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I hope the book is of benefit to all students as well as other students of allied health sciences. However, it is recommended that to get the maximum benefit, the student should also read the relevant and established reference textbooks properly. I take the opportunity to express my respect and my gratitude to Dr. Leo David M D Dean, Kanyakumari Government Medical College Asaripallam. I take the opportunity to express my respect and my gratitude to Dr.K.U.Suresh Balan M.D Vice Principal, Kanyakumari Government Medical College Asaripallam I take the opportunity to express my respect my gratitude to my Prof and HOD Dr.K.U.Suresh Balan M.D for his valuable opinions. I express my gratitude to Dr Gopal M.D, Dr.Madhumitha M.D, DR.Abhishek M.D, DR.Sudev.MD, DR.Anbu M.D, DR.Manju M.D, DR.Judson M.D for their continuous encouragement. Lastly I have no words to express my heartfelt sentiments to my parents DR.M.S.BRUCE MVSC and MRS CHARU BALA ZEENATH and family members DR.BINIJAR MBBS who created and provided the environment for accomplishment of this book. I would consider this effort as worthwhile if this book helps even a few students in professional examination. I would be personally grateful to readers and users of this book to give suggestions for further improvements of this book.

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