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The Journal of RURAL NURSING - SRMMCON - Datta Meghe Institute of Medical Sciences (Deemed to be University) Sawangi (Meghe), Wardha, Maharashtra, India 442004 Volume 11 number 1 - January to June 2023

Multi Disciplinary Medical Journal Official Publication of Staff Research Society Datta Meghe Institute of Medical Sciences (Deemed University) Sawangi (Meghe), Wardha, Maharashtra, India 442004.

Case Reports

1 Case report on Management and Outcomes of little Finger Amputation with Right Temporal-Parietal Region Injury with Schizophrenia.
Author : Prajwal Patil
Introduction : Little finger extremity traumatic amputation is a potentially life-changing event that frequently has significant physical, psychological, and occupational repercussions. particularly A deadly schizoaffective disorder outcome can be major self-mutilation, which is defined as self-inflicted bodily harm without suicidal intent. Self-amputation is one of two consequences seen in schizoaffective patients. Present complaints and Investigation : A 47-year-old female came to the accident and emergency department complaining of traumatic amputation of The distal portion of the little finger and the right temporal-parietal region were injured, which led to the complaints of nausea, vomiting, headache, weakness, and schizophrenia (15 years on medication). Past History : Since 16 years ago the patient had a history of schizophrenia. For additional care, they were hospitalized at Amravati Hospital. After being diagnosed with schizophrenia, she got positive outcomes following several specific tests and examinations. The primary diagnosis, therapeutic intervention, and outcomes : After a physical examination and investigation Based on the patient history and after diagnostic assessment observed that Acute subarachnoid hemorrhage is seen along the sulci of bilateral fronto-temporo-parietal lobes with the extension of hemorrhage along falx and tentorium tiny microhemorrhages contusion is seen in right basal gangly. Conclusions : Treatment is typically ongoing and frequently entails a triage of specialty care services, including medication, psychotherapy, and counselling.

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5 A Case Report On Sepsis With Brain Stem Encephalitis In A Patient With Quadriplegia
Author : Karina Dhande
Introduction : Every year, 1 in 10,000 people develop encephalitis, which frequently has grave neurologic repercussions. Identifying the cause and establishing the prognosis are difficult aspects of managing encephalitis patients. Presentation of case : A 20-year- Female came to a rural tertiary care hospital with the chief complaint of Fever, abnormal jerky movements of limbs and body, vomiting, and loose stools last 3 days. The patient was apparently alright 3 days ago when she developed a fever that was insidious in onset and progressive in nature not associated with chills or rigors, remitting with antipyretic medication. She also experienced abnormal jerky movements of all four limbs along with stiffness, associated with jaw lock, tongue bite, and frothing from the mouth, there was post ictal drowsiness along with it, with no involuntary bowels or bladder evacuation. History of loose stools 2 episodes, watery in nature, non-blood or mucus stained. She also complained of 2 episodes of vomiting which was projectile in nature and associated with nausea containing food particles and water. The patient had a history of 70 days PNC and delivered normally vaginally full-term delivery, without any complications.

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10 A Case Report on a 62-Year Male with Electrocution Injury Due to Lighting Causing Ischemic Rhabdomyolysis with Lung Contusion with Respiratory Failure
Author : Dattatray Waghmare
Introduction : A lightning strike is an uncommon, fatal natural occurrence that causes significant problems to various organ systems. MI, cardiac contusion, cutaneous burns, pulmonary issues, neurological disorders, abrupt renal failure, and death are the complications of lighting injury. Rapid disintegration of injured or damaged skeletal muscles is a complex medical disorder known as rhabdomyolysis. Here, we’ll talk about the treatment and prognosis in the case of a 62-year-old male who suffered an electrocution injury from lightning that resulted in rhabdomyolysis, lung contusion, and respiratory failure.

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