Dear Colleagues,
Greetings from Kauvery IMA, and warm wishes as we begin the second half of the year. June is a moment to pause, reflect, and renew our commitment to the ideals that guide us – healing, learning, and service.
IMA continues to champion academic excellence through CMEs, workshops, and professional development. I am truly grateful for the tireless dedication of our members in caring for patients and uplifting community health.
As we approach Doctors’ Day on 1st July, we extend our advanced wishes to all doctors. Let us also remember to take care of our own health as we continue to care for others.
Let us move forward together with compassion, integrity, and unity to build a healthier society in the months ahead.
Yours in IMA service, Dr S Sivaram Kannan President
Greetings to IMA members,
This June issue reflects the clinical depth and academic rigor that define our hospital.
From complex case studies to emerging protocols, each contribution underscores our shared commitment to advancing medicine through knowledge.
My sincere thanks to the authors for their time and expertise, and to our editorial and branding team whose dedication brought this journal to life.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Greetings from IMA Kauvery.
This June issue showcases the clinical excellence and academic spirit across Kauvery Hospital, with each article reflecting how collaboration and shared knowledge drive better patient care.
My sincere thanks to all our authors, and to the editorial and branding teams for their dedication in bringing this issue to life.
With regards Dr. R. Balasubramaniyam Editor
Abstract
Hypokalemic periodic paralysis (HPP) is an uncommon neuromuscular disorder characterized by acute episodes of muscle weakness associated with severe hypokalemia. Typical presentations involve symmetrical proximal muscle weakness affecting all four limbs. Unilateral limb weakness closely resembling an acute ischemic stroke is a rare manifestation and may lead to diagnostic confusion in the emergency department (ED).
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Introduction
Acute mesenteric ischemia (AMI) is a life-threatening vascular emergency caused by abrupt compromise of intestinal perfusion, often associated with high morbidity and mortality. Early diagnosis is crucial to prevent irreversible bowel infarction. Contrast-enhanced CT angiography (CTA) is the imaging modality of choice for rapid and comprehensive evaluation of mesenteric vasculature and bowel viability.
Immune-Mediated Necrotizing Myopathy (IMNM) is a rare and severe subtype of idiopathic inflammatory myopathy characterized by rapidly progressive proximal muscle weakness, markedly elevated serum creatine phosphokinase (CPK) levels, and muscle fibre necrosis with minimal inflammatory infiltrates. Statin exposure is a well-recognized trigger, although seronegative cases are increasingly reported.
Abstract:
Hypoxic or ischemic hepatitis is an uncommon consequence of prolonged status epilepticus. We describe a 61-year-old man with a known seizure disorder and poor antiepileptic adherence who presented after an estimated four-hour seizure episode. He developed generalized convulsive status epilepticus, severe lactic acidosis, circulatory shock requiring vasopressin’s, acute kidney injury, rhabdomyolysis, and profound hepatocellular injury. Peak AST and ALT were 9120 U/L and 4327 U/L respectively, with LDH 6056 U/L and INR 4.8. Viral hepatitis testing was negative and imaging showed no structural hepatic abnormality. The clinical and biochemical pattern supported ischemic hepatitis secondary to prolonged seizure activity and systemic hypoperfusion. This case highlights a rare but important complication of status epilepticus.
Scenario
Mrs. Saroja, 66y Planne for open ventral hernia mesh repair
Asa 3 – knwn Dm,htn both poorly controlled ,non compliance to drugs , Hypothyroid on Tab.eltrox 25mcg.
