Components of levator ani muscle?

42 year old lady with a fungating breast lesion X 5 months duration. Extensive matted LN in right Axillary and Lymphedema in the right UL. Supraclav LN present as well. IDC - grade 3. TNBC. Metastasis to lungs, liver. Let's discuss the management. It is sad to see such advanced cases.

A 46 year old woman presents with complaints of heart palpitations which begun few months back, but have more frequent recently. She is also feeling extremely anxious, sometimes for no reason at all and is concerned that she may be having hot flashes of menopause because she feels he and begins sweating even when no one else there feels hot. she has lost nearly 9kg in the last 2 months even without any major change in diet or exercise. O/E fine tremor of the extended hands

42 year old lady underwent surgery for breast cancer and she was unable to pass urine in the post op period and she required catheterisation. Greenish urine came out after catheterisation. Let's see who can guess the cause for this kind of urine after breast surgery

36 year old lady came to me after a screening mammogram which she got done herself because her sister (39 years) was recently diagnosed with breast cancer. O/e - 1*1 cm lump was palpable in the right breast at 11 o clock. No other lump or enlarged LN. No nipple discharge. Points for discussion: 1. Discuss mammogram findings 2. Would you order a MRI for this patient

65 year old diabetic lady with a lesion over the nipple since the last 3 months. She claims it developed after a trivial trauma. Underlying retroareolar lump present measuring 2*1 cm. USG revealed a hypoechoic lump in the retroareolar region. Punch biopsy from the nipple taken. Share your views regarding the case