“A Severe Drought in Kenya wiped out a family’s yam crop, their primary staple food. Within several months, a 3 yr Old child in the family began to complain of being unable to see very well specially at dusk and night. Also, the child’s eyes were red due to constant rubbing because of dryness.”- Kaplan Biochemistry Lectures
Magnitude of Problem-
Clinical and …

Patient Details
Master Lama
Age-6 years
Sex-Male
Address- Kathmandu
Total stay-18 days
History
History given by Parents and child himself. ( Reliable)
Chief Complains-
Fever X 11 days
Swelling in Neck X 11 days
History of Present Illness
The child was apparently well 11days back, when he developed fever, continuous, highgrade, upto104F, maximum during nights,coming down on medication(Ibuprofen+Paracetamol) and was a/w profuse sweating how ever there was no h/o chills or rigors.
Headache+on/offassociatedwithfever,frontal.
Fever …

Rapidly progressive is characterized by the histopathologic finding of crescents in the majority of glomeruli. The natural history in most forms is rapid progression to end-stage renal failure.
It is characterized by rapid deterioration of renal functions over days to weeks.
MANAGEMENT of RPGN-
We have elaborated “The regimen used by the Glomerular Disease Collaborative Network at the University of North Carolina at …

Cough is one of the most common presenting complain in children at Out-patient. Cough may be just a benign protective phenomenon , but at times it become troublesome . Cause of Cough Should be sought for even outside the respiratory system, like ears,abdomen etc.
CHRONIC COUGH
Cough  lasting for 4 weeks or more -CHEST January 2006
1.Inflammatory disorder of airway
Asthma & Loeffler’s syndrome, Tropical …

Earache a.k.a Otalgia medically is the pain in ear that can occur due to problems within or outside the ear and may be temporary or constant. An earache can affect one or both ears and can vary from a mild, dull ache to a throbbing or stabbing pain that is nearly incapacitating.
What is referred Otalgia?
Otalgia is not always associated with ear …