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BREECH DELIVERY 
FIRST STAGE OF LABOUR: VAGINAL 
 BREECH AT TERM 
 involves a longitudinal lie of the fetus, 
 with the buttocks in the lower pole of the maternal uterus. 
 The presenting diameter is the bitrochanteric (10 cm) and the 
denominator is the sacrum. 
 As pregnancy progresses, the incidence of breech presentation 
reduces: being around 15% at 28–32 weeks to around 3–4% by 
term as a result of spontaneous version (MIDIRS 2008b). 
 It is worth considering, th...
BRANCHES OF PATHOLOGY 
 & DEFINITIONS OF TERMS. 
 Dr. Mwale 
 There are two main branches of pathology: 
 1) General pathology: Focuses on the fundamental cellular 
and tissue responses to pathological stimuli. Eg 
 inflammation, tumours or degenerations. 
 2) Systemic pathology: The descriptions of specific diseases 
as they affect individual organs or organ systems eg 
 appendicitis, lung cancer and atheroma. 
Subdivisions of pathology 
 Gross pathology: aka macroscopic pathology, 
...
Function and external structural organization 
 2 
 Comprises the midbrain, pons and medulla. 
 Functions 
1. Control of respiration 
 2. Control of the cardiovascular system 
 3. Partial control of gastrointestinal function 
 4. Control of many stereotyped movements of the 
 body 
 5. Control of equilibrium 
 6. Control of eye movements 
 7. Conduit for fibers from higher centers 
 9/26/2024 
 A.N Malik, Department of Human Anatomy, JKUAT. 
Ventral view of the brain stem, in relation to cerebr...
BLT4A Fundamentals of Taxation Exam 
2024/2025 Latest Test Questions With Verified 
Solutions 
 
 
 
 
Power of taxation is legislative in nature. Therefore, the power 
to tax may not be delegated, except 
 
a. To local government units or political subdivisions. 
b. None of the above. 
c. When allowed by the Constitution. 
d. When delegation relates merely to administrative 
implementation that may call for some degree of discretionary 
powers under a set of sufficient standa...
Blood: Its Composition and Function 
The blood in our circulatory system is a watery based fluid and consists of two basic components: 
1) Plasma (55%) and, 
2) Formed elements (45%) 
Part A: Plasma 
 The Plasma is the light yellow liquid portion of the blood and is about 90% 
water. Dissolved in the plasma are: 
1) Gases (e.g. nitrogen carbon dioxide, and oxygen) 
2) Ions (e.g. sodium, chloride and calcium) 
3) Nutrients (e.g. glucose, amino acids) 
4) Hormones 
5) Proteins (most ...
BLOOD 
 TRANSFUSION 
 Jared 
At the end of 30 minutes, the group should 
be able to: 
 •Define Blood Transfusion 
 •Identify purposes of the procedure 
 •Cite situations in which blood transfusion is needed 
 clinical 
 •Enumerate the different transfusion reactions with 
 its 
 signs 
 interventions 
 and appropriate nursing 
 •Classify and describe the different blood products 
 and how it is being used 
BLOOD TRANSFUSION 
 •It is a procedure in which a patient receives a 
 blood...
preparation and staining of peripheral blood film
BLOOD GAS ANALYSIS CASE DISCUSSION 
Reference Ranges: PH (7.35 – 7.45), pCO2 (35 - 45) mmHg, pO2(80 – 100) mmHg , HCO3 (20 – 
30) mmol/L, Base Excess (+3 to -3), Sodium (135 – 145) mmol/L, Chloride (90 – 110) mmol/L, 
Potassium (3.5 -5.5) mmol/L 
1. A 24 year-old woman is found subconscious at Jevanjee Gardens by some bystanders. 
The medics are called and, upon arrival, find her with an oxygen saturation of 88% on 
room air. She is brought into the Kenyatta National Hospital (...