Benign Epithelial Lesions of the Vulva

Benign Epithelial Lesions of the Vulva Disorder Features Management Lichen simplex chronicus Thickened, discolored epithelium caused by chronic scratching. Leathery appearance. Medium-potency corticosteroid (Betamethasone) Lichen sclerosis Symmetric thinning of labial skin (cigarette paper or parchment-like), distortion of normal anatomy and/or…

Urinary Incontinence

Urinary incontinence is the involuntary leakage of urine from the bladder. It affects 4 – 5% of the population and is more common in elderly women. Function of receptors in the urinary system Receptor Function Muscarinic receptor (M) Contracts detrusor muscles…

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 is not the same…

Contraception

Contraception refers to the methods or devices used to prevent pregnancy. It is also known as birth control or family planning. About 50% of pregnancies are unplanned. No contraception is 100% effective at preventing pregnancy. Gillick competency (Fraser Guidelines) is used to prescribe…

The Menstrual Cycle

The Menstrual Cycle The menstrual cycle is a monthly hormonal and physiological process where the body is prepared for potential changes. It involves a coordinated interplay of hormones and negative and positive feedback loops involving the ovaries and uterus, regulated by the hypothalamic-pituitary-ovarian axis.…

Diarrhoea

Diarrhoea is an increased volume or frequency of stool, which has a liquid consistency (enough to fit in a container) WHO defines diarrhoea as; It has several causes and is the second leading cause of death in children < 5 years old. Dysentery is…

Firearms and Firearm Identification

Firearm Injuries Firearm injuries occur when someone is shot by a bullet or projectile from a firearm. Injury varies and largely depends on anatomical location and ballistics. The mode of injury depends on the shape, velocity and possible deformation or…

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…

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