JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2022
Menopausal Symptoms among Postmenopausal Women Visiting Outpatient Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Menopause is defined as the complete cessation of menstruation for consecutive 12 months which occurs due to the loss of follicular activity of ovaries from the late 40s to early 50s. The menopausal symptoms are often distressing but lack of awareness leads to failure in addressing the problem. This study aimed to find out the prevalence of menopausal symptoms among postmenopausal women visiting the outpatient department of a tertiary care centre. ⋯ cross-sectional study; menopause; prevalence; somatic symptoms.
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JNMA J Nepal Med Assoc · Jul 2022
Hypothyroidism among Female Medical Students in a Teaching Hospital: A Descriptive Cross-sectional Study.
Hypothyroidism is a common clinical condition of thyroid hormone deficiency and is frequently seen in women. Studies regarding the prevalence of hypothyroidism among healthy young adult females are very less. This study aimed to find out the prevalence of hypothyroidism among female medical students in a teaching hospital. ⋯ hypothyroidism; medical student; prevalence; thyroid stimulating hormone; thyroxine.
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JNMA J Nepal Med Assoc · Jul 2022
Case ReportsD-penicillamine Induced Myasthenia Gravis in Wilson's Disease: A Case Report.
Myasthenia gravis is a neuromuscular junction disorder characterised by fluctuating muscle weakness, improved by using anti-cholinesterase drugs. In addition to the autoimmune aetiology, various factors such as infections, surgery, and drugs are known to precipitate the condition. We report a case of a 15-year-old boy with D-penicillamine-induced myasthenia gravis who presented with facial diplegia, dysphagia, and drooling of saliva, 6 years after the initiation of treatment for Wilson's disease. Therefore, clinicians should be more vigilant while prescribing patients with chelating drugs like D-penicillamine with regular monitoring of the new symptoms and keeping a very low threshold for the suspicion of myasthenia gravis. ⋯ d-penicillamine; myasthenia gravis; pyridostigmine; Wilson's disease.
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JNMA J Nepal Med Assoc · Jul 2022
Raised D-dimer among Admitted COVID-19 Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Patients with COVID-19 are characterised by abnormal levels of inflammatory biomarkers. Elevated D-dimer in COVID-19 patients is associated with increased mortality. This study aimed to find out the prevalence of raised D-dimer among COVID-19 patients in a tertiary care centre. ⋯ COVID-19; D-dimer; Nepal; prevalence.
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JNMA J Nepal Med Assoc · Jul 2022
Case ReportsCentral Venous Catheter-related Thrombosis in a Dialysis Patient: A Case Report.
Hemodialysis is one of the treatment modalities for advanced kidney disease and can help an individual live an active life despite failing kidneys. Although it improves the quality of life, it is not completely risk-free. It has several complications, among which, thrombus formation is common. We report a case of a 63-year-old man who presented at our institution for regular hemodialysis with recurrent arteriovenous graft failure. Because doppler ultrasound is a non-invasive procedure that can identify a thrombus in a vein, it is the best initial option for patients with internal jugular vein thrombosis. The use of ultrasound not only can guide a catheter pathway but can also help in early diagnosis and prevent complications following catheterization in a vein with a thrombus. ⋯ central venous catheterization; chronic kidney disease; hemodialysis; thrombus.