Normal Reproduction And Baby Law

Question 1

Impotency

Answer 1

Causes
Quard - impotency to specific woman
Frigidity - can't able to arouse woman
Divorce - impotency after mrg » frigidity » impotency (null mrg)
IT IS NOT A DEFENCE OF RAPE
Test 
- papaverine injection
- pudendal arteriography
- cavernosography
- Rigi scan

Question 2

Artificial insemination

Answer 2

– When
Impotency, disease, sterile, rh incompatible, heridetry dis.
– semen 1 ml, 1 donor - 10 child

Delhi artificial insemination act

• no disclosure of name.
• regulate storage, sale and donations
• stop spreading hiv
• no segregation of XX and XY chromosome

Question 3

Surrogacy

Answer 3

Mother - close relative, no other money the medical expenses, 25-35, close relative, have atleast one child, once in her life.
Couple - indian,5yrs mrg, proven infertile
Punishment 10yrs jail + 10 lakh

Question 4

Dead born baby

Answer 4

Rigor mortis
Maceration - mimp - soft, sweetish smell, skin peeling (12hrs), blisters- red serous fluid,hypermobility of joint
Mummified
Radiology
- Robert sign = earliest sign - air in heart and great vessels
- sqaulding sign - over lapping of cranial bone
- over crowd rib, hyperflexed spine
- Duel halo sign = halo on fetal scalp

Question 5

Live Child

Answer 5

Lung - inflamed, red, 6-7th rib, soft, round margin
Fodere test - +nt air = lung wt 60 gm, -nt air = 30
Ploquet - LW/BW = 1/35 in +air, 1/70 -air
Breslaw second Life test- air in intestine
Wreden test - air in ear
Breslaw first life test - lung flot of air present

Question 6

Battle baby syndrome

Answer 6

MC characteristics finding - tear inside lips (near frenulum)
MC COD - head injury
Ix - Whole body X ray - baby skiagram
- nobbing # - string of bead type rib#
- skull - egg shell #
- metapharangeal # - buckle handle #, corner #
- butterfly bruiese - pinching

Question 7

1) Shaking baby syndrome
2) sudden infant death syndrome
3) munchausen syndrome

Answer 7

1) A/k/a infantile whiplash syndrome
- subdural haemorrhage, intra occular haemorrhage (dot and dot)
2) due to sleep apnea (crib/cot death) - negative autopsy
3) pt brought baby with fake injury for investigation and treatment

Question 8

Vargin

Answer 8

Hymen rupture
- masturbating = 11-1 position, anterolateral
- sex = 5-7 posterolateral
Posterior commissure and fourchette are normal
Narrow vagina with rugosity
Disappearing of fosa nevicularis - principal sign

Question 9

Hymenal tear

Answer 9

Asymmetric
Anywhere
Not cover in mucous membrane
Can extend to vaginal walls

Question 10

Uterus

Answer 10

Nulliparous - triangular, inner wall convex
External os - circular
Parous - round, concave, eo- transverse slit