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Doctor insights on: Anatomical Position

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Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal, exception of positional leaning to the left. explain?

Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal,  exception of positional leaning to the left. explain?

Ok: So, you initially had fractures in an area of the spine knows as the pars interarticularis, consolidation suggests they have now healed. The alingnment if the spine when viewed from the back is normal. I would not hesitate to go through your study with the person that ordered it as well. ...Read more

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What's the correct projection and position for a posteroanterior erect chest radiograph?

What's the correct projection and position for a posteroanterior erect chest radiograph?

Posterioranterior: Posterior anterior refers to entrance of xray beam posteriorly and exit anteriorly (PA). With anterior chest facing casette and proper distance of tube from patient, the least magnification of heart shadow occurs. Misinterpretation of enlarged heart is less likely to occur. Patient is standing for examination. ...Read more

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What is transverse fetal position?

What is transverse fetal position?

Transverse is that: A transverse fetal position is just that, baby is sideways in the womb. Sometimes the wall of the uterus has a fibroid or the shape of the chamber is more like a heart than an egg, with a ridged outgrowth that prevents baby from assuming a head or bottom down position. This transverse position will interfere with a normal delivery & generally lead ti a c-section. ...Read more

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24 f, uterus measures 7.45 x 8.8 x 3.42cm. It is ante-verted flexed position and echogenic pattern. Uterus size increased in 1year. What's this mean?

24 f, uterus measures 7.45 x 8.8 x 3.42cm. It is ante-verted  flexed position and echogenic pattern. Uterus size increased in 1year. What's this mean?

Uterus: The two main things that come to mind are early fibroids and adenomyosis. A nonspecific enlargement of the uterus outside of pregnancy is often times seen in adenomyosis. Though I have to tell you, the measurements you are giving here are fairly normal uterine size. It could also be the technique used to measure and not a true enlargement. ...Read more

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"The bone scan confirmed asymmetric SI joints; however, is likely related to a transitional lumbosacral anatomy at the L5 on the left side." Meaning?

"The bone scan confirmed asymmetric SI joints; however, is likely related to a transitional lumbosacral anatomy at the L5 on the left side." Meaning?

Transitional: Some people have a transitional vertebral body at S1 which appears exactly the same as a lumbar verterbral body. This sometimes can result in asymmetric SI joints, but it is an incidental finding ...Read more

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Neck X-ray what does is mean findings open mouth view is limited by overlying bony structures no fractures or subluxation cervical spine straightening?

Neck X-ray what does is mean findings open mouth view is limited by overlying bony structures no fractures or subluxation cervical spine straightening?

The open mouth view-: -is 2 visualize the C1-C2 articulation. Overlying bony structures means either U did not open wide or the technician did not aim the column properly. If there was a concern, it would have been repeated. Otherwise it's normal. ...Read more

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When is the trendelenburg position used ?

When is the trendelenburg position used ?

Low blood pressure: Trendelenburg position helps increase blood flow back towards the heart. In situations where you have low blood pressure from lets say, loss of blood, the position increases flow back towards the core of our body so that whatever blood you have left can be distributed to more critical organs (brain ). ...Read more

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What does it mean neck X-ray report. No fractures or subluxation visualized. Cervical spine straightening. No PREVERTEBRAL soft tissue swelling. Open mouth view is limited by overlying bony structures. ?

What does it mean neck X-ray report. No fractures or subluxation visualized. Cervical spine straightening. No PREVERTEBRAL soft tissue swelling. Open mouth view is limited by overlying bony structures. ?

Cervical: Sounds like an entirely normal X-ray. All cervical spines straighten out in cray or MRI done supine. Alternatively could be indication of some cervical muscle spasm causing splinting and thus straightening of the spine. ...Read more

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I'm considering tmj disc repositioning surgery. Is there difference between suturing and screwing ligaments to fossa when fixing disc in right place?

I'm considering tmj disc repositioning surgery. Is there difference between suturing and screwing ligaments to fossa when fixing disc in right place?

TMJ Surgery: Good day; Before having TMJ repositioning surgery, consult with a super TMJ diagnostitician who limits his practice to diagnosis and non surgical treatment of TMJ. Rare that surgery is necessary in giving patient permanent comfort. ...Read more

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Does elevation (like sitting, standing, flying) affect vp shunt pressure or the relation between distal and proximater tube (lying flat vs upright)?

Does elevation (like sitting, standing, flying) affect vp shunt pressure or the relation between distal and proximater tube (lying flat vs upright)?

Minimally: The elevation may be a few centimeters of water pressure and unlikely to be significant. The tube usually has adequate length to avoid tension with stretching out with extension of the body. ...Read more

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What is the correct position of the hand & wrist for casting of a trapezoid fracture/break? Natural, straight, relaxed position?

What is the correct position of the hand & wrist for casting of a trapezoid fracture/break? Natural, straight, relaxed position?

Neutral: I would place a patient in a short arm cast with the wrist in neutral or slight extension. This is a very rare fracture. If I can be of help, join my care team at www.healthtap.com/dr-clarkeholmes ...Read more

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Lateral views limited do to overlap w/shoulders c6/7 & c7/t1 suboptimally visualized. Straigtenein of lordotic curv of cerv spine?

Lateral views limited do to overlap w/shoulders c6/7 & c7/t1 suboptimally visualized. Straigtenein of lordotic curv of cerv spine?

Non-diagnostic spine: These are "non-diagnostic" results if those levels of your cervical spine were not visualized. You will need to discuss with your physician whether a different imaging option is advisable in your work-up, depending on what you were being evaluated for. ...Read more

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Are cleft lips/palates discovered/diagnosed during an anatomy scan?

Are cleft lips/palates discovered/diagnosed during an anatomy scan?

At birth: Cleft lip and/or cleft palate is visible at birth, and will be noted by the pediatrcian who examines the newborn. There is a rare anatomic anomaly called a submucous cleft, where the palatal bone does not fuse, but the overlying tissue looks normal, that is discoverable by palpation and x-ray. ...Read more

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What does gravitional line traverses 2 mm anterior to the sacral promontory mean?

What does gravitional line traverses 2 mm anterior to the sacral promontory mean?

Not medical lingo: Are you sure you have the spelling right. I don't know of any gravitaitonal lines in front of the sacral promontory. Please review your report. This could be typographic error. I see this often due to spell checker errors. ...Read more

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For ppl w/vp shunts, is pressure affected by altitudes/height/elevation or the relation between distal and proximater tube (lying flat vs upright)?

For ppl w/vp shunts, is pressure affected by altitudes/height/elevation or the relation between distal and proximater tube (lying flat vs upright)?

ICP: There is no effect of altitude on intracranial pressure in patients with vps while climbing or flying and no effect with changing of position based on something called auto regulation. Similarly valves in shunts prevent fluid to go back into the cranial cavity. The only things that could affect the pressure are if the flow is to high (low pressure) of if the flow is too low (high pressure). ...Read more