PULMONARY TUBERCULOSIS IN AN ADULT PRESENTING WITH SEVERE HYPONATREMIA: A CASE REPORT AND REVIEW OF LITERATUREShailes Paudel1,2 , Maulik Dhanani  2,3, Krish Hitesh Patel2,4, Naga Praneeth Vakkalagadda2,5, Vivek Sanker2,6, Abhiram Rao Damera2,7, Umang Gupta2,8, Prakriti Bhandari1,21Patan Academy of Health Sciences, Lalitpur, Nepal2 Team Erevnites, India3Southwestern University School of Medicine, Cebu City, Philippines4Government Medical College, Surat, India5Guntur Medical College, Andhra Pradesh, India6Noorul Islam Institute of Medical Sciences, Kerala, India7Mediciti Institute of Medical Sciences, Ghanpur, Telangana, India8 Nepalgunj medical college, BP Chowk-12, Nepalgunj Banke, Nepal

Brugada syndrome is a genetic arrhythmia syndrome characterized by a coved type of ST segment elevation in the ECG.The patients are usually asymptomatic, with unmasking of the disease under certain conditions.We are reporting the case of such a patient who was diagnosed during an attack of dengue fever

A document by Shyam Duvuru. Click on the document to view its contents.

Chronic kidney disease associated with incidental tuberculoma represents one of the rarest conditions occurring worldwide. Among tuberculous patients, only 1% show Central Nervous System involvement. We present a case of 45-year-old male with CKD who presented with seizure, diagnosed to have incidental Tuberculoma

A Case of Trichotillomania (TTM) and Bulimia Nervosa (BN) in a Patient with Adult-Onset Attention-Deficit/Hyperactivity Disorder (ADHD)

INTRODUCTION:Human beings are often infected with species of filariasis which are naturally found in animals. Among these the commonly reported is due to dirofilaria species - D repens and D imitis. It is transmitted by mosquito bite. The review of literature revealed around 800 cases reported worldwide. Most of the pediatric cases reported in India are ocular dirofilariasis. Subcutaneous dirofilariasis cases are mostly reported in adult population. Here we present a series of four cases of subcutaneous dirofilariasis in children presenting as subcutaneous nodules.

A document by Shyam Duvuru. Click on the document to view its contents.

A Case of Close Lip Schizencephaly with absent septum pellucidum in adult presenting with seizure disorderChhabi Khadka1, Umang Gupta2, Prakriti Bhandari3, Prabin Pandey1, Shailes Paudel3National Academy of Medical Sciences, NepalMaharajgunj Medical Campus, NepalPatan Academy of Health Sciences, Nepal Correspondence: Shailes Paudel, Patan Academy of Health Sciences, Lalitpur, Nepal Email: [email protected]

The nicotinic symptom in Organo-Phosphate (OP) poisoning is an unusual presentation in an adult, as in our case of a 38-year-old man who also experienced decreased motor power of all limbs and diffuses fasciculation of the tongue and lower limbs.

Lung cancer can present with unilateral atypical facial pain, a rare symptom due to vagus nerve involvement or paraneoplastic syndrome. This manifestation is usually missed, delaying the diagnosis and prognosis. We discuss a case of a 45-year-old male who presented with right-sided hemifacial pain and with normal neurological investigations.

Trauma or surgery to the lower limbs can cause fat from the marrow within the leg bones to enter the bloodstream and form an embolus. However, if there is cerebral involvement without any pulmonary or dermatological manifestations at diagnosis, it could delay identifying cerebral fat embolism (CFE).

Takayasu arteritis is a granulomatous inflammation of the aorta and its major branches.Can present as an isolated, atypical,and/or catastrophic disease.The disease has been reported around the world, although it appears to be more prevalent in Asians.We report case of a 29-year-old pregnant lady presented with TA.