[\/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\")
<\/p>\n
Dear Colleagues,<\/p>\n
Welcome to the October issue of IMA Kauvery Newsletter.<\/p>\n
As we celebrate Navarathri and the festive spirit of this season, I extend my warm wishes to you and your families for health, knowledge and prosperity.<\/p>\n
May this auspicious time bring renewed hope, positivity and strength to all of us in our shared journey of healing and service.<\/p>\n
This issue features practical updates in Nephrology, General Medicine and Anaesthesia, curated to be relevant for your daily practice.<\/p>\n
My sincere thanks to , all authors, reviewers and our executive committee for their efforts.<\/p>\n
Wishing you and your loved ones a joyful and healthy festive season.<\/p>\n
Yours in IMA service,<\/em> Greetings from IMA Kauvery!<\/p>\n As we welcome October and celebrate Navarathri, I extend my heartfelt wishes to each of you and your families.<\/p>\n This festival reminds us of the triumph of knowledge over ignorance and strength over challenges \u2014 values that resonate deeply with our profession.<\/p>\n In this issue, we bring you focused and practice-oriented insights in Nephrology, General Medicine and Anaesthesia \u2014 designed to add value to your clinical work.<\/p>\n I thank all our authors and team members for their dedicated efforts in shaping this edition.<\/p>\n May this season bring you good health, peace and continued inspiration in service.<\/p>\n Yours in IMA service,<\/em> Dear Colleagues,<\/p>\n Welcome to the October issue of IMA Kaveri Newsletter.<\/p>\n On the auspicious occasion of Navarathri, I extend my warm wishes to you and your families. May these nine days of strength, wisdom and compassion inspire us in our mission of healing and service.<\/p>\n This issue features practical updates in Nephrology, General Medicine and Anaesthesia. I hope you find it useful for your clinical practice.<\/p>\n Thank you to all authors, reviewers and the executive committee for their support.<\/p>\n Wishing you a happy and healthy Navarathri!<\/p>\n With regards<\/em> A 23-year-old woman presented with high-grade fever associated with chills and rigors for two days, along with dysuria, left-sided flank pain radiating from the loin to the groin, nausea, and vomiting. In a young adult presenting with an acute febrile illness, the initial differential diagnosis included dengue, malaria, scrub typhus, leptospirosis, enteric fever, and lower respiratory tract infection (LRTI), in addition to urinary tract infection (UTI). The presence of dysuria and characteristic unilateral flank pain subsequently provided a localising clue towards the urinary tract. She was diagnosed with Escherichia coli <\/em>pyelonephritis associated with an obstructing left vesicoureteric junction (VUJ) calculus and a congenital duplicated left ureter. Empirical antimicrobial therapy with cefoperazone-sulbactam (Magnex) was initiated initially. Urine culture and sensitivity subsequently demonstrated extended-spectrum beta-lactamase<\/p>\n Read Full Article<\/a><\/p>\n [\/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=”11372″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Beware the Octopus trap : A Case of Broken Heart Syndrome” 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 Report<\/strong><\/p>\n A 58-year-old post-menopausal woman with a 10-year history of systemic hypertension presented with intermittent left shoulder pain and progressive dyspnea (NYHA class IV) for 3 days. There was no fever, palpitations, pedal edema, cough, or oliguria. A significant recent emotional stressor in the form of bereavement was noted.<\/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=”11371″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”WHEN NUMBNESS WAS THE WARNING: AN ATYPICAL PRESENTATION OF A CATASTROPHIC AORTIC EMERGENCY” 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 Acute Type A aortic dissection is a time-critical cardiovascular emergency with a broad clinical spectrum. Although sudden severe chest or back pain is the classical presentation, neurological or malperfusion symptoms may be the initial manifestation and can lead clinicians toward alternative diagnoses. We report the case of an 82-year-old man, a known case of hypertension, who presented to the Emergency Department with sudden-onset bilateral lower-limb numbness after a sequence of stretching, walking, generalized discomfort and subsequent rest. On arrival he was profoundly hypotensive with a blood pressure of 70\/40 mmHg, while remaining conscious with a Glasgow Coma Scale score of 15\/15.<\/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=”11374″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Late Renal Allograft Dysfunction” 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]Mixed Antibody-Mediated and Chronic Active T-Cell-Mediated Rejection \u2022 Case Summary<\/strong><\/p>\n What must be correlated<\/strong><\/p>\n DSA, tacrolimus\/cyclosporine lsvsJs, immunosuppression adherence, BK-virus PCR, prior biopsy findings and the renal
\nDr S Sivaram Kannan<\/strong>
\nPresident[\/vc_column_text][\/vc_column_inner][vc_column_inner 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 width=”1\/3″][vc_column_text]![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg\")
<\/p>\n
\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=”11368″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Approaching febrile illness in a young female through a case of CAKUT” 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
\nfunction trajectory. C4d alone should not be treated as sufficient for definitive ABMR classification.<\/p>\n