How We Do

History and Physical Examination

We have a team of highly qualified ,experienced ,competent and registered medical doctor, health assistant and staff nurse for this purpose

Part I Personal Particulars of Foreign Worker

Name: ____________________________
Passport No._______________
Sex: *Male / Female
Height: __________ cm Occupation:__________________________________
Date of Birth: _______________
Citizenship: ____________
Weight: __________ kg

Part II Medical History

1 Mental illness 6 Tuberculosis
2 Epilepsy 7 Heart Disease
3 Chronic Asthma 8 Malaria
4 Diabetes Mellitus 9 Operations
5 Hypertension

If yes, brief details was taken

Part III General physical examination

pallor- icterus- cyanosis- lymphadenopathy- clubbing- oedema- dehydration-

vitals=pulse- bp- temp- rr-

Part IV Systemic examination

1 Cardiovascular System
Heart Disease, murmur
3 Respiratory System- crepitus, abnormal breathing sound
4 Abdomen
a Hernia b Enlarged Liver c Enlarged Spleen d Genitourinary System
5 Skin-Chronic Disease (e.g. leprosy, widespread eczema, psoriasis, etc)
6 Locomotor/Neurological
a Significant limb amputation or deformity
b Limb movement and co-ordination
c Significant spinal deformity
d Other significant abnormalities

7 Endocrine disorders, e.g. thyrotoxicosis
8 Mental state
9 Hearing – unable to hear ordinary conversation at 2m
10 Vision (should be at least 6/12 in both eyes with or without glasses.)
a Vision Acuity
i) Right eye ii) Left eye

b Colour Vision

Screening / diagnostic lab test and imaging

Nepal is in high risk zone for the communicable diseases like tuberculosis, HIV/AIDS, syphilis, gonorrhoea, hepatitis B, hepatitis C etc.
National Statistics have shown than 15 million people, almost half of the Nepal’s population is infected with TB. Each year 44000 new cases are detected and 5000 to 7000 people die of TB in Nepal. It is estimated that one infected person transmit 20 healthy individuals in an average. So many countries prohibit the immigrants with TB or TB suspects.
In general HIV prevalence among adult population is 0.17% in 2016. However HIV prevalence among certain population groups such as people who inject drugs, female sex workers and MSM (men sex with men) and TG (trans gender)are more than 5% due to which Nepal’s HIV epidemic is categorized as concentrated epidemic.

Many countries prohibit foreign students/ workers with infectious disease like tuberculosis, Sexually Transmitted Diseases (STD), HIV/AIDS and pulmonary scar. We are specialised in screening and diagnosis of these disease conditions with standard protocols.
Like for tuberculosis we screen and diagnose as shown in picture.

Similarly, HIV screening is done by ELISA technique and confirmatory Western Bolt test is done for ELISA positive case.

WHAT WILL HAPPEN DURING IMMIGRATION MEDICAL EXAMINATION?

Register at registration desk.
Verfication of ID , Referral Letter , Origanal Passport and Declaration form.
Photograph
Height , Weight and Blood Pressure measurement.
Urine Test
Blood Test
External physician examination (Including Vision Test)
chest X-ray.

UNDRESSING FOR MEDICAL EXAMINATION

As per guidelines provided by Department of Home Affairs, you will need to undress to your  underwear.
•   We provide gowns to both male and female candidates and every effort is taken to maintain your dignity. Only external physical examination is conducted.
•   We offer chaperone to all applicants. All children will be examined in the presence of a guardian.

WHAT IF MY X RAY SHOWS ABNORMALITY?

The panel physician will inform you of the result.
• Sometimes e-medical can auto generate further tests depending on the abnormality.

WHAT ARE TESTS FOR TB?
TB is tested by examination of sputum .
•   This is done in two ways- smear and culture.
•   Kindly note TB culture report takes 8 weeks for the results.
•   There is no extra charge for TB tests and treatment; it is included in the bill.

WHAT IS THE SCREENING TEST FOR TB?
There are two different types of screening tests:

Mantoux- is an intra dermal test (skin).
IGRA- Interferon Gamma Release Assay is a blood test.

Currently at NMC only Mantoux test is available.

RESULT OF MANTOUX TEST

. Our physicians will advice if additional examination is required following the result of Mantoux test.

WHAT IF THE MANTOUX RESULT IS POSITIVE?

The candidate will need a Chest X-ray.

WHAT IS THE WAITING TIME IN CLINIC?

Generally your medical examination, Blood Test,urine test and x ray are completed within two hours.

IS THERE A COMPLAINT PROCEDURE?

(a) Chest X-Ray

X-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray produces images of the heart, lungs, airways, blood vessels and the bones of the spine and chest.

Pulmonary TB can be diagnosed by Chest x-ray P/A view.

(b) Blood test:

a)CBC

b)RBS

c)RFT

d)LFT

e)HBsAg

f)Anti-HCV

g)HIV-I &II

h)VDRL/TPHA

i)Malaria test

(c) Urine Test

Urine RME

Urine C/S

Urine for Ketone bodies

Urine for AFB

Urine for Canabis

(d) Stool Test

Stool RME

Stool OBT

(e) Sputum test:

Sputum for AFB

Sputum for G/S

Sputum for C/S

(e) ECG :

This is done to detect various types of heart disease and early identification of pathological conditions of heart.

(g) Vaccination

Vaccination is the administration of a vaccine to help the immune system develop protection from a disease. Vaccines contain a microorganism or virus in a weakened or killed state, or proteins from the organism.

Inflenza vaccine

Rabies vaccine

Pneumococcal vaccine

Rota vaccine

Hepatitis B vaccine

(h) OPD & Councelling:

Those having various health problems are treated and councelled about the course,prognosis and consequences of disease by skilled Doctor.

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Certification from doctor

Finally : Doctor will review all the reports and we provide medical certificates to the applicants designating the individual as fit / unfit for college enrollment /employment in the foreign country.