subject: I just wasn't sure if there was a "right" way..

nm
Does this sound "right" sm
Subject: Does this sound "right" sm

Will check BMP to recheck sodium. I think this was s/l falsely (or could be possibly) low due to her glucose of 280.

Is anyone familiar with this? Is it possible for sodium to be falsely low in the context of high glucose?

Thanks..
Hi, Carol; I am glad you got the "right" help....sm
Subject: Hi, Carol; I am glad you got the "right" help....sm

You know, I have been doing this since 1983, hospital, clinic, in-house, nationals,etc., and I was not trying to say that it was impossible, only that I had not personally heard it, I just thought if you could double-listen, because being an Operative MT especially these last few years, I had PERSONALLY never come across that, even in lower extremity surgery with elderly patients, but I was not saying you were wrong. I am really disappointed, because it seems like some MTs here are treating this board as a personal challenge or contest, who can get the best answer first, and I am the first to know my own limitations, I just share what I PERSONBALLY know. Some (minority) like to criticize other people's answers. If you know better, that is great because you can really help the questioning MT. Why be rude when someone posts and states that they are trying to be helpful? Wow, talk about egos.
maybe "right more than left" edema??
Subject: maybe "right more than left" edema??


2 minor scars? nm
Subject: 2 minor scars? nm

s
QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint


posted wrong. I mean "right side" isn't close.
Subject: posted wrong. I mean "right side" isn't close.

again, could this be "isolated"???
Maybe local and IV anesthesia? It's usually something minor
Subject: Maybe local and IV anesthesia? It's usually something minor

s
on EKG would they say rate 55, s/l APCs? minor
Subject: on EKG would they say rate 55, s/l APCs? minor

T-wave inversions? in the anterior leads?
Are you sure you're hearing minor? - sm
Subject: Are you sure you're hearing minor? - sm

Could he be saying reveals malalignment? 
Possibly thalassemia minor. You're welcome! nm
Subject: Possibly thalassemia minor. You're welcome! nm

s
Ok - "mild or minor" joint arthritis
Subject: Ok - "mild or minor" joint arthritis


Yes, I'm sure he's saying fissure..
Subject: Yes, I'm sure he's saying fissure..

I just don't understand the fissurectomy.  He is a clear speaking doctor so there's really no trouble hearing what he says. 
minor tension headaches without migraine *quadromata*???? thanks. nm
Subject: minor tension headaches without migraine *quadromata*???? thanks. nm

nm
pleural thickening is noted along the minor s/l "fissure" on the right???
Subject: pleural thickening is noted along the minor s/l "fissure" on the right???


sylvian fissure
Subject: sylvian fissure

left posterior sylvian fissure?
palpebral fissure - nm
Subject: palpebral fissure - nm

xx
anal fissure help-
Subject: anal fissure help-

Does anyone know what is sprayed in the buttocks to reveal a posterior midline fissure?  S/L gentle
Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!

Why didn't I remember that?  Thanks so much.  It's late and my brain is not working this evening. 
fissure or fistula
Subject: fissure or fistula

I'm a little confused, the doctor dictates "He is at a point where he is disabled by the anal fissure pain, and I have recommended surgery in terms of an anal fissurectomy and lateral internal sphincterotomy.


There is no such thing as an anal fissurectomy but I swear that is what he is saying, and I would think it would be a fistulectomy but through the whole dictation it sounds like he is saying fissure.  I am a little confused with this.  Any ideas or help would be greatly appreciated.  Thanks. 


fissure is correct. sm
Subject: fissure is correct. sm

FLASH]


University of Miami School of Medicine, Department of Radiology ...


File Format: Shockwave Flash
Obstruction of right upper lobe bronchus is noted with the right upper lobe ... pleural calcifications, pleural thickening , and thickened minor fissure ...
https://www.med.miami.edu/presentation/radiology_edu/Rad4.swf - Similar pages


  • Vanishing pleural fluid collections in cardiac failure simulating ...


    commonly in the right minor fissure. (over 75% of reported cases) and less ... A notch is noted between the fluid collections in the major and minor ... thickened due to fluid collection. (c) Ultrasound demonstrates a large oval ...
    www.blackwell-synergy.com/doi/pdf/10.1111/j.1440-1673.1994.tb00143.x - Similar pages
    by WFCVAN GELDEREN - 1994 - Related articles


  • Korean Journal of Radiology


    The right minor fissure shows mild nodular thickening on the ... Multifocal pleural thickening was also noted in the remaining areas (not illustrated). ...
    www.kjronline.org/view_articletext.asp?year=2005&page=94 - 45k - Cached

  • "trans-sphincterotomy" for fissure?

    The patient is scheduled for a lateral "trans" sphincterotomy for chronic fissure.


     


    I cannot find any reference to "trans-" or "trans" infront of sphincterotomy.  Help!!! TIA


    Thanks so much! So that would be a posterior sylvian fissure?
    Subject: Thanks so much! So that would be a posterior sylvian fissure?

    x
    CT angiogram - s/l "left poster silving fissure"
    Subject: CT angiogram - s/l "left poster silving fissure"

    x


    Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
    Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks


    PET SCAN 03/08/08:  Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe.  This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved. 


    Moderate heard more than minor. If they're planning work down the road, probably moderate. nm
    Subject: Moderate heard more than minor. If they're planning work down the road, probably moderate. nm

    s
    orbital fascia? orbital fissure? nm
    Subject: orbital fascia? orbital fissure? nm