JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2023
Case ReportsPerioperative Diagnosis and Anaesthetic Management of Idiopathic Intracranial Hypertension in Pregnancy: A Case Report.
Idiopathic intracranial hypertension is characterised by increased intracranial pressure of unknown aetiology. It is usually seen among obese women who are of childbearing age. With an incidence of 0.9 per 100,000 in women of childbearing age, the incidence in obese women is as high as 19.3 per 100,000. Here, we represent the case of a 31-year-old, non-obese primigravida with hypothyroidism which was diagnosed as idiopathic intracranial hypertension during pregnancy. This patient, was managed with multi-disciplinary considerations so as to avoid complications in perioperative period. ⋯ case reports; cesarean section; idiopathic intracranial hypertension; ultrasonography.
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JNMA J Nepal Med Assoc · Mar 2023
Myopia among Medical Undergraduates of a Medical College: A Descriptive Cross-sectional Study.
Myopia is defined as a refractive error in which rays of light entering the eye parallel to the optic axis are brought to focus in front of the retina when accommodation is relaxed. Globally, myopia prevalence is on the rise for unknown reasons. The aim of the study was to find out the prevalence of myopia among undergraduates of a medical school. ⋯ medical students; myopia; prevalence.
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JNMA J Nepal Med Assoc · Mar 2023
Case ReportsA Case of Juvenile Polyposis Syndrome in a 13-year-old: A Case Report.
Juvenile polyposis syndrome is an autosomal dominant syndrome characterised by hamartomatous polyps in the gastrointestinal tract and has a high risk for colon carcinoma. This case explores the presentation of multiple polyps throughout the gastrointestinal tract, located in the stomach, proximal duodenum, colon, rectum and up to the anal canal. The locations and number of these polyps themselves were not typical and the histopathological studies suggested the condition to be an inflammatory fibroid polyp, which is a rare, benign and solitary neoplasm. Prompt and accurate diagnostic modality remains the keystone in the identification and management of such condition which was a limitation in this case as the patient was lost to follow up before a definitive diagnosis was made. ⋯ case reports; children; juvenile polyposis syndrome.
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JNMA J Nepal Med Assoc · Mar 2023
Case ReportsA Large Follicular Adenomatoid Odontogenic Tumor Occupying the Maxillary Sinus: A Case Report.
Adenomatoid odontogenic tumour is a rare benign, odontogenic tumour with uncertain histogenesis. Whether it is a hamartoma or a neoplasm is still a controversial topic. It is usually associated with an unerupted maxillary canine. Here, we discuss a follicular adenomatoid odontogenic tumour in a young girl with uncommon features such as it arose from two unerupted teeth and partial resorption of the roots of other normal teeth. The tumour was large enough to completely occupy the maxillary sinus. It was treated with enucleation and curettage by lateral rhinotomy approach. ⋯ adenomatoid tumor; case reports; hamartoma; odontogenic cysts.
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JNMA J Nepal Med Assoc · Mar 2023
Colostrum Feeding among Newborns Visiting the Outpatient Department of Pediatrics of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Colostrum is the thick yellowish breast milk that is produced during the first 3-5 days of childbirth. Feeding colostrum protects the newborn from various diseases, thus promoting the overall well-being of the newborn. The objective of this study was to find out the prevalence of colostrum feeding among newborns visiting the Department of Pediatrics in a tertiary care centre. ⋯ colostrum; exclusive breastfeeding; newborns; prevalence.