JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Dec 2021
Case ReportsMultiple Neonatal Teeth in a Preterm Neonate: A Case Report.
Prematurity and low birth weight are significantly associated with delayed dentition. Few cases of the eruption of a tooth immediately at or after birth in preterm neonates have been reported in the literature, although this is a rare presentation. The aetiology of this rare biological aberration is yet to be established but has been associated with hereditary predilection, nutritional factor, endocrine causes, infection, and some syndromes. Here, we present a case of a preterm male neonate at 28 weeks of gestation with very low birth weight and respiratory distress who presented with three neonatal teeth, two maxillary central incisors, and one mandibular central incisor and its subsequent management.
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JNMA J Nepal Med Assoc · Dec 2021
Pregnancy Induced Hypertension among Pregnant Women Delivering in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Pregnancy Induced Hypertension is a major health issue with limited studies conducted so far in Chitwan, Nepal regarding adverse perinatal outcomes in obstetric population. This study aimed to find prevalence of pregnancy induced hypertension among pregnant women delivering in a tertiary care hospital. ⋯ The burden of pregnancy induced hypertension was found quite higher as compared to other similar studies done in Nepal. Gestational hypertension was most common type.
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JNMA J Nepal Med Assoc · Dec 2021
Case ReportsBilateral Neuroendocrine Carcinoma of Breast: A Case Report.
Primary neuroendocrine carcinomas of the breast are rare of all breast carcinomas. They may be welldifferentiated, poorly differentiated, or invasive breast cancers with neuroendocrine differentiation. ⋯ Herein, we report a case of invasive ductal carcinoma with neuroendocrine differentiation of the breast in a 73 years female with a history of breast lump initially in the lower inner quadrant of left breast and a month later, similar lump at the same site in right breast. Patient underwent Modified Radical Mastectomy bilaterally followed by adjuvant chemotherapy based on Carboplatin and Etoposide regimen.
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JNMA J Nepal Med Assoc · Dec 2021
Total Knee Arthroplasty in Moderate to Severe Fixed Flexion Deformity in a Tertiary Care Center: A Descriptive Cross-sectional Study.
Performing the total knee arthroplasty in moderate to severe fixed flexion deformity, appropriate resection of bone from distal femur along with proper ligament balancing is mandatory in order to get the reasonable intraoperative correction. The aim of our study is to find out the prevalence of total knee arthroplasty among knees with moderate to severe fixed flexion deformity in a tertiary care center. ⋯ The prevalence of total knee arthroplasty is comparable to other study. In our study total knee arthroplasty can be performed successfully with excellent functional outcomes in patients with moderate to severe fixed flexion deformity of knee joint provided the joint stability is maintained by appropriate ligamentous balancing.
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JNMA J Nepal Med Assoc · Dec 2021
Hyponatremia in Chronic Liver Disease among Patients Presenting to a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Hyponatremia is a frequent problem in chronic liver disease. To the best of our knowledge, no study of hyponatremia in chronic liver disease has been conducted in our setting. The aim of this study is to study the prevalence of hyponatremia in patients with chronic liver disease attending the outpatient department of a tertiary care hospital. ⋯ The prevalence of hyponatremia among patients with chronic liver disease was found to be higher when compared to other similar studies.