Category: Grand Rounds

Dose: 80 mg/kg/day in 4 divided doses for 7 days; maximum 800 mg 4 times a day Time to start prophylaxis: 7-10 days after exposure…

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Grand Rounds

Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn

Dr. Sujit Kumar Shrestha, MD, Neonatology Fellowship Dec 2, 2017 No Comments Nervous system Pediatrics

A 31 weeks of gestation baby was born through emergency LSCS for Severe maternal hypertension. At birth baby required resuscitation and baby was intubated and…

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Grand Rounds

Is Nitrofurantoin effective for Skin infections?

Dr. Sulabh Kumar Shrestha, MBBS Feb 3, 2017 No Comments

Recently, a wound swab culture and sensitivity reported an E.coli sensitive to Nitrofurantoin. But will it really be helpful in the wound infection? Without a…

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Grand Rounds

Extensive Small Cell Lung Cancer : Case Review

Dr. Sulabh Kumar Shrestha, MBBS Dec 22, 2016 No Comments Internal medicine Oncology Respiratory system

Short Case Summary 74 years old smoker, male patient presented with significant weight loss, productive cough and abdominal discomfort of short duration. Patient was icteric…

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Emergency Medicine Grand Rounds

Postpartum Eclampsia : Case Discussion

Dr. Sulabh Kumar Shrestha, MBBS Jun 8, 2016 No Comments Emergency medicine ObGyn

History 23yrs/F non-diabetic, non-hypertensive, non-smoker, non-alcoholic primigravida was admitted to Obstetric ward on with the chief complaints of: Cessation of menstruation X 9 months Decreased…

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Grand Rounds

Craniopharyngioma – Case Discussion

Dr. Sulabh Kumar Shrestha, MBBS Jan 20, 2016 No Comments Internal medicine Nervous system Surgery

Case Summary A 38 year old female came with: Headache for 6 months Diminution of peripheral vision bilatetrally Irregular menstrual cycle for the last 1…

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