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Re: Finding RV fistulasFrom: Joanne Bulley, MD (jbulley@cheshire.net)Tue May 30 22:08:30 2000
At Tue, 30 May 2000, rchudacoff@mylinuxisp.com wrote: > >Try using a small lacrimal probe in the dimple and put your finger in >her rectum to see if there is a communication. If that does not >work, you can put a gauze in her rectum and inject a saline-indigo >carmine solution into the dimple, using the plastic gelco sheath of >a IV needle (20 or 22 gauge) and see if dye is on the gauze. > >Rick > >Richard Chudacoff, MD >Sugar Land, TX 77478 Rick - I love your suggestion - this has always been a problem for me - and none of my profs in residency taught any pearls nor did I learn any from my partners of 13 years. I guess I have been lucky to have not had one of these, though it has been in my differential a number of times. My friendly urolgy colleague has a mutual patient he wants me to see for the question of RV fistula - she was supposed to come in today, but fell and rescheduled - now I have a suggestion of how to look for it!!! Thanksto Dan f for posting and to Rick C for the Pearl!
-- Joanne Bulley, MD Keene, NH, USA
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