Dear Colleagues,
Greetings from IMA Chennai Kauvery Alwarpet Branch!
As we step into another fresh month’s journal, I would like to remind everyone that health care is all about updating ourselves. The constant urge to gain knowledge is the power of the any medical professional.
A teamwork in delivering exceptional highest quality of patient care is our goal and Kauvery hospital Alwarpet has proudly received its Joint Commission International (JCI) accreditation. This prestigious accreditation reflects its high standards of quality care and safety rendered to all our patients.
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,
IMA is a representation of unity, continuous professional development for doctors.
This month, our IMA journal brings in another collection of brilliant work across various specialities.
Long live IMA.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Dear friends,
Happy to share the next edition of our IMA Journal.
We have shared exciting articles from our hospital this time too.
Your suggestions, support and appreciation are welcome.
Thanks to editorial and branding teams.
With regards Dr. R. Balasubramaniyam Editor
Definition:
Central fever (CF) is a non-infectious, neurogenic fever that arises in patients with acute brain injury in the absence of infection, drug reactions, or other systemic causes. It is primarily attributed to hypothalamic dysfunction and disturbed thermoregulation, leading to inappropriate and persistent hyperthermia.
Read Full Article
Abstract:
Traumatic knee dislocation with ipsilateral tibia and fibula fractures is rare and complex, especially with patellar tendon rupture. We report a 47-year-old male with such injuries after a road accident. Despite severe trauma, popliteal artery flow remained intact, allowing staged management. Initial external fixation was followed by tibial nailing and patellar tendon repair using tension-relieving ethibond sutures. Delayed ACL and PCL reconstruction is planned. Vigilant vascular monitoring and systematic treatment are key for good outcomes.
A rare and life-threatening case of spontaneous rupture of a right common femoral artery pseudoaneurysm is presented in a 69-year-old female with multiple comorbidities, including coronary artery disease, atrial fibrillation, and chronic kidney disease. The patient was on dual antiplatelet and anticoagulant therapy following a percutaneous coronary intervention (PCI) performed via right common femoral artery access one month earlier. She presented to the emergency department (ED) in a peri-arrest state with massive right thigh swelling and profound hypotension. Immediate resuscitation, massive transfusion, and multidisciplinary coordination led to stabilization and operative management. This case highlights the importance of maintaining a high index of suspicion for delayed vascular access complications in anticoagulated patients presenting with unexplained limb swelling and shock.
Case Report:
A 29-year-old woman with a 12-year history of systemic lupus erythematosus (SLE), initially diagnosed on the basis of mucocutaneous involvement and recurrent disease flares, presented with progressively worsening dysphagia and persistent nausea, resulting in multiple hospital admissions over the preceding years.
Introduction
Intestinal malrotation is a congenital anomaly resulting from an abnormal rotation and fixation of the midgut during embryological development. While typically diagnosed in neonates and infants presenting with signs of bowel obstruction or volvulus, malrotation can occasionally be identified incidentally in adults during imaging for unrelated complaints. This anomaly often results in an abnormal location of the duodenojejunal (DJ) junction, inversion of the SMA-SMV relationship, and ectopic cecal position. Although it may remain asymptomatic, nonrotation predisposes patients to life-threatening complications such as midgut volvulus.
Scoliosis is a condition where spine has an irregular curve in the coronal plane. While the degree of curvature is measured on the coronal plane, scoliosis is actually a more complex, three-dimensional problem which involves the following planes: Coronal plane, Sagittal plane and Axial plane.
