Dr Jeffrey Kalei

Dr Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

Vaginal Septum

Types of vaginal septa Septum Description Transverse vaginal septum This is due to incomplete fusion of the mullerian duct and urogenital sinus. It presents as primary amenorrhea (”cryptomenorrhea”) due to uterine outflow obstruction – cyclical lower abdominal pain, amenorrhea, central pelvic mass…

Nephrotoxins

Nephrotoxins are substances that damage the kidney tubules directly or indirectly. Indirect damage may be due to interstitial nephritis. Examples of nephrotoxins Category Examples Nota bene Analgesics NSAIDS, aspirin and paracetamol This is often silent until advanced CKD Antibiotics Aminoglycosides,…

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