JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2020
Clinicodemographic Profile of Kidney Diseases in a Tertiary Hospital of Central Nepal, Chitwan: A Descriptive Cross-sectional Study.
Spectrum of kidney diseases differs significantly in developing and developed countries. However, there is no central registry regarding the nature of such diseases in Nepal and our center either. The study aims to know the clinicodemographic spectrum of kidney disease patients admitted to our hospital. ⋯ The commonest clinical presentation and the reason for admissions were end-stage renal disease and sepsis syndrome respectively.
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JNMA J Nepal Med Assoc · Jul 2020
Case ReportsPregnancy with Complete Heart Block-An Emergency Cesarean Section with Temporary Pacemaker: A Case Report.
Management of a pregnant woman with complete heart block presenting during pregnancy and without pacing remains debatable. To bear up against any hemodynamic variations in peripartum period, temporary pacemakers have been advocated by some authors. ⋯ She was an unbooked patient detected with CHB first time during active stage of labour. She delivered a healthy male baby and was discharged from the hospital in a stable and satisfactory condition on seventh postoperative day.
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JNMA J Nepal Med Assoc · Jul 2020
Case ReportsManagement of the Thyroid Gland in Papillary Carcinoma of the Thyroglossal Cyst: A Case Report.
Carcinoma arising in a thyroglossal cyst is rare. We present a case of anterior neck swelling diagnosed to be thyroglossal cyst clinically which turns out to be a papillary carcinoma arising in thyroglossal cyst. ⋯ There is a paucity of clear-cut guidelines in the management of the thyroid gland in a thyroglossal cyst carcinoma. In thyroglossal cyst carcinoma cases, we recommend thyroidectomy only when there is a thyroid nodule with high-risk features.
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JNMA J Nepal Med Assoc · Jul 2020
Quarantine: A Period of Self-discovery and Motivation as Medical Student.
The ongoing nationwide lockdown due to the global pandemic COVID-19 started from March 24, 2020, in Nepal. Lots of medical students are in dilemma about how to utilize this time to make it more productive. ⋯ This difficult time demands resilience. This article focuses on some ideas to discover ourselves and develop resilience within us.
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JNMA J Nepal Med Assoc · Jul 2020
Case ReportsAnti-leucine-rich Glioma-inactivated-1 Encephalitis with Faciobrachial Dystonic Seizures and Behavioral Problems: A Case Report.
Anti-Leucine-rich glioma-inactivated-1 encephalitis is a subtype of autoimmune encephalitis characterized by cognitive impairment, faciobrachial dystonic seizures, and behavioural changes. There is no reported case from Nepal. ⋯ He was treated with steroids and intravenous immunoglobulin. Timely diagnosis is vital to prevent complications and improve outcomes.