Which is the 1st tributary of internal jugular vein?

PRADER'S ANATOMICAL CLASSIFICATION OF VIRILIZATION. I Female external genitilia with clitoromegaly. II Clitoromegaly with partial labial fusion forming a funnel shaped urogenital sinus. III Increased phallic size with complete labioscrotal fusion forming a urogenital sinus with a single opening. IV Complete scrotal fusion with the opening of the urogenital sinus at the base of the phallus. V Normal male external genitilia.

M31. c/o Discharge from perianal region...2yrs. o/e Posterior fistula in Ano. Fistulogram.

sugarcane crush machine injuries are devastating injuries and functional reconstruction and rehabilitation is often challenging in this case a 44 ur old male presented to us there was crush injury with loss of dorsal skin and 2/3 metacarpal fracture , palmar skin was intact procedure debridement , k wire fixation of metacarpal fractures and resurfacing with a groin flap was done... follow up pictures will be posted

INDICATIONS FOR FETAL ECHOCARDIOGRAPHY : 1 ) FAMILY HISTORY OF CONGENITAL HEART DISEASE. 2 ) MATERNAL DIABETES. 3 ) MATERNAL DRUG EXPOSURE OR INFECTIONS DURING PREGNANCY. 4 ) MATERNAL SYSTEMIC LUPUS ERYTHEMATOSUS. 5 ) MATERNAL PHENYL KETONURIA. 6 ) POLYHYDRAMNIOS. 7 ) NON IMMUNE HYDROPS FETALIS... 8 ) FETAL DYSRHYTHMIAS. 9 ) FETAL EXTRA CARDIAC ABNORMALITIES. 10 ) FETAL CHROMOSOMAL ABNORMALITIES. 11 ) SYMMETRICAL INTRA UTERINE GROWTH RETARDATION.

DOL7 WITH HISTORY OF COW MILK INGESTION H/O LESION OVER FLEXURE AREA ON ADMISSION spo2 75% on air CRT =5 sec HR=200/min RR=68/min