Infertility
Overview Infertility is the inability of a couple to conceive with regular intercourse (3-4 times per week) and in the absence of contraception after 12 months in women < 35 years and 6 months in women > 35 years. Infertility…
Dr Jeffrey Kalei
Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.
Hormonal Contraceptives
Intrauterine contraception (IUDs) Levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena): may be left upto 5 years Copper T380 A IUD (Paragard T380): may be left in for up to 10 years Progestin implants Etonorgestrel subdermal implant (Implanon, Nexplanon): single-rod progestin implant, placed…
The Menstrual Cycle and Dysmenorrhoea
The Menstrual Cycle The typical menstrual cycle varies from woman to woman, as well as at various points in her life. By convention, the first day of menstrual bleeding is designated as day 1 of the menstrual cycle. The super…
Diarrhoea
Overview Diarrhoea is defined as increased volume or frequency of stool, generally of a more liquid consistency Has a number of causes. Most are idiopathic The most important first step in managing a patient with diarrhea is to assess the…
Asphyxial Death
Overview Asphyxia is a lack of oxygen or an excess of carbon dioxide in the body usually caused by interruption of breathing or insufficient oxygen supply. It stems from the greek word ‘Asphyxua’ which means ‘a lack of pulsation’. In…
Blunt and Sharp Force Trauma
Overview Trauma is bodily harm with or without structural alterations, resulting from interaction with physiochemical agents that impart energy to tissues. They may cause apparent damage (wound) or produce physiological imbalance (e.g. cardiac arrest by neural stimulation) and secondary effects…
Disaster Victim Identification (DVI) Procedures and Protocol
Definition of terms Term Definition Disaster Normal conditions of existence are disrupted and the level of suffering exceeds the capacity of the hazard-affected community to respond to it. In the context of DVI, it is an unexpected event causing the…
Exhumation
Exhumation is the lawful disinterment of a buried body from its grave. Magistrates can order for exhumation and subsequent examination of the dead body. There is no limit fixed for disinterment in Kenya.
Estimation of Time of Death
Overview The determination of the time of death or post-mortem interval (time elapsed since death) is important in criminal and civil situations as it can tell us when a crime was committed. Unfortunately, all of the methods being currently used…
Pharyngeal Apparatus, Face and Neck
