CASE DISCUSSION
Case Discussion on Echocardiographic Evaluation of Congenital Heart Disease
Presented from by Dr. Dhruba Shrestha
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Case Description
Echocardiographic evaluation plays a vital role in diagnosing and managing congenital heart disease (CHD). It provides real-time, non-invasive imaging to assess cardiac structure, function, and blood flow. Key modalities include two-dimensional (2D), Doppler, and color flow imaging, which help...
Case Summary
- A pediatrician with a focus on non-invasive pediatric cardiology and echocardiography presents a case study of a two-month-old female infant diagnosed with a heart condition. The infant, born at 39 weeks via C-section, presented with failure to thrive, distress, and a grade 3 systolic murmur. Initial investigations revealed mild metabolic acidosis, increased pulmonary vascular markings on chest X-ray, and wide axis deviation with biventricular hypertrophy on ECG.
Speaker Profile
Dr. Dhruba Shrestha
Senior Consultant Pediatrician and Head of Department at Siddhi Memorial Hospital,NepalDr. Dhruba Shrestha is a distinguished pediatrician with over 17 years of extensive clinical experience in child health, currently serving as the Senior Consultant and Head of the Department of Pediatrics at Siddhi Memorial Hospital for Women and Children, located in Bhimsenthan, Bhaktapur, Nepal. Since joining the hospital in March 2008, Dr. Shrestha has been an integral part of its growth, contributing to the development and delivery of high-quality pediatric services tailored to the needs of the local population.
In January 2019, Dr. Shrestha was appointed as the Head of Pediatrics, a role in which he has demonstrated exceptional leadership, overseeing a multidisciplinary team dedicated to comprehensive pediatric care — from neonatology and immunizations to critical care and developmental health. His approach combines clinical precision with compassionate care, making him not only a respected medical professional but also a trusted figure among patients and their families.
Dr. Shrestha has been instrumental in strengthening the hospital’s pediatric protocols, training junior doctors, and introducing community outreach initiatives aimed at improving child health awareness and preventive care. His long-standing commitment to Siddhi Memorial Hospital underscores his dedication to improving pediatric healthcare infrastructure and outcomes in one of Nepal’s key healthcare institutions.
Recognized for his expertise, empathy, and unwavering dedication, Dr. Dhruba Shrestha continues to play a pivotal role in shaping the future of pediatric care in Nepal.