- Pituitary Gland Disorders and Treatments
- Growth Hormone and Insulin-like Growth Factors
- Healthcare professionals’ stress and burnout
- Thyroid Disorders and Treatments
- Head and Neck Surgical Oncology
- Global Health and Surgery
- Traumatic Ocular and Foreign Body Injuries
- Poisoning and overdose treatments
- Vaccine Coverage and Hesitancy
- History of Medical Practice
- Ureteral procedures and complications
- Forensic Toxicology and Drug Analysis
- Urological Disorders and Treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Health and Well-being Studies
- Long-Term Effects of COVID-19
- Sinusitis and nasal conditions
- Vector-borne infectious diseases
- Leptospirosis research and findings
- Ophthalmology and Visual Health Research
- SARS-CoV-2 and COVID-19 Research
- Retinal and Optic Conditions
- Brucella: diagnosis, epidemiology, treatment
- Antibiotic Resistance in Bacteria
- Vascular Malformations and Hemangiomas
Pokhara University
2021-2025
Nepal Medical College Teaching Hospital
2020-2024
Neurology, Inc
2024
Creative Commons
2024
Colorado State University
2022
Tribhuvan University
2021
Assiut University
2008
Introduction and importance: Paraquat (PQ) poisoning is a life-threatening condition with high-mortality rate. As it lacks specific antidote, treatment mainly supportive, focusing on reducing oxidative damage organ dysfunction. Despite aggressive intervention, the can rapidly progress to multiorgan failure. This report presents fatal case of PQ poisoning, highlighting its clinical course management challenges. Case presentation: A 45-year-old female ingested 10 mL 20% PQ, presenting...
INTRODUCTION: Traumatic brain injury often leads to neuo-ophthalmologic deficits, which are ignored and thus lead visual field defects even permanent disability. METHODS: A hospital-based cross-sectional study was carried out among patients admitted our center with a diagnosis of traumatic for period six months from August 2020 through January 2021. Glasgow Coma Score used grade the severity head injury. Detailed ophthalmological examinations were documented in predesigned proforma....
Abstract Background Right-sided infective endocarditis is uncommon, and isolated pulmonic valve (PVIE) rare. Chronic haemodialysis a risk factor for developing endocarditis. but recurrent PVIE in this population not well described. Case summary A 32-year-old male with end-stage renal disease on chronic diagnosed 6 months back due to Staphylococcus epidermidis without identified source of infection presented again methicillin sensitive S. aureus, new septic emboli, peri-graft fluid collection...
Cystic hygromas are congenital lymphangiomas that arise from a developmental anomaly in the lymphatic system. Typically detected early childhood, their incidence adolescents and at chest wall or axillary area is rare. We report two cases, 14-year-old male child (Case I) 1-year-old infant II), who presented with swelling unusual locations, right region anterolateral respectively. Local examination findings were indicative of cystic hygroma first case, while second characteristic...
Key Clinical Message Wilson's disease is a genetic disorder of copper metabolism that primarily manifests with hepatic and neurological features. Kayser–Fleischer rings (KF rings) are pathognomonic helps in establishing its diagnosis.
The authors declare that they have no conflicts of interest to disclose.
Abstract Dentigerous cysts are seen in the maxillary canine and third molars. We report a case of dentigerous invading sinus, which was managed surgically by endoscopic‐assisted transantral transnasal approach.
Locally prepared liquor, which is not standardized or regulated, though cheap can contain various toxic ingredients and even may be fatal. We report a case series of four adult males who died within 18.5 h due to the effect local liquor consumption in hilly district Gandaki Province Nepal. Methanol toxicity illicitly produced alcohol should managed with adequate supportive care administration specific antidotes such as ethanol fomepizole. Liquor production standardized, quality checks done...
Bilateral chronic subdural hematoma are not that common. It may be recurrent and rarely superimposed by acute bleed leading to rapid progression poor clinical outcomes. We report the case of a seventy six years old lady with history traumatic evacuated trephination twenty back, presenting at our hospital persistent headache onset several episodes vomiting. A non-contrast head CT revealed bilateral on one side. Trephination was done initially unilaterally, but symptoms persisted performed....
<ns4:p><ns4:bold>Background:</ns4:bold> Substance abuse by medical students poses a significant risk not only on their personal life but also professional putting patients at risk. Our study aims to find out the prevalence of substance and factors associated with it among students.</ns4:p><ns4:p> <ns4:bold>Methods:</ns4:bold> An online-questionnaire based, cross-sectional, analytical was carried Gandaki Medical College, school in Province Nepal. Whole sampling technique used. SPSS-25.0...
Abstract Dicephalus parapagus are conjoined twins with two separate heads. Proper identification helps in patient counseling and timely referral to specialist centers.
BACKGROUND Providencia rettgeri is a rare cause of nosocomial infection in humans. These organisms are capable biofilm production and intrinsically resistant to commonly used antibiotics, leading high rates morbidity mortality. P. may very rarely postneurosurgical infection. OBSERVATIONS In this report, the authors describe two patients whom complicated postoperative course. Both underwent craniotomy at approximately same time under similar environments. The organism isolated was most...
Scrub Typhus (ST) is an acute febrile illness caused by obligate intracellular bacteria of the family Rickettsia. It often unrecognized and neglected but prevalent in tropical regions endemic areas. The tragedy behind this diagnostic dilemma non-specific clinical signs symptoms, limited awareness, unavailability facilities, low index suspicion among physicians. To address knowledge gap, we tried to find out a proper panel laboratory investigations diagnose disease predict its progression...
Objective: There is a paucity of data assessing the severity COVID-19 infection and feto-maternal outcomes in pregnant women Nepal, especially during third wave pandemic with Delta variant. This study aimed to as well maternal-fetal among infection. Methods: In this cross-sectional carried out amongst COVID-19-positive visiting our institution for six months from January through June 2022, surrounding fetal were collected structured questionnaire. Disease was categorized based on NIH...
Objective: Neuro-ophthalmic manifestations occur frequently in patients with a traumatic head injury which are often ignored, leading to late presentation permanent visual disability and field defects. This study aimed find the various neuro-ophthalmic of brain correlate them neurological status neuro-imaging abnormality. Methods: A hospital-based cross-sectional was carried out among admitted our center diagnosis for period six months from August 2020 January 2021. Glasgow Coma Score used...