Dr Prasanna Ghimire

Dr Prasanna Ghimire Associate Professor of Radiology

Beaver tail liver aka sliver of liver, is a rare variant of liver morphology. It is characterized by elongated left lobe...
01/09/2021

Beaver tail liver aka sliver of liver, is a rare variant of liver morphology. It is characterized by elongated left lobe extending to surround the spleen.
More common in females.
More prone for injuries.

Representative CT scan image of our case, a female aged 53 years.

Case of the day. A bad case....
01/04/2021

Case of the day. A bad case....

अर्बुद रोग (Cancer)आफ्नो लक्षण नलुकाउ, समयमै जाँच गरौ र सहि पहिचान गरौं।कुनै परामर्श आवश्यक भएमा सम्पर्क गर्न निहिचकिचाउ...
04/02/2021

अर्बुद रोग (Cancer)

आफ्नो लक्षण नलुकाउ, समयमै जाँच गरौ र सहि पहिचान गरौं।
कुनै परामर्श आवश्यक भएमा सम्पर्क गर्न निहिचकिचाउ। Detect cancer when it is likely treatable

1 in 6 deaths globally is due to cancer but many are preventable by early screening and life style modifications.

17/09/2020

From my antenatal scans archive - Omphalocele with herniation of liver.
Omphaloceles have worse prognosis compared to gastrochisis.
Smaller herniation with bowel loops are more frequently associated with other anomalies.
Associated anomalies include chromosomal, CNS, cardiac, genitourinary and gastrointestinal anomalies, which confer a poor prognosis.
Syndromes that include omphalocoeles are Beckwith-Wiedemann syndrome, bladder exstrophy and pentalogy of Cantrell.

15/04/2020

डाक्टर र समय - एउटा सानो मेरो प्रयास जिवन्त गर्न यस समय।

त्यो समय थियो जब गर्थिन् आमा गर्व छोरो डाक्टर हुँदा
आज त्यही आमाको आँखा सुक्यो रूंदा रूंदा।

त्यो समय थियो जब संज्ञा दिन्थे समाजले आयो लुटेरा
आज त्यही समाजले ठान्छन् मनै हु तिनको सहारा।

त्यो समय थियो जब साथीले भन्थे म घमण्डी भएछु
आज त्यही साथी भन्छन् तिमी छौ र म ढुक्क छु।

त्यो समय थियो जब सरकारले ठान्यो मेरो आवश्यकता छैन।
आज त्यही सरकार माग्दैछ मेरो र सहकर्मीको योगदान।

अन्योल छ जिन्दगी, आज यहाँ त भोलि कहाँ
भाग्न म सक्दिनँ, युद्धकै माझमा।

न त कबज छ, न त छ म संग बन्दुक र गोला
निरिहय भइ लड्नुपर्ने छ यो सेवक, खाली यि झोला।

कस्तो मोड आयो यो जिबनमा आज फेरी
एक छिन हाँसो बाकि सधै रोदनको झरी

देखाउन सक्दिनँ, मेरो भित्रको त्रास,
बाबा आउनु हुन्छ, भन्ने छ नानीलाई आश।

म फर्कि न आए, तिमी प्रिय न रूनु
५० हजार मोल मेरो हो भनि सहनु।

त्यो समयमा फर्कि जान सके म अतितको
डाक्टर नै बन्नेछु, सेवा गर्छु यहीँ जननीको।

-19

https://kanchulikhabar.com/news/31156

13/04/2020

Negative Rapid diagnostic test/RT-PCR ले COVID-19 छैन भन्दैमा COVID-19 छैन बुझिँदैन।
COVID-19 Rapid diagnostic test (RDT) negative case तर RT-PCR मा Positive लम्किमा आउनु भनेको एउटा ठुलो चुनौती हो र भयावित हुने क्षण। समुदायमा रोग बेग्लाई इनकयुबेसन समयमा रहेको पुष्टि गर्छ। गम्भिरतापुर्वक विश्लेषण, निती परिमार्जन हुन जरूरी। Negative भनेर ढुक्क हुने अवस्था कदापी हौन।
-19 -PCR

05/04/2020

Is Geotagging and GPS monitoring- the need of time in Nepal?

Effective lockdown and quarantine of individuals is one of the initial intervention for the mitigation of Pandemics.

Instances of failed quarantine measures have posed a threat to the community despite the governments utmost effort.

GPS location tracking of individuals who are subjected to mandatory quarantine by the health workers can make a difference. Anyone breaking the red-zone should be subjected to long term punishment. Countries like South Korea and Taiwan have shown its positive impact.

Feasibility in a poor economic country and its compliance among individuals is however a major concern. However, why not bring it to practice.

04/04/2020

Does Negative RT-PCR test for COVID-19 means free of coronavirus?

COVID-19 RT-PCR NEGATIVE AND ITS IMPLICATION.

RT-PCR Negative results provide a sigh of relief to most that an individual is free from Corona Virus. But does it mean all negative RT-PCR results are considered free from Corona Virus as I understand it is a big NO.

A multitude of factors influence the interpretation of the test. When all conditions are ideal, still the sensitivity of RT-PCR is considered to be around 70 percent. That is when all conditions from collection to performing RT-PCR is ideal, we are about to miss 30 cases amongst 100 cases.

These 30 cases may be asymptomatic or the viral load may be low as in early infection.

But these cases may pose a threat, when considered being non contagious. A role of public health rests here albeit all odds.

03/04/2020

(UVT) Universal Viral Transport Systems Shortages

- Haven't our health institutions in Periphery faced with scarcity of collection medium e. g VTM (Viral transport media) needed prior to performing RT-PCR.
- Less collection means less possible tests and of course less possible results.
- Smooth, ample and uninterrupted supply of these essential things is mandatory with the government bodies needing to be more concerned.

02/04/2020

What do I understand from this sixth COVID-19 case in Nepal?

- The sixth case demands a serious review of the epidemiological measures taken to combat this pandemic in Nepal primarily contact tracing.
- As the individual was co-passenger to the case confirmed almost 17 days back, question arises as when did the individual contract the virus? Prior to the flight / during the flight or even after landing in Nepal.
- With varying incubation period described, more confusion arises, whether the new case if of ? moderate severity.
- A role of viral load estimation may be needed to address the issue. Just hoping, the case was on strict self quarantine.

Fingers crossed 🤞🤞🤞

02/04/2020

With limited testing, the real scenario is underrated. A relative broad scenario of disease may be learnt by studying the

- Mortality records, in particular reporting of any unnatural deaths.
- Recent ICU and CCU admissions in hospitals and their prognosis in particular related to COVID like symptoms.
- Diligent contact tracing and scrutiny/surveillance of entire community and possible contacts of individuals who tested positive/undergone test on suspicion/individuals with significant travel history.

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Nepalganj

Website

http://www.drprasannaghimire.wordpress.com/

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