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Doctor insights on: Sternal Angle

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Is acute angle closure glaucoma painful?

Is acute angle closure glaucoma painful?

Very painful: Acute angle closure glaucoma is a painful and potentially blinding disease, that is responsible for about 10% of all glaucomas. It is caused by the iris (color of the eye) blocking the drain on the inside of the eyeball. This leads to sudden and severe pressure elevation, with ensuing pain and cloudy vision. If not treated promptly, it will result in permanent blindness. ...Read more

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Creeping angle closure glaucoma?

Creeping angle closure glaucoma?

Creeping?: Not sure what creeping means? But suspect you are referring to narrowing of the angles to the point where you are are at risk for angle closure which leads to glaucoma. ...Read more

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Could sinus congestion cause narrow angle closure glaucoma?

Could sinus congestion cause narrow angle closure glaucoma?

Sinus congestion: Will not cause angle glaucoma. In patients who have narrow anterior chamber angles (which would be diagnosed by an ophthalmologist), taking medications to treat a sinus infection could lead to an angle closure glaucoma attack. If you have narrow angles, you should avoid decongestants and anti-histamines until you are told by your ophthalmologist that it's ok to use them. ...Read more

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Right sterno sticks out/clicks, right shldr blade clicks, ribs sore, Thoracic O.S symptoms/neuropathy.Esoph spasms, always swallowing air.All related?

Right sterno sticks out/clicks, right shldr blade clicks, ribs sore, Thoracic O.S symptoms/neuropathy.Esoph spasms, always swallowing air.All related?

Can B but not direct: Your right sternum and shoulder blade, rib complex can be related musculoskeletally to create the clicking action. The thoracic outlet syndrome with neuropathy is usually a lower extremity (arm/neck) issue. Esophageal spasm can occur from vagal nerve roots, and/or cervical ganglion issues. So, taking advil or ibuprofen can cause gastritis, and spasms. ...Read more

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What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

Common MRI : It means that your kneecap sits slightly off to the side on the end of the thigh bone( trochlea) @ 90degrees of bend. ( flexion), and your 'groove' ( trochlea) is slightly shallow on your femur. Very common radiologic ' diagnosis' , seen most commonly in patients w/ 'mild' patellar instability or ' kneecap' pain. See your ORS for significance . Best of Luck! ...Read more

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Pleural bassed nodule at posterior aspect os mid cephalad right lower lobe of lung 7 x 4 mm. Also linear atelectasis within right midlung. Age 73?

Pleural bassed nodule at posterior aspect os mid cephalad right lower lobe of lung 7 x 4 mm. Also linear atelectasis within right midlung. Age 73?

Follow up of nodule: The linear atelectasis is nothing to worry about. The pleural based nodule sounds like a potentially benign nodule. Surveillance of a nodule of this size, however, is frequently recommended, particularly if you have a smoking history. Please sure to talk to your doctor for the appropriate steps. ...Read more

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What is a "sharp costophrenic angles" on chest xray?

What is a  "sharp costophrenic angles" on chest xray?

Castophrenic angles: Castophrenic angle is the angle between the lung and the diaphragm. It is a normal anatomical finding. Fluid collection in pleural cavity may obliterate the angle. ...Read more

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Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

See hepatologist: Arterial enhancement means that the area is dependent of arterial blood, usually meaning some type of inflammation or malignancy. Retraction means that the capsule of the liver is indented, concerning for scarring or cancer. With a definable mass, this would be concerning and necessitate a liver biopsy or repeat scan in a few months. See a liver specialist. ...Read more

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Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more

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Define narrow angle glaucoma?

Define narrow angle glaucoma?

Narrow angle highiop: Narrow angle glaucoma is a condition where the eye pressure is elevated due to mechanical blockage of the trabecular meshwork by the peripheral iris. ...Read more

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Right clavicle pain and septal ischemia connected?

Right clavicle pain and septal ischemia connected?

Not typically : Most subjective findings of angina relate to left-sided chest symptoms (more typical), though on rare cases right-sided chest symptoms might be present. The specific location of the symptoms cannot be correlated to the site of myocardial ischemia however. ...Read more

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I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

Hard to say: Certainly these are serious injuries, but they likely do not need surgical fixation - depends on the displacement. Unfortunately, a patient with these fractures will need to be immobilized for a few weeks in order to facilitate proper healing. ...Read more

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Can you put in layman's terms please? midline meningioma approx 3.3 x 2.8 cm in transverse and AP dimensions which abuts sagittal sinus along vertex

Can you put in layman's terms please? midline meningioma approx 3.3 x 2.8 cm in transverse and AP dimensions which abuts sagittal sinus along vertex

Tumor on brain: It's round, a little more than an inch across and it sitting as such tumors often do next to the big tube that carries blood from the top of your brain back to your body. I'm hoping it will be easy to remove. Best wishes. If there is some other way we can help, please let us know ...Read more

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Moving torso/lifting objects/etc causes sting/stab/burn pain on left side sternum. Breathing doesn't exacerbate. Costochondritis or intercostal pull?

Moving torso/lifting objects/etc causes sting/stab/burn pain on left side sternum. Breathing doesn't exacerbate. Costochondritis or intercostal pull?

Costochondral Injury: Teenage male with left parasternal pain aroused by mechanical stress of this region might have injury to junction where cartilaginous extension of rib joins sternum. Localized pain elicited by palpation of this junction is expected and is diagnostic. Heat, rest, avoidence of strenuous lifting, pushing, ; pulling should be accompanied by resolution in 2-3 weeks. If symptoms not resolve see doctor. ...Read more

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12 rib bearing thoracic vertebrae w vestigial bilateral twelth ribs. Mild scoliosis convex left t2-3. Minim t7 vertebral ant wedging? Meaning?

It does NOT: Appear to be indicating there is too much to worry about. The first sentence in your question is a normal finding. Mild scoliosis, is nothing to worry about, given there is less chance of it progressing since you are done growing. T7 wedging may represent a normal finding -- possibly a congenital osteodystrophy, which lead to the vertebra not appearing like a cube. See a spine specialist. ...Read more

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Thickened pluera 4.2mm along left posterolateral chest wall which is Small loculated with internal septation in left cp angle n not asprable?

Thickened pluera 4.2mm along left posterolateral chest wall which is  Small loculated with internal septation in left cp angle n not asprable?

PLEURAL THICKENING: Pleural thickening needs further evaluation. You need an exam, labs and 3 AM SPUTUM samples for culture and sensitivity, Fungal Smear and culture. AFB smear and Culture(TB SCREEN). Also a Pulmonary consult with potential Bronchoscopy. ...Read more