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obstretics pharynx adenoids tonsils nasopharynx vision visual defects scotoma visual pathway hemianopia optic nerve optic pathway optic tract sperm sexual dysfuction reproduction fertilization infertile baby ovum endometrial cancer endometrium uterus uterine cancer hyperplasia pain in abdomen gi tract pain intestine abdomen pain abdomen gastrointestinal clinical approach to abdomen acute abdomen approach tonsillitis membrane sore throat throat fibroid infertility retrorenal perinephric gerotas perirenal aorta superior vena cava retroperitoneal tumor community health neonatal childhood integrated national health paediatric management hiv aids prevention preventive medicine art anti retroviral male male infertility spermatogenesis gynaecology causes of infertility disorders of sperm formation labor abnormal labour presentations breech lie normal labour mechanism of labor foetus kidney retroperitoneum renal fascia fascial planes retromesentric