JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Dec 2020
Case ReportsCongenital Cholesteatoma in a Case of Congenital Aural Atresia: A Case Report.
Congenital external canal atresia is one of the congenital ear anomalies that can occur in patients. Similarly, congenital cholesteatoma is also another congenital disease that is often diagnosed in early adulthood. ⋯ We are presenting a case of a sixteen-year-old patient who presented with unilateral ear anomaly, earache, facial palsy, and postaural swelling and was diagnosed as a right sided congenital aural atresia with congenital cholesteatoma. He was surgically managed with right-sided modified radical mastoidectomy with canaloplasty and closure of mastoid fistula under general anesthesia.
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JNMA J Nepal Med Assoc · Dec 2020
The First Successful Endovascular Management of Posterior Fossa Arteriovenous Malformations in Nepal: Case Series.
Posterior fossa arteriovenous malformations represent 7-15% of all intracranial AVMs. They carry a higher risk of rupture than supratentorial AVMs and are associated with considerable rates of morbidity and mortality. Available treatment options include conservative management, microsurgical resection, radiosurgery, endovascular embolization, or combinations of these modalities. ⋯ The first patient also had associated flow-related aneurysms. One of these aneurysms had already ruptured, so it was coiled first followed by AVM nidus embolization using the same microcatheter. The second patient had a diffuse type of posterior fossa AVM for which staged-embolization was planned and the first-stage partial embolization was successfully performed.
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JNMA J Nepal Med Assoc · Dec 2020
Clinical Symptoms, Pathogen Spectrum, Risk Factors and Antibiogram of Suspected Neonatal Sepsis Cases in Tertiary Care Hospital of Southern Part of Nepal: A Descriptive Cross-sectional Study.
Neonatal mortality rate is highest in sub-Saharan Africa and Southern Asia region. The present study is undertaken to find out prevalence of neonatal sepsis, recognize bacterial pathogens, neonatal risk factors, major symptoms, and their antibiotic sensitivity pattern in neonates in tertiary care hospital in southern Nepal. ⋯ The high prevalence of neonatal sepsis in our study reflects a huge challenge to reduce the neonatal mortality rate to 12 by 2030 of Sustainable Development Goals. Bacterial isolates exhibited higher resistance towards commonly used antibiotics.
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JNMA J Nepal Med Assoc · Dec 2020
Case ReportsHuman Poisoning due to Delphinium Species in the Himalayan Region of Nepal: A Case Report.
The Delphinium species herb, common name 'Nirmasi' in Nepal, is one of the community level flower herbs used as medicinal ingredients in various clinical problems in Manang District and other Himalayan parts of Nepal. Roots of the plants from the genus Delphinium have been used for a long time for headache, epilepsy, mania, paralysis, rheumatism, toothache, and various types of pain. ⋯ Poisoning due to these plants results in symptoms due to gastric irritation, competitive neuromuscular blockade, and cardiotoxicity caused by various alkaloids present in them. We report here a case of poisoning due to Delphinium species ingestion presenting as hypotension and bradycardia managed successfully with symptomatic treatment.
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Imposter syndrome is the fear of being discovered as an intellectual fraud. It is an internal experience of believing that you are not as competent as others perceive you to be. It lowers a person's inner self-confidence, self-esteem that impedes work performance and this phenomenon is more prevalent among medical students. However, talking openly about it with peers, rooting positive thoughts, and building confidence help us to the appropriate reality of our situation and counter our negative self-talk.