Bhattarai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Spontaneous pneumomediastinum (SPM) refers to the presence of air in the mediastinum without any obvious cause. It is an uncommon condition occurring due to alveolar rupture as a result of increased intrathoracic pressure. It is commonly seen in young males, patients with known asthmatic disorders and pulmonary diseases. We report a rare case of SPM in a young healthy male without any significant past history. The patient was managed conservatively and discharged.
Acute intramural hematoma in colon is a rare presentation following trauma. There are reports in literature of acute colonic hematoma following trauma, warfarin intake and in patient with coagulation disorders. In traumatic acute colonic intramural hematoma, most of the reported cases were managed surgically. Very few cases were successfully managed conservatively. We present a case of 28-year-old male who presented to the surgical emergency after two days of road traffic accident. After relevant investigations, he was found to have intramural hematoma of ascending colon, which was managed conservatively.
Background: Medical students are always in a dilemma for their career choice after under-graduation as there are multiple options and none of the choices come without any drawbacks. Multiple factors determine their preferences. Objective: This study aimed to identify the factors that determine career choice and to discuss how it affects the students in taking surgery as their career. Methods: A questionnaire was developed which included factors that encourage and also infl uence students to consider surgery as their career. A cross-sectional study was conducted among 292 participants and they were divided into two groups, preclinical and clinical students. The collected data was tabulated and analyzed using Statistical Package for Social Sciences version 20. Results: Out of the 292 students, 144 (49.32%) were males and 148 (50.68%) were females. Of the total, 233 (79.8%) students thought of choosing surgery as their career while 41 (14.04%) of the students disagreed for choosing surgery. Among the 233 students, 76 (32.6%) were from preclinical and 157 (67.38%) were clinical students. Better earning and role model infl uenced them to take surgery as their career whereas lack of private life and great dedication were the deterrent factors. Conclusion: There are various factors that affect students' preference in opting for surgical career. Even though this study reveals many factors contributing towards one's interest in surgical fi eld, it was not statistically signifi cant, and hence, the conclusive results could not be drawn.
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