Browsing by Author "CD, Mishra"
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Publication Ultrasound: An extension of clinical examination(Kathmandu University, 2007) DR, Singh; MR, Joshi; UMS, Dangol; U, Koirala; RL, Pradhan; BR, Shrestha; CD, MishraAims and objectives: To study the impact the use of portable ultrasound can have for the benefit of the patients when used by doctors other than radiologist, in this case surgeons. Methods: Ultrasound performed by surgeons in the pre-operative, operative and post-operative period was studied. Patients presenting to the Hospital with acute abdomen was subjected to ultrasound. They were either pre-operative or post-operative patients. Five patients were scanned intraoperatively. The impact of these scans to the patients as well as the clinicians was studied. Results: This is an ongoing study and preliminary results of the scans show two pre-operative diagnosis of acute appendicular collection and one acute hydronephrosis. In the operation room, ultrasound was done on 5 cases. On three occasions, it was to locate renal stones so that it could be extracted with ease. On two of the case, it was t to confirm the adequacy of common bile duct exploration thereby allowing primary closure of the common bile duct. Post-operatively, it was used in four cases of which in two cases post-operative hemorrhage were detected timely within hours. In the other two cases, the surgical team was assured that the patient’s complaint was not surgically related. Conclusion: Ultrasound should be an extension of the clinical examination when indicated and all clinicians should be proficient in its use in their respective fields Keywords: ultrasound, non-radiologist, surgeons, per-operative ultrasound