Introduction: Hodgkin's and non-lymphomas Hodgkin's are malignant tumours of lymphoid tissue. Non-lymphomas Hodgkin's are a type of lymphoid tissue cancers that arise from T or B cells or their progenitors, and can be indolent or aggressive. B-cell lymphomas account for around 80% of all cases in the United States. Chronic lymphocytic leukaemia or small lymphocytic lymphoma, follicular lymphoma, diffuse large B-cell lymphoma, and primary cutaneous B-cell lymphoma are all examples of Non-Hodgkin's Lymphoma. Non-Lymphoma Hodgkin's is the sixth most prevalent malignancy in the United States, with incidence rates nearly doubling in the last 35 years. With each decade of life, the incidence rises; the median age upon diagnosis is 66. In India, the incidence rates in urban regions are many times higher than in rural areas, with the incidence being higher in metropolitan cities and among Indian immigrants, implying that urban lifestyles and economic advancement may boost cancer incidence. In 2010, NHL was projected to have caused roughly 0.36 million new cases and 0.19 million deaths. Case Presentation: A male patient of Two and half years from Shiwangaon MO, was admitted to Paediatric Ward, AVBRH on 31st May, 2021 with a known case of Non-Hodgkin Lymphoma which was diagnosed itself at AVBRH on 31st May,2021. My patient was brought with a chief complain of swelling in the testicular region for 6 days. As narrated by the patient’s father, my patient was apparently alright 6 months back and then patient develop swelling in temporal region suddenly, associated with pain on touch, as the swelling develops more and uncomfortable, patient was brought immediately to AVBRH and was admitted in Paediatric Ward for further investigation.
COVID-19 was proven to be a pandemic in early 2020 by the World Health Organisation (WHO). At present, 213 countries have been affected by the COVID-19 pandemic. In the history of global pandemics, COVID-19 has had a major impact on society as it has killed humans, spread human suffering and uprooted the lives of the people. Across the globe, there are 18,705,096 confirmed cases, 11,922,692 recovered cases, 704,385 deaths, and 6,078,019 active cases as of, 5 August 2020. It has affected the world’s economic, social and political status. Poor people belonging to the lower strata of society face more difficulties during pandemics. They are unable to secure their daily bread as well as other basic needs. The impact of COVID-19 on the poor and the role of society have been addressed.
During this phase of the COVID-19 pandemic, healthcare systems and healthcare personnel are overwhelmed and are already prepared to treat an influx of patients affected. The corona virus poses an uncertain period of intense acute care crisis where hundreds of thousands of people theoretically could get infected, some fatally, and ten thousands could die. This article addresses the normal palliative care issues — Life quality, comprehensive care planning, Patient discernment preferences, treatment of pain and symptoms, and encouragement for caregivers over prolonged trajectories — seem small and weak in contrast. The use of the particular Palliative care skills and abilities needs to be part of the programme. To agree that death is imminent for any human being should be right for the health system. Extending the dying process in days, weeks, or months against the person’s wish is pointless; it will only prolong the physical and emotional agonies. Individual must be at peace at the end of the life and give as much dignity and comfort as possible, but intensive care units cannot give them the comfort or dignity they deserve. It basically means that all COVID- treating nurses will have expertise in the basics of palliative care, as well as access to opioids for symptoms management like breathlessness.
Osteosarcoma occurs mostly in adolescence, this being the primary bone tumor (malignant) formed by the production of immature bone. Immature bone cell's production occurs from the premature bone cells. The commonly used treatments form is lesions removal. Chemotherapy is also used to treat metastasis of the osteoid cells (cancerous). Sometimes the micro metastasis can't be diagnosed in time to can be cured with neoadjuvant chemotherapy. Pulmonary metastatic disease is the most common complication of the osteosarcoma (musculoskeletal cancer). I have presented a case of osteosarcoma of right proximal tibia in an18year old boy who come to the hospital for swelling and pain which were increasing during walking. Before that he hadn't any complaints in his knees. Magnetic resonance imaging was done by which the diagnosis was confirmed. After that, tumor resection was performed and post-operative chemotherapy was administered. The case report states that the adolescents age group should be properly monitored because they have the highest risk of suspicion by premature bone growth of osteoid.
Mycobacterium tuberculosis is the bacteria that cause tuberculosis. If the infection is not treated immediately the bacterium passes via the circulatory system and spread other organs and tissues. Pathogen will travel to the meninges and causes inflammation of membranes called as tubercular meningitis. Here, the authors report a case of tuberculous meningitis a 42- years-old male patient with the chief complaints of low grade fever with chills since 1 month, headache in frontal region since 5-6 days, altered sensorium, breathing difficulty, reduced speech and left side weakness of the body since 1 day. After admitting in the ward all investigation done like MRI brain, ECG, lumbar puncture, blood tests etc. and he diagnosed as tuberculous meningitis. Patient admitted in AVBRH in ICU, investigations done, where patient was on NIV support, nasogastric tube, foleys catheter and it has been removed as patient was improving the condition and shifted in ward. Patient medical treatment in the ward was inj. C-tri 2 gm, Inj.levoflox 500 mg, inj. thimine 100 mg, Inj.Dexamethasone 10 mg, tab. Pan 40 mg, tab. Akt4 3, Inj.manitol, tab. Lorazepam. History collection, Physical examination, neurological assessment and nursing care plan were done after all treatment patient condition has been improved.
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