JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Jan 2020
Case ReportsIntestinal Obstruction of Congenital Origin: A Case Report.
Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges. Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemia and perforation. Presently described is a case of an 18 month young child with severe vomiting developed for one day. ⋯ The child was kept under observation for eleven days and was discharged. Although rare, intestinal obstruction due to congenital bands must be considered when treating a child with severe vomiting. Keywords: case reports, congenital abnormalities, intestinal obstruction, vomiting.
-
JNMA J Nepal Med Assoc · Jan 2020
Prevalence of Self Medication Practice among Dental Undergraduates in a Dental college.
Self-medication practice among future prescribers can cause a serious threat to the health care profession. There has been an increasing trend among medical and dental students for self-medication. The objective of our study was to find the prevalence and practice of self-medication among dental undergraduates in Kantipur Dental College and Teaching Hospital. ⋯ Self-medication was commonly practiced by dental students. Self-medication should be considered as a serious threat, especially among the students with inadequate knowledge of drug, dose, and duration of treatment.
-
Odontophobia or dental fear is a "unique phobia with special psychosomatic components that impact on the dental health of the odontophobia persons". It is well documented that dental fear has a significant impact on dental care utilization behaviors. The objective of this study was to find out the level of dental fear among school children studying in government schools of Dharan, Nepal. ⋯ The present study showed that most of the school going children had high fear of dental treatment. So, school health programs should be planned to make the children familiar to dentistry and proper treatment modalities should be provided to make the child comfortable to seek dental care.
-
JNMA J Nepal Med Assoc · Jan 2020
Case ReportsThyroid storm presenting as septic shock in the intensive care unit: A Case Series.
Thyroid storm is a rare endocrine emergency that rarely presents with septic shock. It occurs in thyrotoxic patients and is manifested by decompensation of multiple organs, triggered by severe stress. The diagnosis and response to treatment is made by Burch-Wartofsky point scale or Japanese thyroid association criteria due to lack of pathophysiology of thyroid storm. ⋯ Patient were treated initially for septic shock, later diagnosed as thyroid storm and was treated with oral carbimazole, propanolol and digoxin. From this, we want to emphasize that thyroid storm can have any presentation that should be kept in differential diagnosis of septic shock not responding to usual treatment; early diagnosis and treatment with oral medication can decrease morbidity and mortality in rural setting where intravenous form of antithyroid drug are not available for thyroid storm. Keywords: sepsis; septic shock; thyroid storm.
-
JNMA J Nepal Med Assoc · Jan 2020
Prevalence of Covert Hepatic Encephalopathy in A Tertiary Care Centre.
Among patients with Hepatic Encephalopathy, prevalence of Minimal HE varies between 30-50%. Identifying patients with MHE has been shown to improve with medications and delay development of Overt HE, however only limited clinicians screen for MHE in patients due to time consuming neuropsychological and neurophysiological tests. The Number Connection Test is an easy way to evaluate patients to diagnose MHE. The aim of this study is to find out the prevalence of covert hepatic encephalopathy. ⋯ Our study showed that although the prevalence of minimal HE is quite high among cirrhotics, they are usually missed in clinical practice due to absence of symptoms. Active screening with easy-to-administer tests, like Number Connection tests, can help identify patients with minimal HE and hence treat them early.