A 7 year old boy from Remote village presented with complains of vomiting 4-5 episodes per day for 3 months, inability to walk without support for 20 days and loss of vision in both eyes for 12 days.
According to the parents, the child developed vomiting , without associated Nausea, which was aggravated in the morning after arising from bed. Vomiting …

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 …

Medical Online Magazine
Birth defects are a result of Syndromes, Gene mutations, Infections during pregnancy, toxicities of drugs and metals,and environmental factors. Combinations of these factors often play a role is severe deformities.Here are Six Rarest and most severe congenital anomalies or birth defects seen by mankind.
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A 46 years Male from Nuwakot came to ER with complains of Epigastric  and retrosternal pain for 16 hours. The pain was constricting type , continuous, radiating to left arm and neck, and not relieved in any position. It was associated with Shortness of breath. He had 3 episodes of Vomiting and sweating. He also complains of palpitation. Headache +, …