Browsing by Author "Paudel, Sandip"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Central Venous Catheter-related Thrombosis in a Dialysis Patient: A Case Report(Nepal Medical Association, 2022) Regmi, Sachit; Manandhar, Dilasha; Pyakurel, Sulav; Shrestha, Bibek; Khanal, Pitamber; Paudel, Sandip; Gyawali, PawanAbstract Hemodialysis is one of the treatment modalities for advanced kidney disease and can help an individual live an active life despite failing kidneys. Although it improves the quality of life, it is not completely risk-free. It has several complications, among which, thrombus formation is common. We report a case of a 63-year-old man who presented at our institution for regular hemodialysis with recurrent arteriovenous graft failure. Because doppler ultrasound is a non-invasive procedure that can identify a thrombus in a vein, it is the best initial option for patients with internal jugular vein thrombosis. The use of ultrasound not only can guide a catheter pathway but can also help in early diagnosis and prevent complications following catheterization in a vein with a thrombus.Publication Hypokalemic Paralysis Revealing Primary Sjogren's Syndrome: A Case Report(Nepal Medical Association, 2023) Khanal, Pitambar; Paudel, Sandip; Chapagain, Subodh; Thapa, Saurav; Gyawali, MadanAbstract Sjogren's syndrome is a rare chronic autoimmune disease characterised by dry eyes and dry mouth due to autoimmune destruction of the lacrimal and salivary glands, which can occur concurrently with other autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, or thyroiditis. It can lead to renal complications such as interstitial nephritis and glomerulonephritis, with distal/ type 1 renal tubular acidosis which may result in life-threatening electrolyte imbalance. We present a case of a 35-year-old female who presented with complaints of multiple episodes of muscle weakness. Type 1 renal tubular acidosis was discovered to be the cause of her symptoms which lead to the subsequent diagnosis of Sjogren’s syndrome. This is rare presentation of Sjogren’s syndrome, and it poses a challenge to diagnosis. Early detection and diagnosis of Sjogren's syndrome might be difficult due to existing diagnostic criteria, which contributes to a higher likelihood of missed diagnosis.