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Papers by Raymond Malinga
Nepal Journal of Neuroscience
Accurate measurement of the 3rd and 4th ventricles is important in cases of prenatal and postnata... more Accurate measurement of the 3rd and 4th ventricles is important in cases of prenatal and postnatal diagnosis of suspected cranial anomalies. Ventricular dilation occurs with excess fluid in the embryologic ventricles during brain development, we make a comparative analysis of two case reports on a 23rd-week fetus and a 10-month-old neonate. Ultrasound findings related to horns and ventricular system through transfontanelle ultrasound (excluding any > 95th error margin and < 5th percentile) can be utilized for a specific diagnosis of ventricular dilation. Hydrocephalus is defined as the accumulation of excessive CSF resulting in dilation of the cerebrospinal compartment in the calvaria; which can be acquired or congenital in origin. Hydrocephalus can also be seen due to obstructed flow, faulty absorption, and overproduction of CSF (in the subarachnoid space) by a choroid plexus papilloma. The diameter of the anterior horn of the RT and LT (hydrocephalic) lateral ventricles meas...
The Pan African Medical Journal, 2021
Introduction Ponseti technique is the treatment of choice for idiopathic congential talipes equin... more Introduction Ponseti technique is the treatment of choice for idiopathic congential talipes equino varus (ICTEV) since 1950s with excellent treatment outcomes reported worldwide. However, despite the popularity of this technique, Uganda adapted it as a treatment modality for ICTEV in May 2005. Since then, the effectiveness of delivered Ponseti care to children with this very common orthopaedic deformity under the supervision of an orthopaedic surgeon was unknown. The implication of this undertaking was that, satisfactory outcomes would then support the Ministry of Health (MOH)-Uganda´s decision to embrace this mode of treatment and if the outcomes were unsatisfactory, MOH would then consider a policy revision in this regard. To assess the midterm treatment outcomes of children with ICTEV who had been enrolled for treatment at Mulago National Referral Hospital in the period of 2006-2009. Methods in November/December 2013, a cross-sectional study was conducted to assess the treatment ...
Journal of Biomedical Sciences, 2020
Background: Imperforate hymen is an uncommon obstructive congenital anomaly of the female externa... more Background: Imperforate hymen is an uncommon obstructive congenital anomaly of the female external reproductive channel due to lack of canalization (lower) vaginal plate between the vaginal and urogenital sinus; with a prevalence rate of less < 0.1%. Hematocolpos / imperforate hymen with heamatometra often presents as a pelvic mass that compresses the urinary bladder causing acute urine retention and pain. Case presentation: A 14-year-old presented with lower abdominal pain for 5 months. Patient physical examination revealed normal secondary sexual characteristics with a thickened than normal hymen. She presented with delayed menarche; a physician earlier prescribed analgesic and anthelmintic medication for pain management. After conservative hymenotomy about 360ml of dark-tan haem (blood) was drained in few minutes. Postoperative recovery was uneventful; normal menstruation occurred after 4 weeks. Conclusion: Diagnosis through physical examination and ultrasound requires vigil...
Nepal Journal of Neuroscience
Accurate measurement of the 3rd and 4th ventricles is important in cases of prenatal and postnata... more Accurate measurement of the 3rd and 4th ventricles is important in cases of prenatal and postnatal diagnosis of suspected cranial anomalies. Ventricular dilation occurs with excess fluid in the embryologic ventricles during brain development, we make a comparative analysis of two case reports on a 23rd-week fetus and a 10-month-old neonate. Ultrasound findings related to horns and ventricular system through transfontanelle ultrasound (excluding any > 95th error margin and < 5th percentile) can be utilized for a specific diagnosis of ventricular dilation. Hydrocephalus is defined as the accumulation of excessive CSF resulting in dilation of the cerebrospinal compartment in the calvaria; which can be acquired or congenital in origin. Hydrocephalus can also be seen due to obstructed flow, faulty absorption, and overproduction of CSF (in the subarachnoid space) by a choroid plexus papilloma. The diameter of the anterior horn of the RT and LT (hydrocephalic) lateral ventricles meas...
The Pan African Medical Journal, 2021
Introduction Ponseti technique is the treatment of choice for idiopathic congential talipes equin... more Introduction Ponseti technique is the treatment of choice for idiopathic congential talipes equino varus (ICTEV) since 1950s with excellent treatment outcomes reported worldwide. However, despite the popularity of this technique, Uganda adapted it as a treatment modality for ICTEV in May 2005. Since then, the effectiveness of delivered Ponseti care to children with this very common orthopaedic deformity under the supervision of an orthopaedic surgeon was unknown. The implication of this undertaking was that, satisfactory outcomes would then support the Ministry of Health (MOH)-Uganda´s decision to embrace this mode of treatment and if the outcomes were unsatisfactory, MOH would then consider a policy revision in this regard. To assess the midterm treatment outcomes of children with ICTEV who had been enrolled for treatment at Mulago National Referral Hospital in the period of 2006-2009. Methods in November/December 2013, a cross-sectional study was conducted to assess the treatment ...
Journal of Biomedical Sciences, 2020
Background: Imperforate hymen is an uncommon obstructive congenital anomaly of the female externa... more Background: Imperforate hymen is an uncommon obstructive congenital anomaly of the female external reproductive channel due to lack of canalization (lower) vaginal plate between the vaginal and urogenital sinus; with a prevalence rate of less < 0.1%. Hematocolpos / imperforate hymen with heamatometra often presents as a pelvic mass that compresses the urinary bladder causing acute urine retention and pain. Case presentation: A 14-year-old presented with lower abdominal pain for 5 months. Patient physical examination revealed normal secondary sexual characteristics with a thickened than normal hymen. She presented with delayed menarche; a physician earlier prescribed analgesic and anthelmintic medication for pain management. After conservative hymenotomy about 360ml of dark-tan haem (blood) was drained in few minutes. Postoperative recovery was uneventful; normal menstruation occurred after 4 weeks. Conclusion: Diagnosis through physical examination and ultrasound requires vigil...