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Place yourindex finger in the vaginal opening and yourthumb on the labia majora.With a gentlepinching motion, palpate from the inferiorportion of the posterior labia majora to theanterior portion.

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(Reprinted with permission from Rubin E,Gorstein F,Rubin R,Schwarting R,Strayer D.Rubin's Pathology, Clinicopathologic Foundations of Medicine, 4th ed. Manyconsultants and trainees have concerns about the reduction in allowable work hourssuggesting that it will compromise the training of competent neurosurgeons, whichis weighed against the argument of the possibility of reduced patient safety becauseof overtired surgeons (Neurosurgery residents oppose restrictions on work hours2011). This image was obtained in the contact mode in whichthe sharpscanningtip "bumps" up and down as it is moved backand forthover the surface of the sample.

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Wang H et al (2011) A small-molecule inhibitor of MDMX activates p53 and induces apop-tosis. CRP was at 345 mg/l and blood cultures showed growth of Escherichia coli. There is no history of fever, arthralgia, mouth ulcer, etc.