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Dengue fever is an arboviral infection whose presentation ranges from a mild febrile illness to multisystem complicated syndrome. We report case of 58-year-old female presenting with fever, myalgia, arthralgia, and vomiting who was found be infected dengue had electrocardiography changes revealing ST-segment elevation myocardial infarction, rare manifestation in dengue. can affect the cardiovascular system leading conduction abnormalities, hypotension, arrhythmias, myocarditis,...

Introduction: Stress is a common feature in all our lives. It often seen as negative emotion but it plays an important role survival, helping face threats, motivating individuals and enhancing performance. state of physical psychological strain which imposes demands for adjustments upon the individual. has been reported that student nurses are affected with stressors academics, clinicals, finances, due to parental expectations, competition grades, career choices. The aim this study was find...

A 39-year-old male with a history of COVID-19 infection presented ocular manifestations: dendritic ulcer in the left eye cornea followed by diplopia same eye. Extraocular motility was restricted levo-lateral gaze maximum measuring 25? exotropia. Slit lamp biomicroscopy showed patterned lesion diffused superficial punctate keratitis cornea. There are various reports associated and neuro-ophthalmic system. Although clinicopathological aspect neurological system is still to explicate. However,...

<ns4:p><ns4:bold>Background:</ns4:bold> Physical activity and fitness level of decline mostly between adolescence early adulthood. This leads to risks non-communicable diseases in the future. Medical students, assumed have an extensive understanding physical exercise its benefits, are less active than they were before attending graduate school. study aimed assess changes students over-time.</ns4:p><ns4:p> <ns4:bold>Methods:</ns4:bold> was a prospective undertaken at Basic Science Complex...

Eagle's syndrome is a poorly understood clinical entity that has variable presentations like recurrent throat pain or foreign body sensation, dysphagia, facial pain. With confirmed diagnosis, surgical approach considered appropriate for its treatment. This study aims to find out the prevalence of trans-oral extra tonsillar styloidectomy among operated cases Department Otolaryngology-Head and Neck Surgery at tertiary care hospital.A descriptive cross-sectional was conducted 1,475 who...

Pyosalpinx is defined as collection of pus in the fallopian tube and a late manifestation pelvic inflammatory disease. Pelvic disease refers to spectrum changes female genital tract. It comprises endometritis, salpingitis, cervicitis, pyosalpinx, tubo-ovarian abscess peritonitis. may progress which rupture leading In addition, commonly affects both side tube. Thus, early diagnosis proper intervention plays great role management pyosalpinx. We report case unilateral left sided pyosalpinx...

Laryngeal schwannomas are rare tumors of neural sheath origin. They normally present as a slow-growing, encapsulated, submucosal mass commonly in the supraglottic region. We describe 13-year-old boy presenting with 4-month history progressive worsening dysphagia. Fiber optic laryngoscopy and computed tomography revealed polypoidal laryngeal surface epiglottis abutting left aryepiglottic fold, base tongue hypopharyngeal wall. Direct laryngoscopic evaluation microdebrider assisted debulking...

Infantile spasm constitutes 2% of childhood epilepsies but 25% epilepsy with onset in the first year life. The rate infantile is estimated to be 2.5-6.0 cases per 10,000 live births. Its prevalence 1.5-2.0 children aged 10 years or younger. Ninety percent spasms begin infants younger than 12 months a peak at age 4-6 months. &#x0D; We report case 45 days old male child who had flexor since one month which an unusual West syndrome. symptoms were initially thought as simple startle response by...

Background: Situation of incus erosion is common while performing tympanoplasties for cases chronic otitis media. As none the available techniques said to be gold standard, a cost effective and easily partial ossicular replacement prosthesis employed postoperative hearing outcome presented.&#x0D; Objectives: To assess results ossiculoplasty using (PORP) during tympanoplasty.&#x0D; Methodology: A descriptive cross-sectional study was carried out in tertiary referral hospital Nepal from June...

Background: Development of the visual system occurs during childhood and is completed by eight years life. Ocular disorders occurring this period can lead to impairment which have a lifelong impact on life child. Early detection treatment ocular problems among children minimizes risk amblyopia.&#x0D; Objectives: This study aimed determine pattern morbidity attending health camp in Baglung.&#x0D; Methodology: was descriptive cross-sectional conducted western region Nepal, Baglung district....

Pancreatic injury following blunt trauma abdomen is presentation with significant morbidity and mortality. Our first case here the American Association for Surgery of Trauma Organ Injury Scale (AAST-OIS) Grade V pancreaticoduodenal injuries penetrating managed pancreaticoduodenectomy second to pancreatic tail transection which III that was Endoscopic Retrograde Cholangiopancreaticography (ERCP) duct stenting. The outcome depends on early diagnosis needs a high index suspicion due subtle...

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The multifarious anaesthetic challenges associated with tracheo-oesophageal fistula surgery are difficult tracheal intubation, continuous air leakage during positive pressure ventilation, gastric distension, sharing of the airway surgeons, intraoperative desaturation due to surgical retractors and maintaining anesthetic depth. These managed properly only when pathophysiology is well understood. In this case report we present an management a near miss situation repair in neonate....

Primitive neuroectodermal tumour is a poorly differentiated small round cell neoplasm that primarily affects children and very rarely seen in adults. Peripheral primitive tumours are rare compared to the central type resemble soft tissue sarcoma. involving subcutaneous only few cases of anterior abdominal wall have been reported. However, no shoulder region We report case peripheral arising from right young adult.

<ns3:p>The most common adrenal lesion is an adenoma in adults. Adrenal adenomas can have a variety of imaging features due to their widespread prevalence. As result, distinguishing between typical and atypical critical, as from potentially malignant lesions. Here, we present case with findings presenting Cushing’s syndrome.</ns3:p>

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Introduction: Superior mesenteric artery first pancreaticoduodenectomy is being increasingly used for pancreatic head and peri-ampullary tumors. The aim of our study was to determine the frequency various approaches superior along with its postoperative complications in a tertiary care center.&#x0D; Methods: This descriptive cross-sectional patients undergoing different conducted at Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal, from May 2018 April 2020. Ethical...

Zuckerkandl tubercle is a prominent anatomical structure of the thyroid lobe. Identification and preservation recurrent laryngeal nerve parathyroid glands during surgery can be made easier through assessment their relationship with tubercle. This study aims to determine between superior in patients who underwent thyroidectomy tertiary care center.This descriptive cross-sectional was conducted at hospital Nepal following ethical clearance from Institutional Review Committee (Reference no:...

Background: Post-earthquake in Nepal many patients were rescued by the Nepalese Army and transferred to Shree Birendra Hospital where they managed discharged postoperatively area with substandard care. Objectives: This study aimed establish relation of type fracture amount fluid infused/transfused postoperative hospital stay during earthquake victim resuscitation care April 2015. Methods: based data registered period 25th 2015 15th May collected for this analytical design. Seventy-five...

Kallmann syndrome is a rare genetically inherited condition characterized by hypogonadotrophic hypogonadism and anosmia or hyposmia. It due to failure of migration gonadotrophic releasing hormone neuron olfactory hypothalamus. This case reports 39-year-old Maldivian adult with clinical features magnetic resonance imaging brain showing absence sulcus bulb.

A 53-year-old lady presented with post-menopausal bleeding (spotting) for two days and abdominal pain three months. CT scan revealed bilateral adnexal mass ascites; CEA CA19.9 was raised. Histopathology of the resected tissues mucinous carcinoma ovaries colon omental metastasis. Generally, pseudomyxoma peritonei arises from primary ovarian or appendiceal adenomas adenocarcinomas. Keywords: Adenocarcinomas; metastases; carcinoma; peritonei.