Hypospadias Feigning Hermaphroditism

Hermaphroditism

Feigning Acute Intermittent Porphyria

Acute intermittent porphyria (AIP) is an autosomal dominant genetic defect in heme synthesis. Patients with this illness can have episodic life-threatening attacks characterized by abdominal pain, neurological deficits, and psychiatric symptoms. Feigning this illness has not been reported in the English language literature to date. Here, we report on a patient who presented to the hospital with...

Child with True Hermaphroditism

True hermaphrodites possess both ovarian and testicular tissues which may be present in separate gonads or combined in an ovotestis. External and internal genitalia are ambiguous and variable, though a prominent penial structure is usual. Chromosome examination of true hermaphroditism has revealed an XX sex chromosome complement in the majority of cases, but the XY complement and different mosa...

Feigning a severe impairment profile.

The main goal of a severe impairment profile (SIP) on a performance validity test (PVT) is to help reduce the false-positive rate when identifying non-credible effort in people who are truly impaired. A secondary goal is to help with clinical judgment about impairment itself. Although there is adequate specificity for the SIP in severely impaired individuals, a large proportion of simulators ca...

Hypospadias

Objective. The great possibility of variations in the clinical presentation of hypospadia, makes its therapy challenging. This has led to the development of a number of techniques for hypospadia repair. This article assesses past and present concepts and operative techniques with the aim of broadening our understanding of this malformation. Materials and Methods. The article not only reviews hy...