JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Mar 2024
Case ReportsCrohn's Disease Previously Mistreated as Intestinal Tuberculosis Complicated with Ileocecal Lump: A Case Report.
In Southeast Asia, the higher prevalence of Intestinal tuberculosis (TB) challenges the diagnosis of Crohn's disease (CD) due to their overlapping symptoms. This case involves a 25-year-old male misdiagnosed with Intestinal tuberculosis presenting with abdominal pain, weight loss, and bowel ulceration. Recurrence after anti-tubercular therapy led to further investigation paving to right hemicolectomy and histopathological analysis confirming Crohn's disease. This case highlights the complexity of the diagnosis of Crohn's disease in tuberculosis-prevalent areas, stressing the clinical importance, advanced diagnostics tools, and multidisciplinary approach for effective intervention.
-
JNMA J Nepal Med Assoc · Mar 2024
Case ReportsPrimary Solitary Uterine Hydatid Cyst Mimicking an Intramyometrial Cyst: A Case Report.
Like many agricultural countries, cystic echinococcal zoonotic disease is endemic in Nepal. Incidence of hydatid cyst in liver and lungs are common among the adult population but hydatid cyst of the uterus is an extremely rare entity. ⋯ Postoperatively serological test for hydatid cyst was positive for echinococcus granulosus, further confirmed by histopathological diagnosis. Hence in endemic areas like ours, there should be high index of suspicion of the possibility of hydatid cyst as a differential for cystic pelvic masses.
-
Medical Student Syndrome and imposter syndrome are rampant in the medical profession, especially among young medical students. Medical Student Syndrome, also known as the third-year syndrome is a hypochondriacal concern in inexperienced medical students regarding the disease they are studying. ⋯ Imposter syndrome, on the other hand, refers to the behavioral pattern where medical students doubt their abilities and are constantly afraid of being exposed as a fraud. Imposter syndrome might occur due to unrealistic expectations in this highly competitive medical profession.
-
JNMA J Nepal Med Assoc · Mar 2024
Etiological Profile of First Episode Seizures in Paediatric Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Seizures are the most common neurological emergency and one of the most common reasons for paediatrics hospital admissions. This study aimed to identify the etiology, clinical profile, and immediate outcome of children with the first episode of seizure in Eastern Nepal. ⋯ Febrile seizures, neurocysticercosis, infection, and trauma were the major causes of seizures in children. When simple febrile seizures were unlikely, lumbar puncture, neuroimaging, and laboratory tests were useful tools for diagnosing etiologies of seizures.
-
JNMA J Nepal Med Assoc · Mar 2024
Assessment of Third Molar-related Symptoms Affecting Quality of Life using Nepali Version of Oral Health Impact Profile-14: A Descriptive Cross-sectional Study.
Impacted third molars often cause pain, infections, swelling, and functional limitations. This study is an attempt to assess impacted third molars-related symptoms affecting quality of life using standardised Nepali version of oral health impact profile-14 (OHIP-14) questionnaire. ⋯ Impacted third molars-related symptoms were affecting quality of life of participants.