The Medical journal of Australia
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A case of bilateral subscapular elastfibroma dorsi in a 60-year-old woman is described. The striking clinical and pathological features of this rare benign tumour-like lesion are described and illustrated.
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The normal physiology of the third stage of labour and the effect of oxytocics at the end of the second stage have been discussed. An assessment of the results of different policies of third stage management has been made, including a comparison of the advantages and disadvantages of the traditional method versus the use of controlled cord traction. It is recommended that ergometrine (0.25 mg) be administered intravenously after delivery of the baby, and the exclusion of a second twin. Once the uterus has contracted the placenta should then be delivered by the technique of controlled cord traction.
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A case from the 19th century is described. The patient was admitted to hospital as a man but was revealed to be a woman. The woman's history is examined and the psychological implications of her impersonation are discussed. A hypothetical diagnosis of transsexualism is made.