Sexual problems suggestive of dysfunction, as suggested by FSFI total and domain scores, are highly prevalent in the clinic setting, particularly among women above 40 and those less educated, but confirmation using locally validated cut-off scores of the FSFI is needed.
Limitation of mouth opening is an important sign of temporomandibular disorders. It is usually measured linearly from the incisal edge of the maxillary incisors to the incisal edge of the mandibular incisors. This measurement has been queried. A new measure of mouth opening, the opening index is suggested. It was shown that the mean opening index differs for groups of patients with a myogenous or arthrogenous temporomandibular joint problem.
We report a case of an 80-year-old man who presented with a right inguinal hernia that appeared incarcerated. On exploration a sausage shaped mass was found in the sac, which was debulked and histologically shown to be a well differentiated malignant peritoneal mesothelioma. Rare tumours may present as inguinal hernias and palliative debulking may be effective when they present in inguinal hernia sacs.
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