BackgroundDrug-induced hypersensitivity reaction is of great clinical significance in therapeutics. The objective of this reporting of two cases is to show that anaphylaxis reaction can occur with pantoprazole.Case summariesA 38-year-old female reported to the emergency ward in a critical condition, with a history of periorbital edema, edema of the skin, pruritus, nausea, vomiting, and difficulty breathing 20 minutes after ingestion of a pantoprazole 40 mg tablet. A 32-year-old female reported to the emergency ward in a critical condition, with complaints of rashes all over the body, itching on the whole body, and swollen lips and eyes after ingestion of a pantoprazole 40 mg tablet.ConclusionIt is necessary for all health care providers to know that pantoprazole can cause anaphylaxis, which is a life-threatening reaction, and to be cautious while prescribing it.
Leprosy, an infectious disease, is a highly stigmatized disease. It directly affects patients' physical, psychological, social and economical well-being. To know the stigma faced by the patients in the family and community. The study was carried out at Netherlands Leprosy Relief, Biratnagar, Nepal. Verbal consent was taken from each patient. A total number of 34 patients who were diagnosed to have leprosy were interviewed. Data were collected using structured interview schedule that included questions seeking information about all aspects of objective. Although both men and women faced the social stigma of the disease, women suffered more rejection by the family members (50%), neighborhood (75%) and work places (62.5%) in comparison to male patients, who are affected maximum at work places (39%) and minimum in family (7.69%). Illiterate were avoided by family members (25%) and co-workers (75%) whereas literate were not. All unemployed patients were neglected in community whereas only 21.42% of employed were neglected. Leprosy is a highly stigmatized disease. Patients are neglected by their family and society. Therefore community education component of Leprosy Control Program needs to be strengthened.
Introduction: With increasing of workload of emergency room employees, many of the community’s emergency hospitals are now facing another challenge, i.e. the abandonment of patient in emergency Department. It seems undesirable in most hospital service settings due to loss of revenue and ill-will. The hospital’s staffs feel that they have no option but to keep those sufferers until a further plan can be made. It presents a dilemma for the staffs of Emergency and for the hospital administrators as well. The current case report presents an abandoned patient in Emergency Department of B. P. Koirala Institute of Health Sciences (BPKIHS). Case Report: A 70-year old male brought by police and was left abandoned in emergency ward of BPKIHS in altered conscious state. The patient was managed in emergency ward with conservative management nearly for six weeks. Conclusion: The problem is multidimensional, is in conflict of the concept towards achievement of Millennium Development Goals (MDGs) and a challenge to social security.
Background: The emergency department (E. D.) of any hospital is an important entry point of critically ill patients. The initial management of these patients is often challenging, and for valuable lives to be saved, the infrastructure and manpower should be up-to-date. Materials and Methods: This retrospective study was carried out from previous medical record of emergency ward of B. P. Koirala Institute of Health Sciences (BPKIHS) from April 2015 to March2016. Total duration of study was one year. Data was extracted from medical records, entered in Mescal and analyzed with SPSS software. Results: The mortality rate at the BPKIHS emergency ward was 1.05%. Their ages ranged from 10-91 years with 43% of deaths among age >60 years. There was a similar proportion of death among the males and females, with almost 90% of cases in the Australian Triage Score (ATS) 1 and 2, i.e. the most severe cases. Sepsis, chronic obstructive pulmonary disease and chronic kidney disease were the common causes of death in BPKIHS emergency ward. Conclusion: Mortality was high in ATS 1 and 2, i.e. severe cases of ED. There is a need for further exploration of the cases including the morbidity profiles at BPKIHS emergency ward. More studies are needed to come to a conclusion regarding the quality of care.
Background: Acute appendicitis is one of the most common causes of acute abdominal pain
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