Browsing by Author "Yadav, Shailendra Kumar"
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Publication Hypothyroidism Induced Hyponatremia: A Case Report(Nepal Medical Association, 2022) Maharjan, Gyabina; Yadav, Mandeep Kumar; Khati, Nirajan; Yadav, Shailendra Kumar; Shrestha, Tulsi RamAbstract Thyroid hormones have various effects on the body which include electrolyte and water hemostasis. It is also involved in renal development and physiology. Hyponatremia is a serious electrolyte imbalance that can be associated with the involvement of different body systems and a wide range of deleterious changes. We report a case of a 62-years-old female with the symptoms of severe hyponatremia like altered mental sensorium with a serum sodium level of 110 meq/l. After ruling out other causes, a final diagnosis of hypothyroidism was made. On treating hypothyroidism the symptoms of hyponatremia were resolved. Therefore, thyroid stimulating hormone determination is mandatory during the evaluation of hyponatremia. And, those patients should be treated with fluid restriction and treatment of hypothyroidism.Publication Status Dystonicus with Atypical Presentation in Developmentally Delay Child: A Case Report(Nepal Medical Association, 2022) Yadav, Shailendra Kumar; Yadav, Pratibha; Maharjan, Gyabina; Dahal, Sujata; Khati, NirajanAbstract Status dystonicus is characterised by involuntary sustained or intermittent muscle contractions of muscles causing repetitive twisting movements, abnormal postures of the body, or both is a rare but life-threatening movement disorder. Early diagnosis and management of status dystonicus prevent serious complications. We report a 2 years old previously developmental delay diagnosed girl who presented with generalised contractions of the whole body. Tightening of limbs is aggravated by touching her backside which is a very unique feature. Dystonia is associated with severe sweating and was confused with a seizure event. The patient was treated with midazolam, clonidine, phenytoin, gabapentin, pyridoxine, baclofen, and trihexyphenidyl. She was admitted to the intensive care unit for monitoring. The patient partially recovered after 10 days of treatment.