{"id":1911,"date":"2021-03-29T08:07:11","date_gmt":"2021-03-29T08:07:11","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-newsletters\/?page_id=1911"},"modified":"2022-05-02T12:01:52","modified_gmt":"2022-05-02T12:01:52","slug":"ima-journal-march-2021","status":"publish","type":"page","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/","title":{"rendered":"IMA Journal \u2013 March 2021"},"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; March 2021<\/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 el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2195\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram-150x150.jpeg\" alt=\"\" width=\"100\" height=\"100\" \/>Dear colleagues,<\/strong><\/p>\n<p>Greetings and best wishes from IMA Chennai Kauvery Alwarpet branch.<\/p>\n<p style=\"text-align: left;\">Kauvery hospital started the vaccination of the health care personnel from the beginning and we ensured that the neighbourhood Doctors got vaccinated.<\/p>\n<p style=\"text-align: left;\">As the Government has opened up the vaccination for the needy patients, I request our neighbourhood doctors to utilise the services for their patients in need.<\/p>\n<p>Long live IMA<\/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]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2157\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/Dr-Bhuvaneshwari1.jpg\" alt=\"Dr. Bhuvaneshwari Rajendran\" width=\"100\" height=\"101\" \/>This month\u2019s issue brings a variety of case presentations and topics very pertinent to clinical practice . In the setting of resurgence of Covid infection in certain parts of the country, it is important that we all get vaccinated not only to protect us but also to help improve herd immunity in the community as a whole.<\/p>\n<p>We should continue to follow social distancing and wear masks in public places. Avoid unnecessary crowding.<\/p>\n<p>Let us be responsible citizens.<\/p>\n<p>Long live IMA<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr. Bhuvaneshwari Rajendran<\/strong><br \/>\nSecretary<\/p>\n<p>[\/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-2158\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-300x300.jpg\" alt=\"Dr. R. Balasubramaniyam\" width=\"100\" height=\"100\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-300x300.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-150x150.jpg 150w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1.jpg 450w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><strong>Dear friends,<\/strong><\/p>\n<p>I am delighted to present the monthly edition of Kauvery Journal. Thankful to all our consultants for sharing their work. We look forward to your suggestions and feedback.<\/p>\n<p>Long Live IMA<\/p>\n<p><em>With best 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;2213&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;A Challenging Case Of Octogenarian Periprosthetic Fracture Distal Femur&#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>Periprosthetic Fracture<\/strong><\/p>\n<p style=\"text-align: justify;\">Fracture associated with an orthopaedic implant (Fixation \/ Replacement).<\/p>\n<p style=\"text-align: justify;\">Incidence of these fractures are increasing due to increased life span, multiple fracture fixation and joint replacement done at earlier ages, trivial trauma, osteolysis, osteoporosis and stress shielding.<\/p>\n<p style=\"text-align: justify;\">Patient specific risk factors are <a href=\"https:\/\/kauveryhospital.com\/blog\/orthopedics\/what-is-rheumatoid-arthritis\/\" target=\"_blank\" rel=\"noopener\">rheumatoid arthritis<\/a>, osteolysis, osteopenic bone, use of steroid medications. Frequent falls in elderly population. Technique specific risk factors such as femoral cortical notching.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/a-challenging-case-of-octogenarian-periprosthetic-fracture-distal-femur\/\">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;2212&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Lumisiran &#8211; A new drug for treatment of Primary Hyperoxaluria (PH) Type I&#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]<\/p>\n<p style=\"text-align: justify;\">PH is a genetic disorder of oxalate metabolism. There is accumulation of oxalate initially in the kidneys and subsequently in bones, heart, eyes and other tissues. This disease where there is systemic accumulation of oxalate is called as OXALOSIS.<\/p>\n<p style=\"text-align: justify;\">The enzyme GLYCOLATE OXIDASE is needed to convert glycolate to glyoxalate and then to oxalate. Glyoxalate is acted upon by Alanine Glyoxalate aminoTransferase (AGT) to glycine in the liver. When AGT is going to be deficient, then all the glycolate gets converted to oxalate.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/a-new-drug-for-treatment-of-primary-hyperoxaluria-ph\/\">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;2217&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Thrombocytopenia Followed By Generalised Lymphadenopathy&#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 66 year female, known case of diabetes, <a href=\"https:\/\/kauveryhospital.com\/blog\/general-medicine-diabetology\/hypertension-the-silent-killer\/\" target=\"_blank\" rel=\"noopener\">hypertension<\/a> and hypothyroidism for more than 10 year, presented with 1) High grade continuous fever with rashes which started on both forearms and spread to involve a trunk associated with itching And 2) Odynophagia since 10 days.<\/p>\n<p style=\"text-align: justify;\">Past history of fever with thrombocytopenia before 6 months-Dengue IgM was positive, But platelet was persistently low even after 2 weeks of fever onset and reached a level of 2000 cells\/ microlitre by third week,<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/thrombocytopenia-followed-by-generalised-lymphadenopathy\/\">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;2211&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Congenital absence of the bilateral ICA \u2013 A case report&#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]<\/p>\n<p style=\"text-align: justify;\">A 45-year-old gentleman was brought to the emergency with a history of unconsciousness from the evening. On arrival, patient GCS was E4M5V2-11\/15 and there was right hemiplegic. No known previous relevant history was noted<\/p>\n<p style=\"text-align: justify;\">An emergency MRI brain with MRA of the neck and head was ordered and done.<\/p>\n<p style=\"text-align: justify;\">MRI revealed large acute infarcts in the left MCA and bilateral ACA territory(Figure1 )<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/congenital-absence-of-the-bilateral-ica-a-case-report\/\">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;2555&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Costoclavicular Brachial Plexus Block&#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;\">The costoclavicular brachial plexus block was recently described as an alternative approach to the infraclavicular block. The compact organization of the plexus at this level, clustered lateral to the 1st part of the axillary artery and more superficial than in sagittal approach, allows blockade with less volume and a single needle. Hence it is called as spinal anaesthesia of upper limb.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2021\/costoclavicular-brachial-plexus-block\/\">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; March 2021 [\/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 el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]Dear colleagues, Greetings and best wishes from IMA<\/p>\n","protected":false},"author":2,"featured_media":1506,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1911","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - 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