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Internal Medicine

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   The Department of Internal Medicine was established from the start of Dhulikhel Hospital. This department supports the principles of the hospital and aims to provide quality health care to the patients through competent and qualified medical and nursing staff. The department has ensured that medical knowledge is up to date and also focuses on regular upgrading. The experience and the commitment from those early days have helped the department to grow to a large extent. There is a separate medical ward made up of general wards and a 5 bedded Intensive Care Unit (ICU)/Coronary Care Unit (CCU) service. The department is staffed and equipped to run regular OPD, a 24 hour emergency, and full inpatient services. In additional echocardiography, treadmill test (TMT), comprehensive cardiac assessment, diabetic clinics, Chronic Obstructive Pulmonary Disease (COPD) clinics and ICU/CCU Services are available.

The Department of Internal Medicine has been providing regular OPD, inpatient and ICU/CCU services together with cardiac assessment and investigations (ECG, chocardiography, Ambulatory Blood Pressure (ABP), Holter, TMT). The Department has facilities for bedside echocardiography and Arterial Blood Gas analysis (ABG) service for CCU/ICU patients.


Gastroenterology and Endoscopy Department
GASTROENTEROLOGY DEPARTMENT  AT DHULIKHEL HOSPITAL:  PRESENT SCENARIO AND FUTURE PLANS
I .  Gastrointestinal services at present
Gastrointestinal complaints are one of the major presenting problems in patients at Dhulikhel hospital. Patients with both acute and chronic complaints attend hospital for want of timely and appropriate  diagnosis and treatment of their problem. There is also a sizable number of patients who suffer from an acute gastrointestinal emergency conditions, such as acute bleeding, foreign body obstruction etc.
Dhulikhel  hospital has been providing gastrointestinal services to patients with gastrointestinal problems since its inception. The department of internal medicine has been providing the spectrum of gastrointestinal services in the medical side .The endoscopic service, among many other tools, forms the main armamentarium in the diagnosis and treatment of many GI disorders.
In the last few years, the range of endoscopic services has been extended to include therapeutic interventional endoscopies .
Endoscopic  services at present:
A. Diagnostic upper GI endoscopy
Biopsy/Histopathology.
Rapid Urease test for H. pylori
Endoscopic FNA from submucosal lesion
B. Diagnostic Lower GI endoscopy
Colonoscopy
Sigmoidoscopy
C. Therapeutic endoscopic services that can be done at present
1. For GI bleeding
Endoscopic variceal band ligation.
Endoscopic injection therapy for acute bleed
Endoscopic clipping for acute bleed
Bipolar electrocoagulation for bleeding lesion
PEG tube insertion
2. For oesophageal stricture
Oesophageal bougienage (Wire-guided))
3. Removal of foreign body in oesophagus
4. Endoscopic snare polypectomy
5. ERCP- sphincterotomy/CBD stone extraction/stent placement/nasobiliary tube insertion
I . Future  Plans
A. Separate Gastrointestinal Department:
The hospital will have a separate gastro-intestinal block  with well-designed modern endoscopy suite. The design of the unit has been supported and approved by the GASTROENTEROLOGY FOUNDATION e.V. GERMANY The construction of the building is underway and expected to be complete by the end of 2012.
The name of this new GI block has been suggested as “ Nepal Endoscopic Training Center
(Nepal ETC).”
B. GI Endoscopy training and research institute:  apart from providing a day to day gastrointestinal services to the patients, the gastrointestinal department  will also plan and extend its services to teaching endoscopic skills to other physicians & surgeons from all-over the country. In the future, the department will also contemplate to starting a fellowship/superspecialization training in gastroenterology. The department will also focus to  conducting  researches on gastrointestinal conditions and publish papers on national and international journals.
C. Human resource recruitment
The gastroenterology department will have more trained physicians and GI assistants in the future. The regular hands-on training of qualified physicians & assistants will need to be continued.
D. Scienticfic Gastro conference: The department is going to organize an international GI conference in October 2012, where physicians from across the country and abroad will be presenting research papers along with discussions and talks on many aspects of gastrointestinal disorders. There will also be paper presentations from our hospital.
E. Upgrading of gastrointestinal investigative tools:
1. Ultrasound/ Endosonogram: provision for a separate ultrasound machine for routine gastrointestinal patients is necessary. Simple US –guided procedures will be done in the department. We will also plan to have an endoscopic sonogram machine in the near future which will help and add diagnostic accuracy in many GIT tumors and also add to performing some therapeutic endoluminal procedures.
2. Enteroscopy / double balloon endoscopy/capsule endoscopy:  as being envisioned as a referral training institute in the country, the gastrointestinal department of Dhulikhel hospital will consider  in employing this investigative tool as next step in its development course.
3. Adding other tests: such as, Urea breadth test for HP, oesophageal PH monitoring /manometry.
Please click here to see
First Endoscopy Training Centre in Nepal
"An ETC for Dhos"
GASTROENTEROLOGY FOUNDATION e.V. GERMANY
Gastroenterology and Endoscopy Department

GASTROENTEROLOGY DEPARTMENT  AT DHULIKHEL HOSPITAL:  PRESENT SCENARIO AND FUTURE PLANS

 

Gastrointestinal services at present
Gastrointestinal complaints are one of the major presenting problems in patients at Dhulikhel hospital. Patients with both acute and chronic complaints attend hospital for want of timely and appropriate  diagnosis and treatment of their problem. There is also a sizable number of patients who suffer from an acute gastrointestinal emergency conditions, such as acute bleeding, foreign body obstruction etc.Dhulikhel  hospital has been providing gastrointestinal services to patients with gastrointestinal problems since its inception. The department of internal medicine has been providing the spectrum of gastrointestinal services in the medical side .The endoscopic service, among many other tools, forms the main armamentarium in the diagnosis and treatment of many GI disorders. In the last few years, the range of endoscopic services has been extended to include therapeutic interventional endoscopies . 

 

Endoscopic  services at present:

A. Diagnostic upper GI endoscopy    

     Biopsy/Histopathology.    

     Rapid Urease test for H. pylori    

     Endoscopic FNA from submucosal lesion

 

B. Diagnostic Lower GI endoscopy    

    Colonoscopy/ Ileoscopy

    Sigmoidoscopy

 

C. Therapeutic endoscopic services that can be done at present

     1. For GI bleeding  

         Endoscopic variceal band ligation.                  

         Endoscopic injection therapy for acute bleed                  

         Endoscopic clipping for acute bleed                  

         Bipolar electrocoagulation for bleeding lesion                  

         PEG tube insertion               

    2. For oesophageal stricture    

        Oesophageal bougienage (Wire-guided)

   3. Removal of foreign body in oesophagus

   4. Endoscopic snare polypectomy

   5. ERCP- sphincterotomy/CBD stone extraction/stent placement/nasobiliary tube insertion

Future  Plans

 

A. Separate Gastrointestinal Department:

 

     The hospital will have a separate gastro-intestinal block  with well-designed modern endoscopy suite. The design of the unit has been supported and approved by the GASTROENTEROLOGY FOUNDATION e.V. GERMANY The construction of the building is underway and expected to be complete by the end of 2012.The name of this new GI block has been suggested as “ Nepal Endoscopic Training Center (Nepal ETC).”

 

B. GI Endoscopy training and research institute:  

     Apart from providing a day to day gastrointestinal services to the patients, the gastrointestinal department  will also plan and extend its services to teaching endoscopic skills to other physicians & surgeons from all-over the country. In the future, the department will also contemplate to starting a fellowship/superspecialization training in gastroenterology. The department will also focus to  conducting  researches on gastrointestinal conditions and publish papers on national and international journals.

 

C. Human resource recruitment:

     The gastroenterology department will have more trained physicians and GI assistants in the future. The regular hands-on training of qualified physicians & assistants will need to be continued. 

 

D. Scienticfic Gastro conference:

    The department is going to organize an international GI conference in October 2012, where physicians from across the country and abroad will be presenting research papers along with discussions and talks on many aspects of gastrointestinal disorders. There will also be paper presentations from our hospital.

 

E. Upgrading of gastrointestinal investigative tools: 

    1. Ultrasound/ Endosonogram: Provision for a separate ultrasound machine for routine gastrointestinal patients is necessary. Simple US –guided procedures will be done in the department. We will also plan to have an endoscopic sonogram machine in the near future which will help and add diagnostic accuracy in many GIT tumors and also add to performing some therapeutic endo-extra luminal procedures.  

    2. Enteroscopy / double balloon endoscopy/capsule endoscopy:  As being envisioned as a referral training institute in the country, the gastrointestinal department of Dhulikhel hospital will consider  in employing this investigative tool as next step in its development course.

    3. Adding other tests: Such as, Urea breadth test for HP, oesophageal PH monitoring /manometry.                                                                     

 Please click here to see 

First Endoscopy Training Centre in Nepal "An ETC for Dhos" GASTROENTEROLOGY FOUNDATION e.V. GERMANY                                                          


 

 

News & Events

MD/MS Final Result 2012
21 February 2012
Notice
Postgraduate MD/MS degree program for Academic Session: February 2012
On the basis of Entrance Examination held on 11 February 2012 and subsequent interview the following candidates have been selected according to the selection criteria published on 31 January 2012 for admission in the PG program in the institutions under Kathmandu University as per the attached list (pages 6). The candidates must take admission by 29 February 2012.
All the selected candidates are informed to contact their respective training sites for their admission process. The admission form with necessary documents (SLC- mark sheet and character certificate, I.Sc./10+2- transcript and character certificate, MBBS - degree, Internship completion certificate, NMC registration certificate, Citizenship certificate and Bank voucher) must be forwarded by the concerned training site by 1 March, 2012.
For admission each candidate has to submit the following documents at the concern training site by 29 February 2012:
1.Duly filled forms provided by the University along with necessary documents.
2.Bank voucher of NRs. 3,40,000/- for Clinical Sciences (including Pathology but excluding Forensic Medicine) and NRs. 2,13,000/- for Basic Sciences (including Forensic Medicine but excluding Pathology) at Nepal Investment Bank Ltd., in the Saving Account KUSMS, No. 005 8261140 asuniversity fee.
3.The payment of fees will be strictly according to the University rules as follows:
a.Clinical Sciences (including Pathology but excluding Forensic Medicine)
University fee : NRs.340000 At the time of admission
First Year Tuition fee: NRs. 650000 to college At the time of admission
Second Year Tuition fee: NRs. 650000 to college by the beginning of second year
Third Year Tuition fee: NRs. 610000 to college by the beginning of third year
b.Basic Sciences (including Forensic Medicine but excluding Pathology)
University fee : NRs. 213000 At the time of admission
First Year Tuition fee: NRs.265000 to college At the time of admission
Second Year Tuition fee: NRs. 265000 to college by the beginning of second year
Third Year Tuition fee: NRs. 260000 to college by the beginning of third year
4.Classes must start by 1st week of March 2012.
5.The waiting list candidates will be informed after last date (i.e. 2 March 2012) of admission of the Principal candidates.
6.Candidates must get the letter of admission, Curriculum/Log Book.
___________
Dr. N.B.Rana
Dean, School of Medical Sciences
Name of the training institutions:
1. School of Medical Sciences, Dhulikhel (KUSMS)
2. Manipal College of Medical Sciences, Pokhara (MCOMS)
3. College of Medical Sciences, Bharatpur (COMS)
4. Nepalgunj Medical College, Banke (NGMC) – subject to Nepal Medical Council approval.
5. Kathmandu Medical College, Kathmandu (KMC)
6. Nepal Medical College, Kathmandu (NMC)

 
 
Admission Notice for BNS 2012
11 February 2012
Admission Notice
Bachelor in Nursing Science (BNS) Program 2012 February
On the basis of Entrance test and Interview, the following candidates have been selected for admission to the Bachelor in Nursing Science Program – 2012 February batch at Kathmandu University, School of Medical Sciences, Dhulikhel.
Selected candidates are required to take admission by 16 February 2012.
Selected candidate will take admission as follows:
1. Submit the duly filled forms provided by the university.
2. Deposit the required amount in the bank and submit the bank receipt to the Account Section, School of Medical Sciences, Dhulikhel Hospital, Dhulikhel.
Amount required at the time of admission is NRs. 1,47,300/-
Bank Accounts:-
- Nepal Investment Bank Ltd., Banepa in KU-SMS Saving A/C 0058261140
(It can also be deposited in any other branches of Nepal Investment Bank Ltd. in the   same Account No.)
3. Provide photo-copies of Mark-Sheet, Transcript, Character Certificate of SLC and Certificate Level in Nursing and Citizenship certificate.
4. Provide recent three passport size photos.
5. Form Submission date & time:
Date:
12 February 2012 to 16 February 2012
Time:
10.00 A.M. to 2:00 P.M.
6. Orientation will be held on Friday, 17 February 2012 at Kathmandu University, School of Medical Sciences, Dhulikhel Hospital, Dhulikhel at 11 a.m.
.........................
Dr. N. B. Rana
Dean
School of Medical Sciences

 
 
MD/MS Entrance Result 2012
February 11, 2012
NOTICE
Postgraduate MD/MS degree program
The following candidates, who were successful in the Entrance Examinations for Postgraduate MD/MS programs on February 11, 2012 and including those who applied for Basic Medical Sciences subjects (Anatomy, Biochemistry, Community Medicine, Pharmacology, Physiology) and Forensic Medicine are hereby informed to be present for interview as per the attached schedule (5 pages).
The candidates must bring the originals of:
1. SLC
2. I. Sc./ 10+2
3. MBBS Degree Certificate
4. NMC registration (Permanent/Temporary)
5. Citizenship Certificate
The final list of selection will be published after the result of interview on the following basis:
A.  Clinical Science subjects including Pathology
a. Sponsored seats: Entrance Test, Interview and work experience in the sponsored college on the                  following basis:
75% weightage for Entrance test mark + 15 Marks  for Interview +10 Marks for work experience as follows:
 Up to 6 Months – 2.5 Marks
 6 Months  to 1 year – 5 Marks
 1 Year and more – 10 marks
b. Self financing seats: Entrance Test and Interview as follows:
75% weightage for Entrance test mark +  15 Marks for Interview
Interview:
Date and Time: Wednesday, 15 February 2012 onwards
Interview Schedule:
S.No. 1-40 Tuesday, 14 February 2012 at 1: 00 pm onwards
S.No. 41-70 Wednesday, 15 February 2012 at 10 am onwards
S.No. 71-100 Wednesday, 15 February 2012 at 1:30 pm onwards
S.No. 101-130 Thursday, 16 February 2012 at 10 am onwards
S.No. 131-160 Thursday, 16 February 2012 at 1:30 pm onwards
S.No. 161-190 Friday, 17 February 2012 at 10 am onwards
S.No. 191-221 Friday, 17 February 2012 at 1:30 pm onwards
Venue: Office of the Dean, School of Medical Sciences, Dhulikhel Hospital
B.  Basic Medical Sciences subjects (Anatomy, Biochemistry, Community Medicine, Pharmacology, Physiology) and Forensic Medicine: Interview on Friday, 17 February 2012 at 10 am onwards.
Venue: Office of the Dean, School of Medical Sciences, Dhulikhel Hospital
_________
Dr. N.B.Rana
Dean, School of Medical Sciences

 
 
Tree Planting Ceremony
 
Global Health Programme
 
MOU between Dhulikhel Hospital Kathmandu University Hospital and Israel's Agency for International Development Cooperation (MASHAV)
webmail

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DHULIKHEL HOSPITAL
Phone- 977 11 490497 | Email :- dhos@mail.com.np | Website :- www.dhulikhelhospital.org
Fax :- 977 11 490707 | GPO 11008, Kathmandu, Nepal

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