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April 6, 1994

Situs Inversus due to Canadian Medical System? No: Bashful Author Covered Belly Button-Reply

Author Affiliations

McGill University Montreal, Quebec
McMaster University Hamilton, Ontario

JAMA. 1994;271(13):984. doi:10.1001/jama.1994.03510370036027

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In Reply.  —We thank Dr Platt for taking the time to read our article carefully and comment on Fig 3.We agree that many of our Canadian colleagues may feel they have to "stand on their heads" to juggle the conflicting demands they are currently facing within the "vaunted" Canadian medical system. Nonetheless, we believe that only simple improvements to Fig 3 are necessary to allow physicians to remain on their feet while they percuss for splenomegaly. The problem with Fig 3 is that the belly button of the patient, which should be found at the lower right margin, was not in the original picture. This important landmark would clearly indicate that the patient is lying on his right side with his left arm falling over the chest wall. Accordingly, the left costal margin runs from the top of this arm to point A in the Figure.Regarding Dr Platt's

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