[\/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 el_class=”blog-col1″ width=”1\/3″][vc_column_text] Greetings and best wishes from IMA Chennai Kauvery Branch.<\/p>\n We are proud of our brave colleagues for bracing up to handle the second wave of Covid and I\u2019m sure with sheer determination we will win the battle.<\/p>\n I\u2019m thankful to our National President Dr Jeyalal for appointing me as committee member in National Service Doctors wing representing Tamilnadu.<\/p>\n Long live IMA<\/p>\n Yours in IMA service,<\/em> Urge all of us to follow and pass on the message of safety measures such as social distancing, wearing masks and getting vaccination. This is our duty towards our country and fellow country men.<\/p>\n Let us be responsible citizens.<\/p>\n Long live IMA<\/p>\n Yours in IMA service,<\/em> We are also releasing our journal monthly, since January this year.<\/p>\n I am thankful to all the consultants , post graduates and physician assistants for their contributions.<\/p>\n With the second COVID wave, we wish you all remain safe and get vaccinated..<\/p>\n Long Live IMA<\/p>\n With best regards,<\/em> [\/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=”2524″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Fat Embolism 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]<\/p>\n A 70-year-old male, with history of type 2 diabetes mellitus, hypertension, bronchial asthma, ischemic heart Disease – S\/P PTCA, history of pancreatitis 10 years ago was admitted with epigastric pain and vomiting. Blood investigations showed elevated triglycerides 2089 mg\/dl, lipase 8383 U\/L, amylase 1423 U\/L and prothrombin time > 200. He was adequately hydrated and treated with fenofibrate. On 4th day of admission, he developed sudden right-sided weakness lasting for few minutes. Immediate CT brain and angiogram were unremarkable. Within one hour, he had weakness of both lower limbs. He was initiated on low molecular weight heparin and aspirin. Later on the same day, he had sudden deterioration in GCS and respiratory distress, associated with tachypnea, tachycardia and developed petechial rash over his chest. Neurological examination showed weakness of all 4 limbs, power on left (grade 1\/5) and on right (grade 4\/5) with hypotonia. Repeat MRI brain showed star field pattern of hyperintensities suggestive of fat embolism in the setting of hypertriglyceridemia and acute pancreatitis. [\/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=”2212″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Anuric Acute Kidney Injury \u2013 Rare Case” 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]<\/p>\n Dr.RR, 50-year old person with diabetes for 5 years presented to the hospital ER with low urine output for 5 days and drowsiness. There was no history of fever, loose stools, vomiting, chest pain, breathlessness or intake of NSAID\u2019s. Clinically he was euvolemic with a stable hemodynamic state. Investigations revealed that he had severe renal failure (urea 200 mg % and creatinine 7.5 mg %) with normal-sized kidneys on ultrasonogram. His blood sugars were marginally high ( 275 mg \/ dl), and cardiac evaluation was normal. Urine analysis could not be done as he was anuric; the other investigations including electrolyte profile, CBC, liver function tests, and calcium were normal.<\/p>\n He was anuric and was taken on hemodialysis. His drowsiness reduced. His vasculitis workup \u2013 ANA, ANCA, and anti GBM antibodies were negative.<\/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=”2532″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Primary Inferior Vena Caval Leiomyosarcoma `{`ivc lms`}`; Report of a Rare Case And the Challenges in the Management” 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]<\/p>\n ABSTRACT<\/strong> [\/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=”2530″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Retrograde Mesenteric Bypass for Chronic Mesenteric Ischaemia(CMI)- A Case Report and Short Review of Literature” 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]<\/p>\n ABSTRACT<\/strong> [\/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=”2550″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Autoimmune Encephalitis” 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]<\/p>\n Clinical History \u2013<\/strong> 68 years old female presented with acute onset of altered sensorium. No history of fever or seizures.![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram-150x150.jpeg\")
Dear colleagues,<\/strong><\/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\/2021\/04\/Dr-Bhuvaneshwari1.jpg\")
Our country is facing the second wave of COVID -19 infection. Some states are very badly affected.<\/p>\n
\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-newsletters\/wp-content\/uploads\/2021\/04\/DrRBS1-1-300x300.jpg\")
Dear friends<\/strong>
\nIt gives me immense pleasure to release our IMA JOURNAL, online.<\/p>\n
\nDr. R. Balasubramaniyam<\/strong>
\nEditor<\/p>\n
\nRead Full Article<\/a><\/p>\n
\nRetroperitoneal sarcomas are the common form of sarcomas in humans, yet vascular sarcomas arising from vessel walls are extremely rare. These vascular leiomyosarcomas [LMS] most commonly arise from IVC. IVC LMS constitutes only about 0.5 % of the soft tissue sarcoma in adults. Overall, IVC LMS is a very rare neoplasm contributing to less than 1 in 100,000 adult malignancies. The goals of management include achieving R0 resection, restoring the patency of IVC, and reducing local recurrence rate by addition of the most effective adjuvant therapies. Complete surgical resection offers the greatest 5-year survival rate that ranges between 30 and 70%. We report a case of IVC LMS in a 56-year-old female and its management, to highlight the importance of this rare yet aggressive malignancy and review the literature.
\nRead Full Article<\/a><\/p>\n
\nThe chronic mesenteric ischaemic disease is becoming commonplace in the Indian scenario along with coronary arterial disease, peripheral vascular disease, and carotid arterial stenotic disease. Here we present a case of a 68-year-old lady who presented with abdominal pain and \u201cfood fear\u201d. She had a loss of appetite and weight over a period of nine months. Ct angiogram carried out revealed a \u201cshaggy\u201d atherosclerotic aorta with bilateral renal artery stenosis and stenosis\/occlusion of all three mesenteric vessels. She was diagnosed to have chronic mesenteric ischaemia and underwent an open retrograde ileo-mesenteric bypass. Post-operative period was complicated by paralytic ileus, and she developed unstable angina which was managed medically. She recovered well and was later discharged on the 9th post -operative day. She is doing well six months post-surgery.
\nRead Full Article<\/a><\/p>\n
\nImaging findings –<\/strong> Cortical thickening with T2\/FLAIR hyperintensity in the right medial temporal lobe which shows increased signal on DWI and no signal loss in ADC\u2013Limbic Encephalitis.
\nCSF analysis was aseptic. Patient is a known case of CA Breast, post MRM status, hence diagnosis of paraneoplastic limbic encephalitis was made.
\nDiscussion:<\/strong>
\nThe term \u201cautoimmune encephalitis\u201d generally refers to a family of closely related disease processes that share overlapping clinical features and neuroimaging findings but are ultimately differentiated by the specific antibody subtypes driving the underlying immune-mediated attack on different CNS structures.<\/p>\n