[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Message from Team IMA Chennai Kauvery Alwarpet Branch” font_container=”tag:h2|text_align:center|color:%239a286d” google_fonts=”font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal”][vc_row_inner css=”.vc_custom_1618206149394{border-radius: 5px !important;}”][vc_column_inner width=”1\/3″][vc_column_text]![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-150x150.jpg\")
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Greetings to dear esteemed IMA members!<\/p>\n
The IMA Kauvery journal perpetuates a culture of academic excellence, fuelling our ongoing quest for medical knowledge and proficiency.<\/p>\n
Your active participation in IMA endeavours is pivotal to our collective success.<\/p>\n
May the forthcoming month unfold opportunities for professional growth and fulfilment.<\/p>\n
Yours in IMA service,<\/em> Dear IMA members,<\/p>\n Greetings from Kauvery IMA.<\/p>\n IMA journals are helpful and are a valuable resource of knowledge for staying updated on medical knowledge and real-life cases.<\/p>\n Connecting with fellow doctors through these journals can be super enriching.<\/p>\n Here’s wishing you a fantastic month ahead too!<\/p>\n Yours in IMA service,<\/em> Dear friends,<\/p>\n Happy to share the next edition of our IMA JOURNAL.<\/p>\n Every article illustrates the level of highly skilled patient care that spreads across various departments in our hospital.<\/p>\n Thanks to all contributing authors and to the editorial \/ branding team<\/p>\n Your feedback and suggestions are welcome.<\/p>\n Long live IMA.<\/p>\n With regards<\/em> Post-extubation stridor is a well-recognized complication following endotracheal intubation and is most commonly attributed to laryngeal edema, vocal cord dysfunction, or subglottic stenosis. However, delayed onset stridor occurring several days after extubation is unusual and warrants evaluation for less common etiologies. Tracheal mucosal flap formation is a rare but important cause of delayed post-extubation airway obstruction. We describe a case of a 70-year-old male who developed inspiratory stridor three days after extubation, in whom video laryngoscopy revealed a tracheal mucosal flap. The patient was managed conservatively with systemic corticosteroids, nebulized therapy and positive pressure ventilation resulting in complete resolution on repeat endoscopy. This article reviews the pathophysiology, clinical presentation, diagnostic approach, and management of tracheal mucosal flap as a delayed cause of post-extubation stridor.<\/p>\n Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=”blog-col” css=”.vc_custom_1617009566389{border-radius: 5px !important;}”][vc_column_inner width=”1\/3″][vc_single_image image=”10891″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Anasarca Secondary to Nephrotic Syndrome: A Case of Lead Nephropathy” font_container=”tag:h2|text_align:left|color:%239a286d” google_fonts=”font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Summary<\/strong><\/p>\n A 41-year-old woman presented with progressive generalized edema and nephrotic-range proteinuria with preserved renal function. Evaluation revealed hypoalbuminaemia, dyslipidaemia, and elevated inflammatory markers. Renal biopsy showed membranous nephropathy. Detailed history revealed prolonged intake of an Ayurvedic medication for psoriasis. Heavy metal analysis showed elevated blood lead levels. After exclusion of autoimmune, infectious, and other secondary causes, a diagnosis of lead-induced secondary membranous nephropathy was made. The patient was managed with withdrawal of exposure and supportive therapy, with emphasis on RAAS blockade and edema control. This case highlights chronic lead toxicity as an uncommon but important cause of secondary membranous nephropathy.<\/p>\n Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=”blog-col” css=”.vc_custom_1617009566389{border-radius: 5px !important;}”][vc_column_inner width=”1\/3″][vc_single_image image=”10878″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”WHEN THE GRAFT\u2019S LIFELINE NARROWS\u2019- SUCCESSFUL REVASCULARISATION OF A THREATENED ALLOGRAFT” font_container=”tag:h2|text_align:left|color:%239a286d” google_fonts=”font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Case summary:<\/strong><\/p>\n A 22-year-old male with the end stage kidney disease secondary to Nephronophthisis, underwent a live related renal transplantation on 10\/12\/2025, with his aunt as the donor.<\/p>\n He received antithymocyte globulin (ATG) induction therapy followed by standard triple immunosuppression (Calcineurin inhibitor, antiproliferative agent and corticosteroids). The immediate postoperative period was uneventful, with prompt graft function and satisfactory urine output, suggestive of good early graft perfusion.<\/p>\n Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=”blog-col” css=”.vc_custom_1617009566389{border-radius: 5px !important;}”][vc_column_inner width=”1\/3″][vc_single_image image=”10887″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”From Biopsy to Diagnosis: The Expanding Role of Nephropathology in Modern Renal Medicine” font_container=”tag:h2|text_align:left|color:%239a286d” google_fonts=”font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Renal disease presents a unique diagnostic challenge. Clinical manifestations such as proteinuria, hematuria, hypertension, or progressive renal insufficiency reflect functional disturbance but do not define the underlying structural pathology. Unlike many other organ systems, the kidney responds to diverse injuries with a limited repertoire of morphological patterns. The renal biopsy remains the gold standard for diagnosing medical renal diseases. A small core of renal cortex, when systematically processed and interpreted, provides detailed structural, immunologic, and prognostic information that directly influences therapeutic decisions.<\/p>\n
\nDr S Sivaram Kannan<\/strong>
\nPresident[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=”blog-col1″ width=”1\/3″][vc_column_text]![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-150x150.jpg\")
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\nDr. Bhuvaneshwari Rajendran<\/strong>
\nSecretary[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=”blog-col1″ width=”1\/3″][vc_column_text]![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg\")
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\nDr. R. Balasubramaniyam<\/strong>
\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=”blog-col” css=”.vc_custom_1617009566389{border-radius: 5px !important;}”][vc_column_inner width=”1\/3″][vc_single_image image=”10876″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Tracheal Mucosal Flap: An Uncommon and Delayed Cause of Post-Extubation Stridor” font_container=”tag:h2|text_align:left|color:%239a286d” google_fonts=”font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Abstract<\/strong><\/p>\n