JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsHuman Albumin and N-Acetylcysteine for Treatment of Fat Embolism: A Case Report.
Fat embolism is a life-threatening condition that mostly occurs after long bones and pelvis fractures and treatment is controversial with many available drugs. We hereby present a case of 53 years male who developed shortness of breath, tachycardia, fever, anemia, distended jugular vein, thrombocytopenia, hypoalbuminemia and was diagnosed to have fat embolism after fracture of femur, tibia, fibula and pubic rami following road traffic accident. ⋯ From this we want to emphasize role of human albumin and N-acetylcysteine in treatment of fat. Keywords: fat embolism; human albumin; N-Acetylcysteine.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsPostoperative Visual Loss Following Spine Surgery: A Case Report.
Postoperative visual loss is a rare but devastating complication of non-ophthalmic surgery. Its aetiology is poorly understood and multiple associated factors have been proposed. ⋯ The combination of mild intraoperative hypotension, anaemia, prone positioning, prolonged surgery and anaesthesia may have contributed to postoperative visual loss in our patient. Keywords: ischaemic optic neuropathy; postoperative visual loss; spine surgery.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsGiant Arcuate Lupus Vulgaris with Rapid Progression: A Case Report.
Lupus vulgaris is the commonest form of cutaneous tuberculosis. It is a chronic and slowly progressive disease. ⋯ Here, we report a case of 75-year-old man with a giant lupus vulgaris rapidly progressing in just two year's duration. Keywords: cutaneous tuberculosis;lupus vulgaris; Nepal.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsSevere Birth Asphyxia without Sequelae: A Case Report.
Perinatal asphyxia is one of the major causes of neonatal morbidity and mortality. It mainly causes neurodevelopmental delay leading to hypoxic-ischemic encephalopathy. We present here the case of a preterm male baby of 1670 grams born at 31+3 weeks of gestation delivered by 25-year-old primi mother through vaginal delivery with history of umbilical cord prolapse. ⋯ But heart rate did not improve despite of using all form of resuscitation procedure including intubation and drugs. After 2 hours, baby cried spontaneously and later baby was managed in Neonatal Intensive Care Unit according to the neonatal unit protocol of the hospital. Keywords: birth asphyxia; cord prolapse; hypoxic ischemic encephalopathy.
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WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital. ⋯ Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.