{"id":10701,"date":"2025-11-13T12:13:06","date_gmt":"2025-11-13T12:13:06","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?page_id=10701"},"modified":"2025-11-14T09:14:07","modified_gmt":"2025-11-14T09:14:07","slug":"ima-journal-november-2025","status":"publish","type":"page","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/","title":{"rendered":"IMA Journal &#8211; November 2025"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text]<\/p>\n<h1 class=\"ttc\" style=\"text-align: center; color: #c01c7b;\"><strong>IMA Journal &#8211; November 2025<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7250\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-150x150.jpg\" alt=\"\" width=\"110\" height=\"118\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-280x300.jpg 280w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-956x1024.jpg 956w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-768x822.jpg 768w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram.jpg 1314w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear Esteemed IMA Members,<\/p>\n<p>Greetings from Kauvery IMA!<\/p>\n<p>November is a time to express heartfelt gratitude, and we&#8217;re thankful for your dedication to quality healthcare.<\/p>\n<p>Your contributions are vital to India&#8217;s health ecosystem.<\/p>\n<p>IMA journals are a valuable resource for knowledge sharing, and together, let&#8217;s build a healthier, happier India!<\/p>\n<p>Thank you to all our healthcare heroes, members, and supporters for your unwavering commitment!<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr S Sivaram Kannan<\/strong><br \/>\nPresident[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6617\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-150x150.jpg\" alt=\"\" width=\"110\" height=\"121\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-274x300.jpg 274w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R.jpg 613w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear friends,<\/p>\n<p>Happy to share this month&#8217;s IMA Journal with you!<\/p>\n<p>Academic work drives institutional growth, and we&#8217;re excited to share some interesting cases from our hospital.<\/p>\n<p>Thanks to the editorial and marketing teams, IMA Journal is a great platform to share knowledge with colleagues. Your feedback and suggestions are welcome!<\/p>\n<p>November is the month of Thanksgiving &#8211; a special time to appreciate healthcare professionals.<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr. Bhuvaneshwari Rajendran<\/strong><br \/>\nSecretary[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6619\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg\" alt=\"\" width=\"110\" height=\"132\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg 251w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B.jpg 562w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear IMA members,<\/p>\n<p>Kauvery Hospital, Alwarpet extends heartfelt gratitude to all IMA members this Thanksgiving November.<\/p>\n<p>IMA Journal shares medical articles and case reports as part of CME drive sharing knowledge with you!<\/p>\n<p>Long live IMA.<\/p>\n<p><em>With regards<\/em><br \/>\n<strong>Dr. R. Balasubramaniyam<\/strong><br \/>\nEditor[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10668&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Ruptured Ectopic Pregnancy Masquerading as Acute Urinary Retention: A Diagnostic Pitfall in the Emergency Department&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong><b>Abstract:<\/b><\/strong><\/p>\n<p style=\"text-align: justify;\">Ectopic pregnancy remains a life-threatening emergency in women of reproductive age. However, atypical presentations can obscure diagnosis and delay life-saving interventions. This case highlights a 40-year-old woman who presented with acute urinary retention and abdominal distension, initially misinterpreted as a cervical neoplastic lesion on CT imaging. Subsequent evaluation in the Emergency Department revealed a ruptured ectopic pregnancy with hemoperitoneum. This case underscores the critical importance of structured emergency assessment and a high index of suspicion for ectopic pregnancy in atypical presentations.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/ruptured-ectopic-pregnancy-masquerading-as-acute-urinary-retention-a-diagnostic-pitfall-in-the-emergency-department\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10703&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Magnesium Overload: When Supplements Turn Toxic&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong><b>Abstract:<\/b><\/strong><\/p>\n<p style=\"text-align: justify;\">Magnesium is an essential electrolyte involved in neuromuscular function, cardiac conduction, and enzymatic reactions. Oral magnesium supplements and magnesium-containing antacids\/laxatives are widely available as over the counter medications. When taken in excess or when excretion is impaired, magnesium can accumulate and produce a spectrum of toxicity. This case report reviews pathophysiology, clinical presentation, diagnostic approach, electrocardiographic (ECG) findings, differential diagnosis, and management of magnesium tablet (oral) overdose, centred on a prototypical case: a young male presenting with profuse loose stools and new-onset arrhythmia. Key decision points (when to give calcium, when to dialyze) and pitfalls (confusing ECG changes with hyperkalaemia, missing co-ingestions, or failing to recognise renal impairment) are emphasised.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/magnesium-overload-when-supplements-turn-toxic\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10704&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Anaesthetic Management for Left Carotid Body Tumor Excision&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Introduction:<\/strong><\/p>\n<p style=\"text-align: justify;\">Carotid body tumors (CBTs) are rare, highly vascular neoplasms arising from paraganglionic tissue at the carotid bifurcation. These tumors may present as a slow-growing neck mass but pose major intraoperative challenges due to proximity to vital vascular and neural structures, including the internal and external carotid arteries and cranial nerves IX, X, XI, and XII.<br \/>\nSurgical excision is the definitive treatment. However, the risk of massive blood loss, hemodynamic instability from carotid sinus manipulation, and potential cranial nerve injuries makes anesthetic management complex. Preoperative embolization of feeding vessels is commonly performed to reduce intraoperative bleeding and facilitate dissection.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/anaesthetic-management-for-left-carotid-body-tumor-excision\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10706&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;A Hematologic Window to an Intestinal Disease: Crohn\u2019s Disease Presenting as B12 Deficiency&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Case Presentation:<\/strong><\/p>\n<p style=\"text-align: justify;\">A 32-year-old male presented with constipation, painful defecation, and streaks of blood in stools on and off. He also complained of abdominal discomfort, generalized weakness, and easy fatiguability for three months, along with loss of appetite and weight. There was no history of diarrhea, fever, or drug intake.<\/p>\n<p style=\"text-align: justify;\">On examination, he was conscious and oriented with stable vitals. Pallor and mild icterus were present. Abdominal examination revealed mild tenderness in the left iliac fossa without organomegaly.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/a-hematologic-window-to-an-intestinal-disease-crohns-disease-presenting-as-b12-deficiency\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10719&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Plain CT clues to early small bowel ischemia: A Miss-Before \u2013 You \u2013 See It Entity&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Introduction:<\/strong><\/p>\n<p style=\"text-align: justify;\">Acute mesenteric ischemia (AMI) is a life\u2011threatening vascular emergency caused by sudden reduction in blood flow to the small bowel. Early diagnosis is crucial to prevent irreversible bowel necrosis and associated morbidity and mortality. Computed tomography (CT), especially contrast\u2011enhanced CT (CECT), plays a pivotal role in rapid diagnosis. We present a case of small bowel ischemia in an elderly female detected on CT, highlighting the importance of early imaging and recognition of key radiological signs.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/plain-ct-clues-to-early-small-bowel-ischemia-a-miss-before-you-see-it-entity\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10728&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Atypical Presentation of Multiple Myeloma in a 43-Year-Old Male: Sudden-Onset Body Ache with Acute Kidney Injury, Hypercalcemia, and No A\/G Reversal&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Abstract:<\/strong><\/p>\n<p style=\"text-align: justify;\">Background: Multiple myeloma (MM) is a plasma-cell malignancy characterized by anemia, bone pain, renal dysfunction, and hypercalcemia. It may rarely present acutely with nonspecific complaints such as body ache or vomiting.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-november-2025\/atypical-presentation-of-multiple-myeloma-in-a-43-year-old-male-sudden-onset-body-ache-with-acute-kidney-injury-hypercalcemia-and-no-a-g-reversal\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text] IMA Journal &#8211; November 2025 [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text] Dear Esteemed IMA Members, Greetings from Kauvery IMA!<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10701","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - 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