Author: Dr. Sujit Shrestha

Dr Sujit Shrestha is a Pediatrician( TUTH) and Neonatologist ( F. Neonatology, Sir Gangaram Hospital ).
Gullian barre Syndrome

Gullian Barre Syndrome – Post-infectious demyelinating polyneuropathy

Definition Guillain-Barre syndrome is a postinfectious polyneuropathy involving mainly motor but sometimes also sensory and autonomic nerves. Guillain-Barré syndrome is an acute demyelinating disorder of the peripheral nervous system that results from an aberrant immune response directed at peripheral nervesThe pathogenesis of GBS is believed to be an abnormal immune response to an antecedent event, most […]

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Medical Cases

Wilson disease presenting with Cirrhosis and Refractory Rickets

    A 11 yrs Male presented with complains of  Difficulty in walking for 4 months, Deformity of legs noticed for same duration and  Diffuse muscle and bone pains.  Child was well before 4 months 1. Started complaining of limb pain, Onset gradual and slowly progressive, -diffuse, ill-localised pain in limbs & joints, Mild to moderate severity, missed school, -unable to walk steadily and […]

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    Carving my Thoughts on the Rocks

      The unchallenged beauty of the night, a cold wind, some trance music and a mind lost into the thoughts, thoughts of an unknown, thoughts stranger than a stranger, a thought that is like a dream where the consciousness of a man is subtotal and thin. Merely a blink of eyes and the thin line between […]

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      Schizophrenic writings: Story of my Psychiatry postings

        Once a patient appeared in the Psychiatry OPD. She was childish though old enough and somewhat sweet for a psychiatric patient. She was humble and respected the doctor tremendously. “She is not much different from a baby” I said to my self. “Look at the power of the mind, look what it can make out […]

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        Using EndNote to cite References in Thesis and Research

          Thesis writing in order to fulfill the partial requirement to complete a Master degree in Medical Science is one of the toughest part of any residency. Certain software are essential part of thesis writing without which things will become quite clumsy and difficult. Endnote library helps you organize your references well, let you cite them […]

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          Newer Antibiotics and their Uses – Review

            FDA Approved Antibiotics which are marketed internationally. The problem of the antibiotic resistance has been over-viewed in the previous article. Here are the latest antibiotics in current use. Oxazolidinones In clinical use: Linezolid   In clinical trials: Radezolid, torezolid. Effective against Organisms- –gram-positive bacteria including MRSA, VRE and Streptococcus pneumoniae. –Mycobacterium tuberculosis and Nocardia. Linezolid- 1st to be […]

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            Respiratory System

            Chronic or Recurrent Respiratory Symptoms in Children – An Approach

              Common Recurrent or Persistent Respiratory Symptoms – Cough Wheeze Stridor  Persistent Lung Infiltrates # Evaluation of chronic respiratory symptoms can be difficult  because – Symptoms  – close succession of unrelated ARTI Symptoms may have Single pathophysiologic process. Lack of specific diagnostic tests. Parental anxiety – pressure for quick therapeutic relief. Approach to Diagnosis and Treatment […]

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              Gallery cases

              Interesting Cases Picture Gallery 3

                          1. Congenital Melanocytic Nevus 2. Imperforate Anus 3. Absent Radii syndrome 4. Syndactyly thumb 5. Malformed Tragus

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                Fever Of Unknown Origin : Approach to Management

                  Definition The term fever of unknown origin (FUO) is best reserved for children with a fever documented by a health care provider and for which the cause could not be identified after 3 wk of evaluation as an outpatient or after 1 wk of evaluation in hospital. Nelson Text Book 18thEdition Ergönül O, Willke A, […]

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