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The skin of the buttock is supplied by a number of small nerves derived ultimately from the region of the twelfth thoracic nerve to the third sacral nerve T12 to S3. A bursa is found lateral to the greater trochanter, and the strong gluteal aponeurosis over the gluteus medius muscle continues inferiorward as the iliotibial tract of the fascia lata. The superolateral quadrant of the buttock is relatively free of nerves and vessels and is frequently used for intramuscular injections in order to avoid the sciatic nerve and other important structures. An alternative site is over the gluteus medius in a triangular area bounded by the anterior superior iliac spine, the tubercle of the iliac crest, and the greater trochanter fig.
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An introduction to colposcopy: This chapter describes the indications for carrying out colposcopic examination of women, the instrumentation used for colposcopy, the basis of different colposcopic investigations and the methods of documentation of colposcopic findings. The step-by-step procedure of doing the colposcopic examination is described in the next chapter. Given the availability of a colposcope and a trained colposcopist, there are a number of indications for this examination, of which positive cervical screening tests constitute the most frequent indication for colposcopy.
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