Browsing by Author "Baidya, Smriti"
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Publication Fish Bone in the Glottis of a Seventeen-Month-Old Child: A Case Report(Institute of Medicne, 2021) Baidya, Smriti; Gyawali, Bigyan RABSTRACT Foreign body aspiration is one of the leading causes of accidental death in children. Young children tend to put objects in their mouths which may additionally explain the incidence of foreign body aspiration. Laryngeal impaction of a foreign body is very rare as most aspirated foreign bodies pass through the laryngeal inlet and get lodged lower down in the airway. Inhaled foreign bodies are suspected from the history of incidence witnessed by the parent or caregiver or at times from clinical symptoms of respiratory complains not responding to medical therapy. Removal of the foreign body from the airway is the modality of treatment done via rigid bronchoscopy under general anesthesia in our setting. A rare case of foreign body aspiration with glottic impaction in very young child of seventeen months has been described here. Keywords: Fish bone, foreign body, laryngeal inletPublication Snakebite Masquerading as Brain Death: A Case Report from Nepal(Institute of Medicine, Tribhuvan University, 2024) Balla, Pujan; Baidya, Smriti; Shahi, Kul Raj; Paudel, Khechar NathAbstract: Neurotoxic envenomation from snake bites, particularly krait bites, can mimic brain death. A 17-year-old male was referred to our hospital intubated, presenting with clinical features consistent with brain death. However, the absence of a clear preceding event and his residence in a snakebite-endemic region raised suspicion of snakebite. Prompt administration of anti-snake venom led to significant recovery, and he was discharged without neurological deficits. This case underscores the need for clinicians to recognize neurotoxic snake bites as a potential differential diagnosis of brain death, particularly in resource-limited endemic areas where diagnostic capabilities may be restricted.