BABY OF KAMALA OLI . - Copy - Copy - Copy.docx
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RJ-JAUNDICE.pptx
This document presents a case study of neonatal jaundice in a 3-day old male infant. The infant presented with yellowish skin discoloration up to the soles and poor feeding for 1 day. Examination found physiological jaundice that progressed from the face to the soles over 3-4 days, peaking on days 4-6 before resolving by day 12. The diagnosis was physiological jaundice given the timing of onset and resolution without signs of pathology. The infant was treated conservatively with supportive care and monitoring.
CASE PRESENTATION TWIN PREGNANCY.pptx
This case presentation summarizes the care of a 25-year-old woman, G2P1L1A0, at 36 weeks and 6 days gestation with monoamniotic monochorionic twins, one in breech presentation and one in cephalic presentation. She presented with premature rupture of membranes and mild abdominal pain. She underwent an emergency lower segment cesarean section which resulted in the delivery of two babies, one weighing 2000g and one weighing 2100g, who were sent to the SNCU for being low birth weight. Her post-operative care included intravenous antibiotics and oxytocics.
Death audit dr subba reddy
1) A 5-month old female baby named Akshya was brought to the emergency room with complaints of severe breathlessness, fever, and poor feeding for several days.
2) On examination, the baby was cyanosed and in severe respiratory distress with inspiratory stridor and audible wheeze.
3) After initial resuscitation efforts, the baby experienced cardiac arrest during intubation attempts. Despite prolonged resuscitation, the baby could not be revived and was declared dead due to respiratory failure and severe bronchopneumonia with septicemia.
week 6 lab student copy.pptx
The document provides guidance on ICD-10-CM coding for 9 cases involving conditions originating in the perinatal period. It discusses various conditions seen in newborns and infants, including urinary tract infection, respiratory distress, jaundice, sepsis, and noninfectious diarrhea. Guidelines are provided for assigning ICD-10-CM codes to the diagnoses and symptoms documented in each case.
An article from japan
1) The document describes a case study of a 16-month-old boy in Japan who died of pediatric pneumonia caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).
2) Upon admission, the boy showed abnormal vital signs including tachycardia, tachypnea, and hyperthermia. Chest imaging and labs confirmed pneumonia, sepsis, and disseminated intravascular coagulation.
3) Despite treatment including antibiotics and supportive care, the boy's condition deteriorated and he died 10 days after admission, highlighting the severity of infections caused by the CA-MRSA strain.
Rh incompatibility
Baby Nasrin, a 30 hour old male, presented with jaundice since 19 hours of age and reluctance to feed for 10 hours. Examination found jaundice up to the thighs and lethargy. Investigations confirmed Rh incompatibility with positive direct Coombs test and hyperbilirubinemia. He was diagnosed with neonatal jaundice due to Rh incompatibility and early onset sepsis. He received phototherapy and antibiotics, showed improvement and was discharged on day 7 after jaundice resolved up to the chest.
seminar on RDS by dr. Shahana
- The patient is a 21-day-old male born prematurely at 30 weeks gestation with a birth weight of 1230g.
- He has a history of respiratory distress at birth and was treated for late-onset neonatal sepsis on days 5 and 16 of life.
- He is now presenting with signs of respiratory distress and sepsis including decreased activity, tachypnea, and desaturation. Laboratory results show thrombocytopenia and elevated inflammatory markers.
Case presentation by unit 1B anemia.pptx
Khukhumoni Bibi, a 29-year-old pregnant woman, presented with weakness, dizziness and oral lesions. She had her first prenatal visit at 12 weeks, and testing at 16 weeks found hemoglobin of 6.7 g/dL, but she did not take therapeutic iron. By 32 weeks, her hemoglobin had dropped to 5.9 g/dL. Examination found pallor but no other abnormalities. Testing confirmed severe iron deficiency anemia at 32 weeks of gestation.
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RJ-JAUNDICE.pptx
This document presents a case study of neonatal jaundice in a 3-day old male infant. The infant presented with yellowish skin discoloration up to the soles and poor feeding for 1 day. Examination found physiological jaundice that progressed from the face to the soles over 3-4 days, peaking on days 4-6 before resolving by day 12. The diagnosis was physiological jaundice given the timing of onset and resolution without signs of pathology. The infant was treated conservatively with supportive care and monitoring.
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This case presentation summarizes the care of a 25-year-old woman, G2P1L1A0, at 36 weeks and 6 days gestation with monoamniotic monochorionic twins, one in breech presentation and one in cephalic presentation. She presented with premature rupture of membranes and mild abdominal pain. She underwent an emergency lower segment cesarean section which resulted in the delivery of two babies, one weighing 2000g and one weighing 2100g, who were sent to the SNCU for being low birth weight. Her post-operative care included intravenous antibiotics and oxytocics.
Death audit dr subba reddy
1) A 5-month old female baby named Akshya was brought to the emergency room with complaints of severe breathlessness, fever, and poor feeding for several days.
2) On examination, the baby was cyanosed and in severe respiratory distress with inspiratory stridor and audible wheeze.
3) After initial resuscitation efforts, the baby experienced cardiac arrest during intubation attempts. Despite prolonged resuscitation, the baby could not be revived and was declared dead due to respiratory failure and severe bronchopneumonia with septicemia.
week 6 lab student copy.pptx
The document provides guidance on ICD-10-CM coding for 9 cases involving conditions originating in the perinatal period. It discusses various conditions seen in newborns and infants, including urinary tract infection, respiratory distress, jaundice, sepsis, and noninfectious diarrhea. Guidelines are provided for assigning ICD-10-CM codes to the diagnoses and symptoms documented in each case.
An article from japan
1) The document describes a case study of a 16-month-old boy in Japan who died of pediatric pneumonia caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).
2) Upon admission, the boy showed abnormal vital signs including tachycardia, tachypnea, and hyperthermia. Chest imaging and labs confirmed pneumonia, sepsis, and disseminated intravascular coagulation.
3) Despite treatment including antibiotics and supportive care, the boy's condition deteriorated and he died 10 days after admission, highlighting the severity of infections caused by the CA-MRSA strain.
Rh incompatibility
Baby Nasrin, a 30 hour old male, presented with jaundice since 19 hours of age and reluctance to feed for 10 hours. Examination found jaundice up to the thighs and lethargy. Investigations confirmed Rh incompatibility with positive direct Coombs test and hyperbilirubinemia. He was diagnosed with neonatal jaundice due to Rh incompatibility and early onset sepsis. He received phototherapy and antibiotics, showed improvement and was discharged on day 7 after jaundice resolved up to the chest.
seminar on RDS by dr. Shahana
- The patient is a 21-day-old male born prematurely at 30 weeks gestation with a birth weight of 1230g.
- He has a history of respiratory distress at birth and was treated for late-onset neonatal sepsis on days 5 and 16 of life.
- He is now presenting with signs of respiratory distress and sepsis including decreased activity, tachypnea, and desaturation. Laboratory results show thrombocytopenia and elevated inflammatory markers.
Case presentation by unit 1B anemia.pptx
Khukhumoni Bibi, a 29-year-old pregnant woman, presented with weakness, dizziness and oral lesions. She had her first prenatal visit at 12 weeks, and testing at 16 weeks found hemoglobin of 6.7 g/dL, but she did not take therapeutic iron. By 32 weeks, her hemoglobin had dropped to 5.9 g/dL. Examination found pallor but no other abnormalities. Testing confirmed severe iron deficiency anemia at 32 weeks of gestation.
CME Varicella-zoster Infection in Paediatric.pdf
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This document discusses the management of preterm neonates and complications of prematurity. It begins by defining key terms like preterm birth, low birth weight neonates, and classifications of gestational age. It then describes common complications of prematurity like respiratory distress syndrome, jaundice, intraventricular hemorrhage, and retinopathy of prematurity. The document outlines the management of preterm neonates, including immediate postnatal care, respiratory support, thermoregulation, and nutrition. It emphasizes the importance of minimizing handling, monitoring vital signs, treating infections, and providing supplements. The prognosis is generally good if infants survive the initial risks, though long term complications can include cerebral palsy and developmental delays.
Importance of observation in homoeopathy
1) The document discusses the importance of observation in homoeopathic prescribing as exemplified through various case reports from stalwarts like Hahnemann, Boenninghausen, Kent and others.
2) Key observations that helped identify the similimum in different cases include facial features, location of lesions, characteristic eruptions, concomitant symptoms and peculiar general symptoms.
3) Astute observation of even single peculiar symptoms coupled with knowledge of materia medica can often point to the indicated remedy, though a cluster of observations is preferable over a single symptom.
extended clinical meeting combined supra ventricular trachycardia
Cardiopulmonary resuscitation started with chest compression and bag mask ventilation. Inj adrenaline given. After 15 minutes spontaneous circulation restored. HR 120/min, BP 80/40. Baby shifted to PICU.
Case of rds
A single live preterm male infant was delivered via normal vaginal delivery at 30-32 weeks gestation with a birth weight of 1.2kg. He was admitted for preterm care and respiratory distress. He required surfactant therapy, ventilatory support for 48 hours, and phototherapy for hyperbilirubinemia. Chest x-ray showed signs of respiratory distress syndrome. He is being closely monitored and managed supportively for preterm complications.
case presentation on Intestinal perforation
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seminar (1).pptx
Meseret Adimasu is a 23-year-old HIV-positive mother who gave birth to a baby boy at Arbaminch General Hospital. The newborn had low Apgar scores, did not cry immediately after birth, and presented with cyanosis of the extremities and weak sucking reflex. He was admitted to the NICU with an oxygen saturation of 92% on oxygen. Nursing care plans addressed ineffective breathing, risk of infection due to HIV exposure, unstable blood glucose, aspiration while being fed through a nasogastric tube, and risk of developmental delays. His condition improved with oxygen supplementation and CPAP support, and he was closely monitored.
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Malaria in pregnancy case presentation edited
This document presents the case of a 31-year-old woman who presented with fever at 35 weeks of pregnancy. She was diagnosed with uncomplicated malaria and treated with intravenous fluids, antimalarial medication, and close monitoring. Her pregnancy progressed without complications and she went into spontaneous labor at 37 weeks, delivering a healthy baby boy via normal vaginal delivery. Her postpartum recovery was also uncomplicated.
preterm.pptx
This document discusses the case of a preterm baby born at 28 weeks and 2 days gestation who experienced respiratory distress syndrome, apnea of prematurity, sepsis, and grade 1 germinal matrix hemorrhage but was eventually discharged home on oxygen and follow up care. The baby was treated with CPAP, caffeine, antibiotics, phototherapy, and other supportive care measures over 38 days in the NICU.
237754196 case-study
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A ten-year-old boy is brought to clinic by his mother who stat.docx
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 1 of 2:
What is ALL?
--
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
QUESTION 3
A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. The patient is crying with pain and states this is the third acute episode she has had in the last nine months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Appropriate therapeutic interventions were initiated by the APRN and the patient’s pain level decreased, and she was transferre.
By Ny Ayu Febiola.pptx
A 11-day-old baby girl was referred to the hospital with respiratory distress, pneumonia, and congenital heart defects including atrial and ventricular septal defects. The baby was born at term with a normal birth weight and length but weak muscle tone and did not cry immediately. Examinations found signs of respiratory distress, heart murmurs, and multiple congenital anomalies. Tests confirmed pneumonia and echocardiography showed atrial and ventricular septal defects with dilated right atrium and ventricle. The baby receives oxygen, feeding via nasogastric tube, IV fluids, and a cardiology consult was planned.
Primary immunodeficiency_shimu_final.pptx
This case summary describes an 8-year-old girl admitted to the hospital with multiple chronic issues including skin lesions, fever, cough, and poor growth. She has a history of recurrent skin infections, oral ulcers, ear infections, and gastrointestinal problems. Initial workup showed anemia, elevated inflammatory markers, and immunodeficiency. A working diagnosis of combined immunodeficiency and Hyper IgE syndrome was made. She is being treated with antibiotics, antifungals, IVIG, and workup is ongoing.
SEPSIS.pptx
Baby Lydia Kwamboka Twin B, an 8 day old neonate, presented with hotness of the body, difficulty breathing, and inability to feed. Examination revealed tachycardia and fever. Blood tests showed elevated white blood cell count. The baby was diagnosed with early onset neonatal sepsis and started on intravenous antibiotics, oxygen supplementation, and feeding via nasogastric tube.
Case of birth asphyxia
This document describes a case of perinatal asphyxia in a 22-day old male infant. The infant presented with fever, seizures, and poor feeding for 1-2 days. His birth was uncomplicated but he had delayed crying and cyanosis. Examination found decreased tone and hyperreflexia. Tests showed hypoxic ischemic encephalopathy on brain imaging. He was diagnosed with hypoxic ischemic encephalopathy secondary to birth asphyxia and treated with oxygen, antibiotics, anticonvulsants, and supportive care.
edited grand round HISTORY.pptx
This document summarizes the grand rounds presentation of a 2-hour-old female neonate admitted to the NICU with respiratory distress. Key findings included prematurity, low birth weight, respiratory distress secondary to perinatal asphyxia with stage 1 hypoxic ischemic encephalopathy, and a Rh-negative sensitized mother. Initial workup revealed anemia, thrombocytopenia, and elevated liver enzymes concerning for possible TORCH infection. The neonate was treated with antibiotics and phototherapy, and later referred to an infectious disease clinic with improved symptoms after 3 weeks of hospitalization.
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This document provides a framework for realigning curriculum content to facilitate learning during the COVID-19 pandemic. It aims to ensure minimum learning outcomes for students while continuing their education despite school closures. The framework suggests prioritizing, grouping, and reducing curriculum content to focus on essential topics that can be taught through alternative means like online learning, radio broadcasts, or television. Teachers are advised to assess learning and provide support through local experts, parents, and older students. The framework is intended as a guide that can be adapted locally while ensuring students achieve minimum learning outcomes.
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CME Varicella-zoster Infection in Paediatric.pdf
Paeds - Case Presentation of Chicken Pox :
A comprehensive presentation covering case study from symptomatic clinical presentation, lab study, diagnosis, therapies, disease etiology, virus reinfection, complications, etc. The setting of this case is in a General Hospital located in Peninsular Malaysia.
NEWBORN BABIES (NB)
This document discusses the management of preterm neonates and complications of prematurity. It begins by defining key terms like preterm birth, low birth weight neonates, and classifications of gestational age. It then describes common complications of prematurity like respiratory distress syndrome, jaundice, intraventricular hemorrhage, and retinopathy of prematurity. The document outlines the management of preterm neonates, including immediate postnatal care, respiratory support, thermoregulation, and nutrition. It emphasizes the importance of minimizing handling, monitoring vital signs, treating infections, and providing supplements. The prognosis is generally good if infants survive the initial risks, though long term complications can include cerebral palsy and developmental delays.
Importance of observation in homoeopathy
1) The document discusses the importance of observation in homoeopathic prescribing as exemplified through various case reports from stalwarts like Hahnemann, Boenninghausen, Kent and others.
2) Key observations that helped identify the similimum in different cases include facial features, location of lesions, characteristic eruptions, concomitant symptoms and peculiar general symptoms.
3) Astute observation of even single peculiar symptoms coupled with knowledge of materia medica can often point to the indicated remedy, though a cluster of observations is preferable over a single symptom.
extended clinical meeting combined supra ventricular trachycardia
Cardiopulmonary resuscitation started with chest compression and bag mask ventilation. Inj adrenaline given. After 15 minutes spontaneous circulation restored. HR 120/min, BP 80/40. Baby shifted to PICU.
Case of rds
A single live preterm male infant was delivered via normal vaginal delivery at 30-32 weeks gestation with a birth weight of 1.2kg. He was admitted for preterm care and respiratory distress. He required surfactant therapy, ventilatory support for 48 hours, and phototherapy for hyperbilirubinemia. Chest x-ray showed signs of respiratory distress syndrome. He is being closely monitored and managed supportively for preterm complications.
case presentation on Intestinal perforation
Intestinal perforation, defined as a loss of continuity of the bowel wall, is a potentially devastating complication that may result from a variety of disease processes. Common causes of perforation include trauma, instrumentation, inflammation, infection, malignancy, ischemia, and obstruction.
YOUTUBE CHANNEL LINK:- https://www.youtube.com/results?search_query=medic+o+mania
seminar (1).pptx
Meseret Adimasu is a 23-year-old HIV-positive mother who gave birth to a baby boy at Arbaminch General Hospital. The newborn had low Apgar scores, did not cry immediately after birth, and presented with cyanosis of the extremities and weak sucking reflex. He was admitted to the NICU with an oxygen saturation of 92% on oxygen. Nursing care plans addressed ineffective breathing, risk of infection due to HIV exposure, unstable blood glucose, aspiration while being fed through a nasogastric tube, and risk of developmental delays. His condition improved with oxygen supplementation and CPAP support, and he was closely monitored.
DIAGNOSTIC DILLEMA P/R Bleed Ulcerative Colitis.pptx
A 7-year-old female presented with abdominal pain and bloody loose stool for one month. Colonoscopy and biopsy results were consistent with ulcerative colitis. She was treated with mesalamine and steroids, but symptoms recurred on tapering doses. She showed response to infliximab and was ultimately diagnosed with ulcerative colitis, requiring long-term treatment and management of her condition.
Malaria in pregnancy case presentation edited
This document presents the case of a 31-year-old woman who presented with fever at 35 weeks of pregnancy. She was diagnosed with uncomplicated malaria and treated with intravenous fluids, antimalarial medication, and close monitoring. Her pregnancy progressed without complications and she went into spontaneous labor at 37 weeks, delivering a healthy baby boy via normal vaginal delivery. Her postpartum recovery was also uncomplicated.
preterm.pptx
This document discusses the case of a preterm baby born at 28 weeks and 2 days gestation who experienced respiratory distress syndrome, apnea of prematurity, sepsis, and grade 1 germinal matrix hemorrhage but was eventually discharged home on oxygen and follow up care. The baby was treated with CPAP, caffeine, antibiotics, phototherapy, and other supportive care measures over 38 days in the NICU.
237754196 case-study
homework help,online homework help,online tutors,online tutoring,research paper help,do my homework,
https://www.homeworkping.com/
A ten-year-old boy is brought to clinic by his mother who stat.docx
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 1 of 2:
What is ALL?
--
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
QUESTION 3
A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. The patient is crying with pain and states this is the third acute episode she has had in the last nine months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Appropriate therapeutic interventions were initiated by the APRN and the patient’s pain level decreased, and she was transferre.
By Ny Ayu Febiola.pptx
A 11-day-old baby girl was referred to the hospital with respiratory distress, pneumonia, and congenital heart defects including atrial and ventricular septal defects. The baby was born at term with a normal birth weight and length but weak muscle tone and did not cry immediately. Examinations found signs of respiratory distress, heart murmurs, and multiple congenital anomalies. Tests confirmed pneumonia and echocardiography showed atrial and ventricular septal defects with dilated right atrium and ventricle. The baby receives oxygen, feeding via nasogastric tube, IV fluids, and a cardiology consult was planned.
Primary immunodeficiency_shimu_final.pptx
This case summary describes an 8-year-old girl admitted to the hospital with multiple chronic issues including skin lesions, fever, cough, and poor growth. She has a history of recurrent skin infections, oral ulcers, ear infections, and gastrointestinal problems. Initial workup showed anemia, elevated inflammatory markers, and immunodeficiency. A working diagnosis of combined immunodeficiency and Hyper IgE syndrome was made. She is being treated with antibiotics, antifungals, IVIG, and workup is ongoing.
SEPSIS.pptx
Baby Lydia Kwamboka Twin B, an 8 day old neonate, presented with hotness of the body, difficulty breathing, and inability to feed. Examination revealed tachycardia and fever. Blood tests showed elevated white blood cell count. The baby was diagnosed with early onset neonatal sepsis and started on intravenous antibiotics, oxygen supplementation, and feeding via nasogastric tube.
Case of birth asphyxia
This document describes a case of perinatal asphyxia in a 22-day old male infant. The infant presented with fever, seizures, and poor feeding for 1-2 days. His birth was uncomplicated but he had delayed crying and cyanosis. Examination found decreased tone and hyperreflexia. Tests showed hypoxic ischemic encephalopathy on brain imaging. He was diagnosed with hypoxic ischemic encephalopathy secondary to birth asphyxia and treated with oxygen, antibiotics, anticonvulsants, and supportive care.
edited grand round HISTORY.pptx
This document summarizes the grand rounds presentation of a 2-hour-old female neonate admitted to the NICU with respiratory distress. Key findings included prematurity, low birth weight, respiratory distress secondary to perinatal asphyxia with stage 1 hypoxic ischemic encephalopathy, and a Rh-negative sensitized mother. Initial workup revealed anemia, thrombocytopenia, and elevated liver enzymes concerning for possible TORCH infection. The neonate was treated with antibiotics and phototherapy, and later referred to an infectious disease clinic with improved symptoms after 3 weeks of hospitalization.
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Mampi Ghosh is submitting an affidavit in support of an I-140 immigrant petition for an alien worker under the EB-1 extraordinary ability category as a broadcast journalist/media personality. The affidavit outlines Ghosh's extensive experience and accomplishments as a radio and television presenter in Nepal over the past 8 years, including hosting popular shows and receiving several national awards. It also details Ghosh's membership and work with reputable organizations like the United Nations Population Fund.
affidvit.Cjitrakar,Nalina.doc
Khagendra Gharti-Chhetry, Esq., the founding partner of Chhetry & Associates P.C. has been practicing law since 1987. He has extensive experience in immigration law matters, including litigation, divorce, business law, real estate and bankruptcy. For over twenty five years, Mr. Chhetry has been providing legal services to individuals, small and medium size businesses and corporations. His adept and successful handling of cases has earned him a good reputation among both his clients and colleagues. Mr. Chhetry is admitted to practice before the courts in the State of New York, United State District Courts for Southern and Eastern Districts, and before the Supreme Court of the United States. He is a member of several prestigious legal organizations, including American Bar Association, New York Bar Association, Nepal Bar Association, Indo-American Lawyers Association. He is also the President of Columbia University Alumni Association’s Nepal Chapter. Mr. Chhetry is the author of articles “Right of Self-Defense under the United Nations Charter” and “Juvenile Court—A Necessity in Nepal.” Mr. Chhetry received his J.D. from Fordham University, School of Law and his LL.M from Columbia University, School of Law, in New York City.
affidvit.Cjitrakar,Nalina_1.doc
Avima Upreti, Esq., is an attorney at Chhetry and Associates. She has in-depth knowledge and experience in Immigration law, including Asylum, Cancellation of Removal, EB1/EB2, National Interest Waiver, H1B, PERM/Labor certification, F1 visa, VAWA, Adjustment of status, Consular process, Family law and guardianship proceedings.
She started her career as a foreign associate, handling immigration cases. She handles cases efficiently, hears her clients thoroughly, works with them to provide accurate legal solutions, and is determined to provide the best service. She has been working with the firm since 2014.
Ms. Upreti also has extensive experience working as a human right activist and feminist in Nepal and the United States. She worked as a news anchor and legal reporter for the National Television of Nepal. She is currently serving as the President of the Nepali Women’s Global Network (NWGN) (2018-2022), where she is focused on raising issues of Diversity, Equity and Inclusiveness. She also raises issue against violence and gender-based discrimination. She is a passionate public speaker.
Ms. Upreti is licensed to practice law before the New York State courts. She is also admitted to practice law as an advocate in Nepal. She received her LLM (recipient of cum laude) from Fordham Law School, New York, in international law and justice 2016-2017. She also has an LLM from Kathmandu School of law, Nepal, specializing in Human rights and Gender Justice in 2011-2013. Ms. Upreti completed her law degree from Purbanchal University Kathmandu School of law in Nepal in 2011 on a full merit-based scholarship, receiving an award from the Nepal Bar council for getting the Second highest score all over Nepal on the Advocate license exam in 2012. She can be reached at au@chhetrylaw.com
Affidavit.COV.docx
UTTAM PANDEY, ESQ.
Uttam Pandey, Esq. is serving clients through Chhetry & Associates, as an Associate from March 2021. He is licensed to practice law in New York on April 2019. Prior to this, Attorney Pandey practiced law in Bhurtel Law Firm PLLC, Jackson Heights, New York since his entrance into the New York State Bar. He is a member of New York State Bar Association.
Attorney Pandey completed LL.M. from St. John’s University School of Law, Queens, New York. He also completed LL.M. from Kathmandu School of Law, Purbanchal University, Nepal in which he bagged Gold Medal by being a top scorer in Examinations. He has also completed Masters in Public Administration (MPA) from Tribhuvan University, Nepal. His basic Law Graduation was from Nepal Law Campus, Tribhuvan University after completion of the Degree of Bachelor of Laws (B.L.)
Mr. Pandey was also licensed as an Advocate from Supreme Court of Nepal. He then competed in Police Service Examinations for the position of Police Inspector, succeeded and was commissioned as a Senior Police Officer in Nepal Police where he served until June 2013, for 18+ years. Mr. Pandey has also served UN Peace Mission for more than two years in Timor-Leste as an UNPOL Officer. During his tenure, having legal background, he mostly worked in legal and investigations responsibilities. After coming into USA, he successfully pursued the legal education, passed NY Bar Exam and is licensed as an Attorney-at-Law.
Affidavit of Plaintiff.docx
UTTAM PANDEY, ESQ.
Uttam Pandey, Esq. is serving clients through Chhetry & Associates, as an Associate from March 2021. He is licensed to practice law in New York on April 2019. Prior to this, Attorney Pandey practiced law in Bhurtel Law Firm PLLC, Jackson Heights, New York since his entrance into the New York State Bar. He is a member of New York State Bar Association.
Attorney Pandey completed LL.M. from St. John’s University School of Law, Queens, New York. He also completed LL.M. from Kathmandu School of Law, Purbanchal University, Nepal in which he bagged Gold Medal by being a top scorer in Examinations. He has also completed Masters in Public Administration (MPA) from Tribhuvan University, Nepal. His basic Law Graduation was from Nepal Law Campus, Tribhuvan University after completion of the Degree of Bachelor of Laws (B.L.)
Mr. Pandey was also licensed as an Advocate from Supreme Court of Nepal. He then competed in Police Service Examinations for the position of Police Inspector, succeeded and was commissioned as a Senior Police Officer in Nepal Police where he served until June 2013, for 18+ years. Mr. Pandey has also served UN Peace Mission for more than two years in Timor-Leste as an UNPOL Officer. During his tenure, having legal background, he mostly worked in legal and investigations responsibilities. After coming into USA, he successfully pursued the legal education, passed NY Bar Exam and is licensed as an Attorney-at-Law.
Affidavit of Regularity_1.docx
UTTAM PANDEY, ESQ.
Uttam Pandey, Esq. is serving clients through Chhetry & Associates, as an Associate from March 2021. He is licensed to practice law in New York on April 2019. Prior to this, Attorney Pandey practiced law in Bhurtel Law Firm PLLC, Jackson Heights, New York since his entrance into the New York State Bar. He is a member of New York State Bar Association.
Attorney Pandey completed LL.M. from St. John’s University School of Law, Queens, New York. He also completed LL.M. from Kathmandu School of Law, Purbanchal University, Nepal in which he bagged Gold Medal by being a top scorer in Examinations. He has also completed Masters in Public Administration (MPA) from Tribhuvan University, Nepal. His basic Law Graduation was from Nepal Law Campus, Tribhuvan University after completion of the Degree of Bachelor of Laws (B.L.)
Mr. Pandey was also licensed as an Advocate from Supreme Court of Nepal. He then competed in Police Service Examinations for the position of Police Inspector, succeeded and was commissioned as a Senior Police Officer in Nepal Police where he served until June 2013, for 18+ years. Mr. Pandey has also served UN Peace Mission for more than two years in Timor-Leste as an UNPOL Officer. During his tenure, having legal background, he mostly worked in legal and investigations responsibilities. After coming into USA, he successfully pursued the legal education, passed NY Bar Exam and is licensed as an Attorney-at-Law.
Supporting Letter.EB-1,Ghosh, Mampi (BhattaLawFirm's conflicted copy 2011-11-...
This document is a letter of support submitted with an I-140 visa petition for Mampi Ghosh, a broadcast journalist from Nepal. It details Ghosh's extraordinary ability and sustained acclaim in the field through her work hosting over 200 television shows and radio programs in Nepal over 8 years. It provides evidence that Ghosh meets 3 of the 10 criteria for extraordinary ability by documenting several lesser nationally recognized prizes and awards she has received for her work and contributions to Nepali media, including Awards of Excellence in 2008 and 2009.
Affidavit Ghosh.docx
Mampi Ghosh is submitting an affidavit in support of an I-140 immigrant visa petition based on extraordinary ability as a broadcast journalist and media personality in Nepal. Over the past 8 years, Ghosh has hosted over 200 television shows and stage programs and worked as a radio host for several popular stations in Nepal. Ghosh has received numerous national awards and recognition for contributions to media and was selected to represent Nepal at a UN Commission on the Status of Women.
Proof of Service (2).docx
On October 7, 2011, Upendra Bhatta of The Bhatta Law Firm served documents in support of respondent Makendra Bahadur Singh's asylum application to the Department of Homeland Security's Immigration and Customs Enforcement office located at 26 Federal Plaza in New York, NY. The documents included a police report from May 3, 2011 regarding Singh. Bhatta certified delivering the documents in person on that date while representing Singh in removal proceedings before the New York Immigration Court.
MY FORMAT ULTRA PRO MAX (1).docx
1. The patient, a YEARS/MALE, was admitted to the hospital with fever, chills, headache, myalgia, nose bleed, epigastric pain, vomiting, diarrhea, shortness of breath, and altered consciousness for 5 days.
2. Examination revealed bilateral basal crepitations in the lungs, soft abdomen, and the patient was ill-looking but oriented.
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mamata.doc
Mamta is from Balkot. She recently got married. She came to BPharm from Diploma. She likes sleeping a lot
Sailesh CV_Cist.docx
Sailesh Maharjan is a natural product chemist seeking a role in pharmaceutical research and development. He has a Master's degree in Pharmacognosy from Yeungnam University in South Korea and over 5 years of experience in quality control and analysis. His expertise includes isolation, purification, and structural elucidation of compounds using chromatography and spectroscopy. He has published research on natural products and contributed to workshops on NMR and HPLC techniques.
Sristi.docx
This document contains Sristi Sah's resume. It includes her contact information, career objective, educational qualifications, skills, personal traits, achievements, hobbies, interests, personal details, declaration, and references. Sristi holds a Bachelor's degree in Pharmacy from Central Institution of Science & Technology, Kathmandu, Nepal. She has good communication, computer, presentation, technical, research, leadership, time management, and problem solving skills.
1-A-Define the health system and describe the functions and elements of healt...
The document defines a health system as the organization of people, institutions, and resources that deliver health care services to meet the needs of target populations. It describes key elements of health systems including primary health care, public health measures, various providers, and the goals of promoting health, being responsive to populations, and fair financing. The health system of Nepal is composed of public health sectors, private sectors, indigenous medical systems, voluntary health agencies, and national health programs.
1-B-Models of Health System.ppt
This document discusses different models of healthcare systems around the world. It describes four main models: the Bismarck model used in Germany and other countries, where private insurance plans are regulated by the government; the Beveridge model used in the UK with government-provided and tax-funded healthcare; the National Health Insurance model used in Canada with a universal government-run insurance program; and the out-of-pocket model used in many developing countries where most cannot afford medical care. The document then examines the healthcare systems of several countries in more depth and discusses challenges facing Nepal's system.
2-A-Brief Hisory of HSD in Nepal.pptx
This document summarizes the historical eras of health systems development (HSD) in Nepal. It is divided into 3 sections: ancient, medieval, and modern eras. During the ancient era, some early health practices are mentioned from historical texts. In the medieval era, King Pratap Malla established an Ayurvedic dispensary. Christian missionaries introduced modern medicine in the 1600s but were later expelled. The modern era saw the establishment of hospitals by British residents and throughout the Rana period. Many hospitals and health programs were developed in the post-democracy period from the 1950s onward.
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留信网认证的作用:
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2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
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办理加拿大麦科文大学毕业证【微信：741003700 】外观非常简单，由纸质材料制成，上面印有校徽、校名、毕业生姓名、专业等信息。
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校徽：象征着学校的荣誉和传承。
校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理加拿大麦科文大学毕业证【微信：741003700 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理加拿大麦科文大学毕业证【微信：741003700 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
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三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
Health Insurance Coverage for the U.S. Population, 2024 to 2034
Presentation by Jessica Hale, an analyst in CBO’s Budget Analysis Division, at a press briefing organized by "Health Affairs."
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三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份【微信：176555708】
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
→ 【关于价格问题（保证一手价格）
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理昆士兰大学毕业证（UQ学位证）学位证【微信：176555708 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理昆士兰大学毕业证（UQ学位证）学位证【微信：176555708 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
G7 Apulia Leaders Communique, June 2024 (1).pdf
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留信网认证的作用:
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2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
办理(uob学位证书)英国伯明翰大学毕业证【微信：741003700 】外观非常简单，由纸质材料制成，上面印有校徽、校名、毕业生姓名、专业等信息。
办理(uob学位证书)英国伯明翰大学毕业证【微信：741003700 】格式相对统一，各专业都有相应的模板。通常包括以下部分：
校徽：象征着学校的荣誉和传承。
校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理(uob学位证书)英国伯明翰大学毕业证【微信：741003700 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理(uob学位证书)英国伯明翰大学毕业证【微信：741003700 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
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BABY OF KAMALA OLI . - Copy - Copy - Copy.docx
- 1. DISCHARGE SHEET PAEDIATRIC WARD DHULIKHEL HOSPITAL, KAVRE TYPE OF DISCHARGE: NORMAL DISCHARGE PATIENT NAME: BABY OF KAMALA OLI AGE: 14TH DAY OF LIFE/MALE PATIENT ID: 79006179 DIAGNOSIS: TERM/PERINATAL ASPHYXIA WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/ EARLY ONSET NEONATAL SEPSIS DATE OF ADMISSION: 2022/05/10 DATE OF DISCHARGE: 2022/05/23 CHIEF COMPLAINTS: REFERRED CASE FROM SINDHULI HOSPITAL SINGLE, TERM, MALE BABY DELIVERED AT 40+5 WOG VIA EM LSCS FOR BREECH PRESENTATION WITH APGAR SCORE OF 4/10 AND 6/10 AT 1 MIN AND 5 MINUTES RESPECTIVELY. BIRTH WEIGHT - 3.6 KG ON 2022/5/9 AT 9:30 HRS. DID NOT CRY IMMEDIATELY AFTER BIRTH. RR WAS 100/MIN AND SPO2 WAS MAINTAINED WITH 2L/MIN O2 VIA FACE MASK. THEN THE BABY WAS REFERRED TO HIGHER CENTRE FOR THE NEED OF NICU. THE BABY PRESENTED IN DH ER AND ADMITTED TO DH NICU IN VIEW OF TERM/PERINATAL ASPHYXIA WITH EONNS. ANC VISIT: REGULAR ANC VISIST AT SINDHULI HAD TAKEN IRON, CALCIUM AND BOTH DOSES OF TT VACCINES NO HISTORY OF GDM, GHTN, AND THYROID DISORDERS NO HISTORY OF PV LEAKAGE, DISCHARGE, FEVER, UTI DURING PREGNANCY PERIOD BIRTH HISTORY: DELIVERED ON 2022/05/09 AT 9:30 HOURS AT SINDHULI HOSPITAL. APGAR SCORE OF 4/10 AND 6/10 AT 1 AND 5 MINUTES RESPECTIVELY. DID NOT CRY IMMEDIATELY AFTER BIRTH, RR WAS 100/MIN AND SPO2 WAS MAINTAINED WITH 2L/MIN O2 VIA FACE MASK. THEN THE BABY WAS REFERRED TO HIGHER CENTRE FOR THE NEED OF NICU. THE BABY PRESENTED IN DH ER AND ADMITTED TO DH NICU IN VIEW OF TERM/PERINATAL ASPHYXIA WITH EONNS. ON EXAMINATION: GENERAL EXAMINATION GENERAL CONDITION: ILL LOOKING NO PALLOR, ICTERUS, CYANOSIS, EDEMA AF: AT LEVEL, SUCKING REFLEX: ILL SUSTAINED MORO’S REFLEX: B/L COMPLETE AND SYMMETRICAL, TONE: NORMAL UMBILICUS: HEALTHY VITALS: HR 140/MIN RR 50/MIN T 36.5C SPO2 96% WITH O2 AT 2 LIT/MIN
- 2. SYSTEMIC EXAMINATION: CHEST: B/L EQUAL AIR ENTRY, NVBS, NO ADDED SOUND CVS: S1S2M0 PER ABDOMEN: SOFT, NON DISTENDED, NO ORGANOMEGALY TREATMENT GIVEN DURING HOSPITAL STAY: 1. INJ. CEFOTAXIME 200MG IV TDS FOR 10 DAYS 2. INJ. AMIKACIN 50MG IV OD FOR 10 DAYS 3. INJ. AMINOPHYLLINE 4. INJ. LEVETIRACETAM @50MG/KG/DAY 5. INJ. PHENYTOIN @ 6.7 MG/KG/DAY 6. TAB PHENOBARBITONE @ 7 MG/KG/DAY INVESTIGATIONS: 05/15 PH:7.34 PCO2:41.5 PO2:139 HCO3: 21.8 05/12: BLOOD CS: NO GROWTH 05/10 ABG: PH 7.2 PCO2 92.5 PO2 22.5 HCO3 28 PBS NORMAL 5/10 TC:15.8 N68 L22 M9E1 HB:14.7 PLT:276000 5/10(SINDULI HOSPITAL) HB:14.5 TC:12800 N67L21M10E2 BG: O POSITIVE DISCUSSION: BABY WITH ABOVE HISTORY AND CLINICAL FINDINGS WAS ADMITTED IN NICU. RELEVANT INVESTIGATIONS WERE DONE. BABY WAS KEPT UNDER BUBBLE CPAP AND INRAVENOUS ANTIBIOTICS WAS STARTED IN VIEW OF PERINATAL ASPHYXIA WITH EARLY ONSET NEONATAL SEPSIS. TAB. PHENOBARBITONE WAS ADDED FOR JITTERINESS AT THE DOSE OF 7MG/KG/DAY. BABY DEVELOPED SEIZURE AT 22 HOURS OF LIFE AND INJ. LEVETIRACETAM WAS LOADED AT THE DOSE OF 40 MG/KG/DAY, THERE WAS MULTIPLE EPISODES OF SEIZURE AND INJ. LEVETIRACETAM WAS KEPT AT MAINTENANCE DOSE @ 50 MG/KG/DAY AND INJ. PHENYTOIN @ 6.7 MG/KG/DAY. FEEDING WAS STARTED ON SECOND DAY OF ADMISSION AND WAS GRADUALLY INCREASED. BUBBLE CPAP WAS WEANED TO FACE MASK. AFTER 8TH DAY OF ADMISSION, ANTIEPILEPTICS WERE GRADUALLY TAPERED. BABY WAS SHIFTED TO NEONATAL WARD ON 9TH DAY OF LIFE. BABY WAS CLINICALLY STABLE, PASSING URINE ADEQUATELY AND BREASTFEEDING WELL. HEARING AND VISION ASSESSMENT OF BABY IS NORMAL. HENCE BABY IS BEING DISCHARGED FROM NEONATAL WARD. TECHNIQUES OF BREASTFEEDING HAVE BEEN WELL COUNSELLED. BURPING TECHNIQUES HAVE BEEN TAUGHT. ADVICE ON DISCHARGE: 1. SYP LEVETIRACETAM (5ML/500 MG) 0.9 ML PO BD @ 50 MG/KG/DAY TO CONTINUE 2. DROP MULTIVITAMIN 0.5 ML PO OD FOR 3 MONTHS 3. DROP ARBIVIT 0.5 ML PO OD FOR 3 MONTHS 4. EXCLUSIVE BREAST FEEDING FOR 6 MONTHS. 5. BURPING AFTER EACH FEED 6. IMMUNIZATION AS PER EPI SCHEDULE FOLLOW UP: AFTER 2WEEK/SOS IN PAEDIATRIC OPD. USG CRANIUM AND EEG ON FOLLOW UP. CONSULTANT ON DUTY DUTY DOCTOR DR. SAMEERA THAPA DR. SITESH KUSIYAIT