Browsing by Author "Phuyal, Navindra"
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Publication Morphology and Morphometry of Thyroid Gland in Cadavers: A Descriptive Cross-Sectional Study(Institute of Medicine, Tribhuvan University, 2024) Phuyal, Navindra; Shrestha, Anusuya; Bhandari, Rosha; Adhikari, Bidur; Gautam, Jyoti; Dhungel, Deepesh; Gautam, Subina; Ranjit, NirjuAbstract: Introduction Variations in anatomy of thyroid gland include the occasional presence of a pyramidal lobe and a fibromuscular band called levator glandulae thyroideae. These variations affect the gland's morphometry and morphology. This study aimed to study morphometry and variation prevalence of thyroid gland. Methods This descriptive study examined adult cadavers from the Department of Forensic Medicine at Maharajgunj Medical Campus. Measurements of the length, breadth, and thickness of both lateral lobes and the isthmus were taken. The presence or absence of the isthmus, pyramidal lobe, and levator glandulae thyroideae was recorded, along with the origin and dimensions of the pyramidal lobe, if present. Results The mean dimensions of the right lobe were 43.88±6.88 mm (length), 23.93±4.76 mm (breadth), and 12.28±3.30 mm (thickness). For the left lobe, the measures were 40.47±7.26 mm, 21.95±4.22 mm, and 12.84±3.61 mm, respectively. The isthmus had mean dimensions of 18.12±5.52 mm, 16.65±5.51 mm, and 5.10±1.76 mm. The isthmus was absent in 7.2% of cases. The pyramidal lobe, present in 27.8% of cases, had mean dimensions of 19.17±8.26 mm, 11.64±3.47 mm, and 4.60±1.33 mm, typically originating from the center of the isthmus. The average weight of the thyroid gland was 16.19±5.22 g. Conclusion The thyroid gland's weight was higher in males and positively correlated with the individual's height. Also, thyroid gland's dimensions and weight were less than those described in standard texts. The relationship between body weight and thyroid gland weight warrants further investigation.Publication STROBE Guideline for Observational Studies(Rapti Academy of Health Sciences (RAHS), 2024) Phuyal, NavindraNAPublication Writer’s Bump: A Case Report Authors(Rapti Academy of Health Sciences (RAHS), 2025) Phuyal, Navindra; Pandey, Niraj; Pandeya, Anup; Ghimire, Kundan Kishore; Gautam, Ajaya RajAbstract: Defined as a plaque of hyperkeratosis, callosities develop as an adaptive response to physical forces like pressure and friction. Racial and genetic factors are supposed to determine the response to mechanical forces that may lead to the formation of callus. Considered as a “badge of trade,” calluses are given many names. Here we report a case of a bump on the thumb that was diagnosed as writer’s bump, a form of callus caused by pens and pencils. In this case, the pressure from lifting dumbbells aggravated the bump. The patient was counseled and suggested to use gloves as padding and paring and use moisturizers to prevent ulcerations of the bump. Keratolytic agents, laser therapy, and excision by scalpel are other treatment methods available. Occupational stigmata like writer’s bump and milker’s calluses are prevalent, and clear definitions are needed for proper identification and management.