Browsing by Author "Patil, M.M."
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Publication Scorpion Sting Envenomation(Nepal Paediatric Society (JNPS), 2016) Lakhkar, Bhavana Bhushan; Patil, M.M.; Patil, S.V.Abstract: Scorpion sting envenomation is very common problem in rural India especially where the climate is hot and dry. Management techniques have improved tremendously over the time leading to reduced morbidity and mortality. Mortality is mainly when ignorant patients go to the traditional faith healers (Tantrics) and come late to the facility where better management is available. Indian red scorpion (Mesobhuthustamulus) is the main species in India. Autonomic storm caused by venom acting on sodium gated and other channels is the main cause of manifestations in a scorpion sting victim. Cardio-myopathy is the main cause for morbidity and mortality. Many grading systems have been suggested for categorizing and simplifying the treatment. The mainstay of treatment where systemic involvement is there are alpha-1 blocker Prazosin hydrochloride, Fluids and newly arrived purified anti-venom. Scorpion envenomation being a problem of rural remote areas and most patients being from lower socio-economic status, anti-venom use is limited. Hence the treatment of choice remains Prazosin hydrochloride. Risk factors, peculiarities of presentation and dose titration of Prazosin based on severity will be discussed as per personal experience and literature review.Publication Unilateral Nasal Pyriform Aperture Stenosis Presenting with Respiratory Distress – A Case Report(Nepal Paediatric Society (JNPS), 2023) Sajjan, Anil Kumar; Sinha, Anwita; Patil, S V; Patil, M.M.Abstract: Congenital nasal pyriform aperture stenosis is a rare entity and if present unilaterally can be missed. We present a four days old newborn with noisy breathing and worsening respiratory distress. The baby was managed with high humidified flow nasal cannula. Computed tomography confirmed congenital pryiform aperture stenosis and was managed surgically. Failure of passage of infant feeding tube through nares CNPAS needs to be kept in mind. Diagnosis and treatment of unilateral nasal pyriform stenosis is vital and can be life saving.