JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2022
Case ReportsDiagnostic Dilemma of Widespread Vesiculobullous Lesions: A Case Report.
Stevens-Johnson syndrome and toxic epidermal necrolysis represent a spectrum of severe mucocutaneous reactions, while Acute Cutaneous Lupus Erythematosus is a variant of Systemic Lupus Erythematosus. Both are rare conditions, with significant morbidity and mortality; often indistinguishable clinically and pose a diagnostic dilemma for the clinician. We hereby present a unique case of a 17 years old female who presented with widespread vesiculobullous lesions with peeling, desquamation, and crusting of the skin surface, non-scarring alopecia, oral and nasal ulcers, as well as two episodes of generalized tonic-clonic seizures. The patient had a history of intake of itraconazole tablets for a week, 25 days before the disease manifestation.
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JNMA J Nepal Med Assoc · Jan 2022
Perception of Health Care Practitioners of Government Designated COVID-19 Hospitals of Nepal towards the Management of COVID-19 Pandemic: A Descriptive Cross-sectional Study.
Amidst the chaos of COVID-19, health care practitioners are persistently providing services and experiencing many challenges. This study aimed to determine the perception of health care practitioners of government designated COVID-19 hospitals of Nepal towards the management of COVID-19 pandemic. ⋯ The satisfactory perception of the health care practitioners in our study towards the management of COVID-19 pandemic in Nepal is lower as compared to the other studies in Nepal and abroad.
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JNMA J Nepal Med Assoc · Jan 2022
Median Nerve Passing below the Ulnar Head of Pronator Teres in Cadavers of a Medical College in Western Nepal: A Descriptive Cross-sectional Study.
Median nerve passes between two heads of pronator teres muscle while passing through the elbow. Detailed knowledge of these variations in the course of Median Nerve in relation to pronator teres and its neighboring structure is required for diagnosis of pronator syndrome. The aim of the study is to find out the proportion of Median Nerve passing below the ulnar head of pronator teres in cadavers of a medical college in Western Nepal. ⋯ Our study shows that the median nerve passed below the ulnar head of pronator teres muscle is higher as compared to other studies done in similar settings. Thus, knowledge of variations in the course of Median Nerve in elbow has immense importance in the academic and clinical arena.
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JNMA J Nepal Med Assoc · Jan 2022
Self-medication among Medical Students and Staffs of a Tertiary Care Centre during COVID-19 Pandemic: A Descriptive Cross-sectional Study.
Self-medication is a common practice worldwide. Major problems related to self-medication are wastage of resources, increased resistance of pathogens, adverse reactions, and prolonged suffering. This study aimed to find the prevalence of self-medication among medical students and staffs of a tertiary care centre during the COVID-19 pandemic. ⋯ The prevalence of self-medication during the COVID-19 pandemic is lower compared to that of other developing countries. Paracetamol and Vitamin C are the most consumed drugs for self-medication and Azithromycin is the most used prescription-only drug for self-medication during the COVID-19 pandemic.
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JNMA J Nepal Med Assoc · Jan 2022
Compression of the Inferior Alveolar Canal by Mandibular Third Molar among Images Taken from Patients Visiting Dental Imaging Centres of Kathmandu: A Descriptive Cross-sectional Study.
Third molars are common teeth to be impacted. The position of mandibular third molar is such that it is in close contact with inferior alveolar canal which may lead to nerve damage during its removal. So, this study was conducted to find out the prevalence of compression of inferior alveolar canal by mandibular third molars. ⋯ The prevalence of compression of inferior alveolar canal by mandibular third molar was found to be similar to other studies done in similar settings. Compression of the canal was more evident when inferior alveolar canal is situated lingually.