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.

Anaemia

Anaemia is defined as a decrease in red cell mass as evidenced by a haemoglobin concentration below the reference range for a given age or sex in a given population or geographic location. A haemoglobin concentration of <13g/dL in adult…

Pelvic Inflammatory Disease

Pelvic Inflammatory Disease Pelvic inflammatory disease is a subacute to chronic infectious disease that affects the upper female reproductive tract (cervix, uterus, fallopian tubes, ovaries) and/or peritoneum. The most common causative organisms are C. trachomatis and Neisseria gonorrhoeae, but most cases can be polymicrobial (involving…

Ovarian Masses

Simple ovarian cyst on ultrasound

Overview Benign mass Malignant mass Size < 8cm > 8cm Consistency Cystic Solid or mixed Solid component None Nodular, Papilary Sepatations None or single Multilocular, thick Doppler Negative Positive Laterality Unilateral Bilateral (50% of tumors) Associated Fx Calcification Ascites, Peritoneal…

Uterine Fibroids

Fibroids are benign smooth muscle neoplasms arising from myometrial cells. Usually clinically insignificant but VERY common (it is the most common benign tumour in women). Average growth is 0.5 cm Fibroids are estrogen and progesterone-sensitive (similar to endometriosis and adenomyosis).…

Endometrial Cancer

Endometrial cancer is the most common cancer of the female genital tract and the fourth most common cause of cancer overall in women. 3% of women will develop endometrial cancer in their lifetime. 75% of endometrial cancers are adenocarcinomas (arising…

Endometrial Hyperplasia

Complex endometrial hyperplasia

Endometrial hyperplasia is endometrial thickening with a proliferation of irregularly sized and shaped glands. Tends to be symptomatic in post-menopausal women. Endometrial hyperplasia in a post-menopausal woman (around 10mm) would be a normal endometrial thickness for a pre-menopausal woman in…