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NepMed is a Nepal MEDLINE(Medical Literature Analysis and Retrieval System Online) by Nepal Health Research Council(NHRC). It includes bibliographic information for articles from academic biomedical journals covering medicine, dentistry, nursing, pharmacy, dentistry veterinary medicine, and allied health sciences.
 

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Publication
Delayed Presentation of Congenital Diaphragmatic Hernia
(Kathmandu University, 2018) Rajbanshi, LK
ABSTRACT Delayed presentation of congenital diphragmatic hernia is a rare condition which can present in later stage of life either with the nonspecific complains or acute complians of shortness of breath. The clinical features and the radiological findings can be confused with pneumothorax leading to inadvertant insertion of chest tube. Immediate and accurate diagnosis of the condition is required for the better outcome. Our case is an example of the condition where a patient presenting with features similar to pneumotharax without history of trauma ,the diagnosis of congenital diaphragmatic hernia should always be considerd. KEY WORDS Adult, Congenital diphragmatic hernia, Delayed presentation
Publication
Eosinophilic Granuloma of Mandible: A Diagnostic Challenge
(Kathmandu University, 2018) Bajracharya, B; Poudel, P; Bajracharya, D; Bhattacharyya, S; Shakya, P
ABSTRACT Eosinophilic Granuloma is the mildest and localized form of Langerhans Cell Histiocytosis and is characterized by clonal proliferation of Langerhans cells. It is a rare disease, accounting for less than 1% of all the osseous neoplasms. It has predilection for the axial skeleton and incidence in jaws is just 7.9%. It lacks pathognomonic clinical and radiographic trait and hence is difficult to make a correct diagnosis without histopathological and immunohistochemical examination. This report describes a case of Eosinophilic Granuloma of mandible in 30 years old male who presented with complain of unhealed extraction wound and was clinically diagnosed as chronic suppurative osteomyelitis. The final diagnosis of Eosinophilic Granuloma was made only after histopathological and immunohistochemical evaluations. KEY WORDS Eosinophilic granuloma, Immunohistochemistry, Langerhans cell histiocytosis
Publication
Cheiro-Oral Syndrome
(Kathmandu University, 2018) Thapa, L; Amatya, R; Maharjan, S; Gaurishankar, N; Shrestha, AM; Bhattarai, S; Singh, SN; Gongal, DN; Devkota, UP
ABSTRACT Cheiro-Oral Syndrome (COS) is a very rare neurological syndrome associated with varied etiology. We report a 53-year-old man presented with left sided perioral and ipsilateral hand/fingers burning sensation for a one-month duration. On examination, he had hypesthesia over left perioral and distal palmar aspect of all five fingers. MRI revealed subacute infarct in the posterior limb of right internal capsule adjacent to and minimally involving thalamus. He was diagnosed as Cheiro- Oral Syndrome as a result of ischemic stroke and managed. KEY WORDS Cheiro-oral syndrome, Stroke, Internal capsule, Perioral hypesthesia

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