JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2020
Comparative StudySensitivity of Sinus Radiography Compared to Computed Tomogram: A Descriptive Cross-sectional Study from Western Region of Nepal.
Radiography of the paranasal sinuses is commonly used diagnostic modality. However, the trustworthiness of plain radiographic findings of paranasal sinuses is debatable. The intention of this study was to weigh the diagnostic soundness of plain radiograph of the paranasal sinuses to that of computed tomogram scan. ⋯ Sinus radiography is more sensitive for detecting pathologies in maxillary sinuses, while it is moderate for frontal, ethmoid sinuses and least for sphenoid sinuses. Diagnostic accuracy of computed tomogram scan is more, hence should be recommended to characterize the complex pathology and anatomy of the osteomeatal complex.
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JNMA J Nepal Med Assoc · Apr 2020
Triage, Surge Capacity, and Epidemic Emergency Unit: An experience from the 2019 dengue outbreak at a Tertiary Care Centre.
In September 2019, a dengue outbreak was observed in many non-endemic areas of Nepal. The emergency department of Patan Academy of Health Sciences also received febrile patients exceeding usual daily numbers. This surge of the patient was managed by epidemic triage and activation of surge capacity. ⋯ An observation ward adjacent to the emergency was used for the epidemic emergency unit. The febrile patients who were triaged yellow and green were treated in this unit. The patients who were triaged as Red were treated in the emergency department.
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JNMA J Nepal Med Assoc · Apr 2020
Case ReportsIsolated Lower Motor Neuron Facial Nerve Palsy in a Patient of Varicella: A Case Report.
Varicella or chickenpox is usually regarded as a self-limiting disease, but occasionally it may lead to irreversible neurological complications. Isolated lower motor neuron facial nerve palsy is a rare complication of varicella, with very few cases reported from the Indian subcontinent. We report one such case, where the patient developed facial palsy after healing of cutaneous lesions and recovered completely with oral corticosteroids.
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JNMA J Nepal Med Assoc · Apr 2020
Critical Incidents during Anesthesia and Early Post-Anesthetic Period: A Descriptive Cross-sectional Study.
Critical incidents related to peri-operative anesthesia carry a risk of unwanted patient outcomes. Studying those helps detect problems, which is crucial in minimizing their recurrence. We aimed to identify the frequency of peri-anesthetic critical incidents. ⋯ Critical incidents occur even in low-risk patients during anesthesia delivery. Patient factors and emergency surgery contribute to the most serious incidents.