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The internal examination calls for palpation of each muscle group in the center of the muscle belly, then along the length of the muscle, proceeding counter-clockwise: right obturator internus, right levator ani, left levator ani, and left obturator internus (with pain rated by the patient on a scale of 010 at each site

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Front Immunol 13:863234 Arnoult D, Gaume B, Karbowski M, Sharpe JC, Cecconi F, Youle RJ (2003) Mitochondrial release of AIF and EndoG requires caspase activation downstream of Bax/Bak-mediated permeabilization