Browsing by Author "Gautam, Uttara"
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Publication Multiple Neonatal Teeth in a Preterm Neonate: A Case Report Authors(Nepal Medical Association, 2021) Gautam, Uttara; Phuyal, Rajan; Sapkota, Abhin; Chikanbanjar, Vijaya KumarAbstract: Prematurity and low birth weight are significantly associated with delayed dentition. Few cases of the eruption of a tooth immediately at or after birth in preterm neonates have been reported in the literature, although this is a rare presentation. The aetiology of this rare biological aberration is yet to be established but has been associated with hereditary predilection, nutritional factor, endocrine causes, infection, and some syndromes. Here, we present a case of a preterm male neonate at 28 weeks of gestation with very low birth weight and respiratory distress who presented with three neonatal teeth, two maxillary central incisors, and one mandibular central incisor and its subsequent management.Publication Pneumothorax in a Preterm Neonate: A Case Report(Nepal Medical Association, 2021) Phuyal, Rajan; Basnet, Ritika; Sapkota, Abhin; Gautam, Uttara; Chikanbanjar, Vijay KumarAbstract: A pneumothorax is an abnormal collection of air in the pleural space between the lung and chest wall. Although this condition commonly occurs in adults, it can also present as complication in neonates requiring assisted ventilation and has high morbidity and mortality. Chest tube placement and needle drainage are some common approaches in management. A late preterm infant born at 35+2 weeks of gestation was admitted in Neonatal Intensive Care Unit for the management of respiratory distress. He was kept on mechanical Continuous Positive Airway Pressure owing to worsening respiratory distress. Chest X-ray revealed pneumothorax that was successfully managed with venous catheter drainage on second intercostal space with underwater seal. He was discharge on 10th day of Neonatal Intensive Care Unit admission with stable vitals and normal breathing pattern.