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Res ipsa loquitur and negligence per se are both doctrines that assist in proving breach of duty in certain negligence cases. Res ipsa loquitur is a legal doctrine used in personal injury cases to establish that a defendant acted negligently.Res ipsa loquitur exists as a form of evidence law to give the plaintiff an alternative way to prove that the defendant was negligent. Res ipsa loquitur is a Latin phrase that means "the thing speaks for itself," an important legal concept in evidence law. In res ipsa loquitur, the existence of the first three elements is inferred from the existence of injury that does not ordinarily occur without negligence. Negligence is a failure to act with a level of responsibility that would be expected from any reasonable person in a similar situation. 627, 434 S.W.2d 56 (1968). Res ipsa loquitur creates a rebuttable presumption of negligence. The plaintiff brings in no evidence of specific acts of negligence, and therefore must rely on the res ipsa loquitur inference alone,. (4) May a plaintiff plead specific acts of negligence, in addition to the general averments which invoke the desired infer- ence of res ipsa loquitur?