Pectus carinatum

A spectrum of protrusion abnormalities of the anterior chest wall Also known as pigeon chest Uncommon deformity of the chest wall, less common than pectus excavatum. Aetiology  Race More frequent in whites Uncommon in blacks and Asians. Sex Males affected 4 times more than females. This deformity may occur either isolated or as part of…

Intramuscular injection of Sterile Water

Emergency Physicians often practice intramuscular injections of sterile water for injection (SWFI) as a placebo effect to questionable psychosomatic or factitious pain disorders, however it is not advisable. Hypotonic solutions such as Sterile water or 5% Dextrose cause substantial swelling of the subcutaneous tissue & block the microcirculation. There is an ongoing practice of intradermal…

ATOPIC DERMATITIS IN PEDIATRICS

Skin infections and allergies are common presentation in paediatrics age group in Nepal. Among many dermatological problems, bacterial skin infections, seborrheic and atopic dermatitis are common presentations. Atopic dermatitis (AD) is a chronically relapsing skin disorder with an immunologic basis. The clinical presentation varies from mild to severe. In the worst cases, atopic dermatitis may…

Prune Belly Syndrome | Pathophysiology | Epidemiology | Etiology | Treatment & Management | Imaging

IntroductionPrune belly syndrome is a rare, genetic, birth defect affecting about 1 in 40,000 births.About 97% of those affected are male. Prune belly syndrome is a congenital disorder of the urinary system, characterized by a triad of symptoms(A partial or complete lack of abdominal muscles,Undescended testicles in males,Urinary tract abnormality such as unusually large ureters,…

PERNICIOUS ANAEMIA

                                            PERNICIOUS ANAEMIAPernicious anaemia is a type of megaloblastic anaemia due inablity to secrete intrinsic factor that helps in absorption of vitamin B12.                                …

“Hand of Hope”

A picture began circulating in November. It should be “The Picture of the Year,” or perhaps, “Picture of the Decade.” It won’t be. In fact, unless you obtained a copy of the U.S. paper which published it, you probably would never have seen it. The picture is that of a 21-week-old unborn baby named Samuel…