Greetings from the Kauvery IMA newsletter Editorial Board.
We are pleased to share the latest edition of the IMA Journal.
This issue exemplifies the calibre of clinical care and academic rigor practiced across specialties in our hospital.
Each contribution underscores our collective commitment to advancing medicine through knowledge and collaboration.
We extend our gratitude to the contributing authors, and to the editorial and branding teams for their outstanding work.
Yours in IMA service, Dr S Sivaram Kannan President
Greetings to IMA members,
Within these pages, you will witness the depth of clinical expertise and academic rigor that defines our hospital. From complex case studies to emerging protocols, each contribution reaffirms our collective dedication to elevating medicine through shared knowledge.
My gratitude to the authors who generously contributed their time and intellect, and to our editorial and branding colleagues whose behind-the-scenes work made this journal possible.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Greetings from IMA Kauvery,
This issue showcases the clinical excellence and academic spirit across Kauvery Hospital.
Every article highlights how collaboration and knowledge drive better patient care.
Big thanks to all our authors, and to the editorial & branding teams for their great work.
With regards Dr. R. Balasubramaniyam Editor
High cut-off (HCO) dialyzers are specialized extracorporeal membranes designed with larger pore sizes and molecular weight cut-offs of approximately 45–60 kDa, permitting enhanced clearance of middle and large molecular weight solutes. Unlike conventional high-flux membranes, HCO dialyzers effectively remove pathogenic proteins such as serum free light chains (sFLCs), myoglobin, β2-microglobulin, and inflammatory mediators while preserving most essential plasma proteins. Their primary clinical application has been in multiple myeloma-associated cast nephropathy; however, recent evidence supports an expanding role in severe rhabdomyolysis-associated acute kidney injury (AKI).
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Abstract
Trauma-related hemorrhage is a leading cause of preventable mortality. While torso bleeding is commonly prioritized, extremity hemorrhage can be equally life-threatening and often under-recognized.
we present a 59-year-old male presented following a road traffic accident with bilateral lower limb injuries. Initial assessment revealed stable vitals with no active external bleeding. Despite negative EFAST and imaging for thoracoabdominal injuries, the patient developed sudden hypotension. Serial reassessment revealed occult hemorrhage from a left lower limb vascular injury involving the posterior tibial artery.
Recurrent acute pancreatitis with no identifiable etiology poses a significant diagnostic and therapeutic challenge. Gallbladder sludge is an under-recognized cause of so-called idiopathic pancreatitis and may be missed on routine imaging. We report the case of a 32-year-old male with recurrent acute pancreatitis in whom extensive evaluation, including metabolic, autoimmune, and genetic workup, was inconclusive until repeat fasting ultrasonography revealed gallbladder sludge. The patient subsequently underwent laparoscopic cholecystectomy, following which he remained asymptomatic with no recurrence on follow-up. This case highlights the importance of a systematic etiological evaluation in recurrent pancreatitis and underscores the role of repeat imaging in identifying occult biliary pathology.
Ambulatory Blood Pressure Monitoring (ABPM): Bringing Precision to Hypertension Management
Hypertension continues to be one of the leading modifiable risk factors for cardiovascular disease, stroke, chronic kidney disease, and premature mortality in India. Despite advances in treatment, many patients remain either undiagnosed or inadequately controlled. One of the major reasons is the reliance on isolated clinic blood pressure measurements, which may not accurately reflect the patient’s true blood pressure profile. Ambulatory Blood Pressure Monitoring (ABPM) has therefore emerged as an invaluable tool in modern hypertension practice.
Background:
Intracranial epidermoid tumours are rare congenital lesions that grow slowly and often present with neurological symptoms due to compression of adjacent neural structures. The presence of congenital spinal anomalies such as split cord malformation adds complexity to anaesthetic management because of concerns regarding neurological injury, positioning, and maintenance of spinal cord perfusion.
