CAPTION: The doctors also examine Armanda’s nostril duplication, and it appears that she has a nostril within a nostril. After checking that her airway is fully open and she is fully anaesthetised, they try to locate a vein to administer an injection. LOCATION: Hospital Geral de Benjamin Constant, Rua 13 de Maio, 1496, Benjamin Constant, Amazonas, Brazil. INDIVIDUAL(S) PHOTOGRAPHED: Armanda Guedes.