22 years old bano during prenatal checkup was found to have exaggerated signs and symptoms of pregnancy. Her lab investigations showed overtly raised serum HCG levels. Ultrasound scan revealed two amniotic sacs LEARN G OBJECTIVES Define twin pregnancy. Classify the twin pregnancy on the basis of fetal membranes. Describe the predisposing factor leading to twin pregnancy....Read More

50 years old Razia brought her youngest 4 year old son to the OPD of a tertiary care hospital with complains that the child has not yet started walking or speaking and has different facial features than rest of the family members. All other family members were normal. On examination: He appeared shorter for his...Read More

A 18 years old boy comes with history of continuous vomiting and diarrhea since 1 day His lab shows   Serum Na+ = 135 mEq/L Serum K+ = 2.0 mEq/L Serum Cl- = 97 mEq/LRead More

A female patient comes to the OPD with a complain of Menstrual irregularities ;investigation reveal disturbed hormonal profile in blood i.e LH , estrogen level dropped down, FSH and progesterone were in normal range. How will you interpret (assess) this case in terms of basics and applied anatomy, physiology and biochemistry?Read More