
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.

Recent Submissions
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
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
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


