[\/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]![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram-150x150.jpeg\")
<\/p>\n
Dear colleagues<\/p>\n
Wishing you all a very Happy 75th Independence Day.<\/p>\n
Greetings and best wishes from IMA Kauvery Alwarpet branch.<\/p>\n
Most of the articles in this edition are contributed by our Nephrology Department, which has evolved as a Super Speciality training centre, under the able leadership of Dr R Balasubramanian, our best wishes to them.<\/p>\n
Yours in IMA service,<\/em> The kidneys perform life-sustaining job of filtering and returning to the bloodstream about 200 quarts of fluid every 24 hours.<\/p>\n Diabetes, Hypertension and our lifestyle have major impact over renal function.<\/p>\n This month\u2019s IMA Journal focuses on kidneys and their function<\/p>\n Long live IMA.<\/p>\n Dr. Bhuvaneshwari Rajendran<\/strong> Dear friends<\/p>\n Happy to meet you through this month\u2019s IMA JOURNAL.<\/p>\n The theme for this month is NEPHROLOGY. Happy to share the different interesting case scenarios from our department.<\/p>\n Nephrology has become National Board recognised Super Specialty department and we have contributions from our post graduates too.<\/p>\n We welcome your feedback and suggestions.<\/p>\n Thank you.<\/p>\n Long live IMA.<\/p>\n With regards<\/em> Mr. S. 45 years presented with gross edema for 2 months. He did not have history of oliguria, hematuria, breathlessness, arthralgia, fever or any other constitutional symptoms. He gave history of passing frothy urine. He was evaluated and found to have nephrotic range of proteinuria (8 grams per day), normal renal chemistry (urea 20 mg% and creatinine \u2013 1.0 mg %), Hypoproteinemia (serum proteins 6 gm % and albumin 3.2 gm %) and hypertriglyceridemia with normal sized kidneys on ultra-sonogram.<\/p>\n He gave history of taking indigenous medications for his eczema.<\/p>\n He was diagnosed to have NEPHROTIC SYNDROME and towards defining the histology he underwent renal biopsy.<\/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_empty_space][vc_single_image image=”2927″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Renal Transplantation Vs Dialysis \u2013 A Survival Advantage and a Brief Introduction” 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 Chronic kidney disease is an important public health burden worldwide. The survival advantage of transplantation has been well proven over and above that on dialysis. Patients who have undergone transplantation have definite survival advantage in terms of mortality benefits. The overall graft survival has improved to nearly 85% for 10 years from 55% in 10 years over the past few decades. This is due to better immunosuppressive medications and better monitoring. The graft survival in Taiwan and the United States are nearly 92-95%. Deceased donor programs have also resulted in better survival rates based on better allocation of kidneys according to Kidney donor profile index (KDPI) and estimated post-transplant survival rates (EPTS). The survival rate in Europe and Australia has been reported to be better than the United States as the insurance coverage for the medications are extended in these 2 continents.<\/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_empty_space][vc_single_image image=”5146″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Rhabdomyolysis and Acute Kidney Injury” 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 Rhabdomyolysis is the breakdown of skeletal muscles and release of its contents like myoglobin, lactate dehydrogenase, aspartate aminotransferase and alanine aminotransferase. Historically, this entity was discovered during the World War II, when large-scale crush injuries were reported.<\/p>\n Common causes are crush injury, viral infections like coxsackie, parvovirus, drugs like statins, toxins like alcohol, cocaine and artificial creatine supplements (used for body-building), seizures, prolonged immobilisation and limb compartment syndrome. Rare causes include congenital myopathies involving glycogen storage disorders, malignant hyperthermia and neuroleptic malignant syndrome.<\/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_empty_space][vc_single_image image=”2927″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Organ Donation \u2013 FAQs” 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 Organ Donation day is observed on the 13th<\/sup>\u00a0August every year with the objective of raising awareness of about organ donation to all. There are many patients waiting on the deceased donor organ transplant list and many die even without getting a suitable organ donor. The deceased donor program although has improved in our country in the last 2 decades, there is still a lag between the organ demand and the supply. This is mainly due to inhibition from the people and their immediate family when it comes to organ donation which is often discussed in the last minute to them and their obvious answer for consent to donate organs is a no.<\/p>\n Organ donation is a very a noble act and the Life continues after one\u2019s death through organ donation. One organ donor can save 8 lives if all the organs in his\/her body are functioning normally. On 13th<\/sup>\u00a0August of every year people across the nation are encouraged to \u201cpledge\u201d the organs for donation this day.<\/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_empty_space][vc_single_image image=”5193″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Beta 2-microglobulin amyloidosis causing carpal tunnel 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]Beta 2-microglobulin amyloidosis is a common condition affecting patients on long-term hemodialysis Carpal tunnel syndrome is the most common mononeuropathy in dialysis patients caused by compression of the median nerve at the level of wrist where it passes via narrowed carpal tunnel.<\/p>\n A 75 year old female, diabetic and hypertensive for more than 10 years, on irregular treatment presented to us in End stage renal failure stage (ESRD). Started on maintenance HD (low-flux dialyzer) thrice weekly through AV fistula, since November 2017. After being on dialysis for past 4 years, she recently complained of small joint pain on both upper and lower limbs and numbness of hands.<\/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\")
<\/p>\n
\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\/2021\/04\/DrRBS1-1-300x300.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_empty_space][vc_single_image image=”2212″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”NELL 1 Staining in Primary Membranous Nephropathy \u2013 A Case Report” 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>\nHistory<\/strong><\/h2>\n
Etiology of Rhabdomyolysis<\/strong><\/h2>\n
Case report<\/strong><\/h2>\n