Dear Colleagues,
Greetings from IMA Chennai Kauvery Alwarpet Branch!
As we step into August our hearts are filled with pride to celebrate the 79th Independence Day.
This month’s journal features insightful articles contributed by our colleagues.
My heartfelt thanks to all of them for their valuable contributions.
I encourage all members to take time to read, reflect, and share feedback.
Yours in IMA service, Dr S Sivaram Kannan President
Dear IMA members,
Every month, IMA Kauvery journal comes out with clinical pearls.
This month, we have another great collection of clinical cases.
Long live IMA.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Dear friends,
Our next edition of IMA Journal is with you now.
Kauvery hospital Alwarpet is doing scientifically advanced patient care across specialities.
Kindly go through and give your feedback and suggestions.
Thankful to all authors and to our branding team.
With regards Dr. R. Balasubramaniyam Editor
CASE HISTORY:
A 23-year-old previously healthy male, with no known comorbidities presented with 10 days of high-grade fever, watery diarrhea, diffuse crampy abdominal pain, vomiting, chills and rigors. He had a history of outside food intake prior to symptom onset. Initially Patient was admitted in an outside hospital and was treated with intravenous cefoperazone-sulbactam and metronidazole from day 5 of fever yet showed no improvement.
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Introduction:
Facial nerve paralysis affecting the lower motor neuron (LMN) presents as weakness of both the upper and lower facial muscles ipsilaterally. While most cases stem from idiopathic Bell’s palsy, rare bacterial infections—including typhoid fever—can also trigger such neurological outcomes. In regions where typhoid remains common, clinicians should remain vigilant for post-infectious cranial neuropathies. Here we present a case of Facial palsy after Typhoid fever.
Dunbar syndrome, also known as Median Arcuate Ligament Syndrome (MALS), is a vascular compression disorder resulting from the external compression of the celiac artery by the median arcuate ligament of the diaphragm. This anomaly leads to postprandial abdominal pain, nausea, and weight loss due to impaired blood flow or celiac plexus irritation. While often incidental, clinical significance arises when patients present with chronic, unexplained abdominal symptoms. We report a case of Dunbar syndrome identified on CT angiography in a symptomatic middle-aged woman, emphasizing the role of cross-sectional imaging in diagnosis.
Abdominal aortic aneurysm repair particularly open repair possesses significant challenges for anaesthetist due to high-risk patient with comorbidities. The main objective is to maintain stable vitals during aortic clamping and release, reducing chances of heart, kidney and lung related complications. Preoperative assessment mainly focuses on cardiac evaluation, optimisation of comorbidities. Intraoperatively, invasive monitoring is essential to manage profound physiological changes during clamping and release. Post operative management includes vigilant monitoring of complications and pain management
Introduction
Dengue Hemorrhagic Fever (DHF) is a severe and potentially life-threatening form of dengue fever, characterized by high fever, bleeding, and low platelet count. It can lead to organ failure, and death if not treated promptly.
