Case Report: Hypertensive Anaphylaxis Misdiagnosed as COPD-Asthma Overlap SyndromeSunil Kumar Das1 , Bibek Bhandari21Patan Academy of health sciences, General practice and emergency medicine2Tribhuvan University Institute of Medicine, Internal medicineAuthors :Dr. Sunil Kumar Das, GPEM Rampur Hospital ,Nick Simons institute, Rampur, Palpa

Successful Endoscopic Endonasal Trans-Sphenoidal Resection for Pituitary Macro Adenoma with Apoplexy in a Twin Pregnancy: A Case Report.Ujjwal kumar jha1, Pragyan Basnet1 , Sunil kumar Das21Patan Academy of health sciences, Laganakhel lalitpur2General practice and emergency medicine, Rampur hospital, Rampur PalpaAuthors :Dr. sunil kumar das, GPEM Rampur hospital , Rampur, Palpa