{"id":8588,"date":"2024-07-11T12:47:20","date_gmt":"2024-07-11T12:47:20","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?page_id=8588"},"modified":"2025-04-09T09:28:33","modified_gmt":"2025-04-09T09:28:33","slug":"ima-journal-july-2024","status":"publish","type":"page","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/","title":{"rendered":"IMA Journal &#8211; July 2024"},"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; July 2024<\/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]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7250\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-150x150.jpg\" alt=\"\" width=\"110\" height=\"118\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-280x300.jpg 280w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-956x1024.jpg 956w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-768x822.jpg 768w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram.jpg 1314w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear Colleagues,<\/p>\n<p>Greetings from IMA Kauvery.<\/p>\n<p>Doctor\u2019s day wishes to you all.<\/p>\n<p>This week also marks the importance of Plastic Surgeons.<\/p>\n<p>Wishing our colleagues a Happy Plastic Surgeons Day.<\/p>\n<p>We shall be effective and safe doctors only if we constantly organize, analyze, present and publish our clinical work.<\/p>\n<p>This month\u2019s edition carries various interesting articles which will reflect the above.<\/p>\n<p>We extend our thanks to all the authors and co-authors.<\/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]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6617\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-150x150.jpg\" alt=\"\" width=\"110\" height=\"121\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-274x300.jpg 274w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R.jpg 613w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear IMA members,<\/p>\n<p>Kauvery IMA brings together doctors and aims at improving their partnership and knowledge sharing.<\/p>\n<p>This month\u2019s IMA journal is coming out with another issue filled with vignettes from various clinical specialties.<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr. Bhuvaneshwari Rajendran<\/strong><br \/>\nSecretary.[\/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-6619\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg\" alt=\"\" width=\"110\" height=\"132\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg 251w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B.jpg 562w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear friends<\/p>\n<p>It is my pleasure to present to you the next edition of IMA Kauvery.<\/p>\n<p>I am delighted that the contributions are from the post graduates in this edition.<\/p>\n<p>I am thankful to them and to all the consultants for their support.<\/p>\n<p>Thanks to branding and editorial teams.<\/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;8596&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;A Rare Form Of A Spectrum Of Guillain Barre Syndrome&#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]A 58-year-old lady presented to ER on 24th\u00a0April 2023 at around 7.30 pm with<\/p>\n<ul>\n<li aria-level=\"1\">History of low back pain x 2 days followed by sudden onset of giddiness, headache,<\/li>\n<li aria-level=\"1\">double vision involving both eyes with photosensitivity, and<\/li>\n<li aria-level=\"1\">bilateral numbness of hand and fingers, perioral numbness<\/li>\n<li aria-level=\"1\">decreased sensation over both feet<\/li>\n<\/ul>\n<p><b>PAST MEDICAL HISTORY:<\/b><\/p>\n<ul>\n<li aria-level=\"1\">She is known Diabetic<\/li>\n<\/ul>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/a-rare-form-of-a-spectrum-of-guillain-barre-syndrome\/\">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;7839&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Clinical Profile, Renal Histology And Outcome Of Patients With Infection Related Glomerulonephritis&#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><b>INTRODUCTION<\/b><\/strong><\/p>\n<p>Infection related glomerulonephritis (IRGN) is an immune mediated glomerulonephritis mediated by alternate complement pathway activation by bacterial, viral or parasitic infections.<\/p>\n<p><strong><b>AIM<\/b><\/strong><\/p>\n<p>To determine the clinical spectrum, nature of infection, renal histology, use of immunosuppressants and outcome of patients with biopsy proven IRGN.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/clinical-profile-renal-histology-and-outcome-of-patients-with-infection-related-glomerulonephritis\/\">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;8610&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Management of a Patient with Addison\u2019s Disease, Chronic Malnutrition, and Irritable Bowel Syndrome Presenting with Neurological and Heart Failure: 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]<strong>Abstract<\/strong><\/p>\n<p style=\"text-align: justify;\">This case report describes the presentation, diagnosis, and successful management of a patient with Addison\u2019s disease complicated by chronic malnutrition and irritable bowel syndrome (IBS). The patient presented with neurological symptoms and heart failure, which were addressed through antifailure measures, hormonal therapy, intravenous (IV) supplementation of vitamins, and re-initiation of feeding.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/management-of-a-patient-with-addisons-disease-chronic-malnutrition-and-irritable-bowel-syndrome-presenting-with-neurological-and-heart-failure-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;8609&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Management of a young patient with fat embolism &#8211; 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]<strong>Abstract<\/strong><\/p>\n<p style=\"text-align: justify;\">Fat embolism is a life threatening complication following a major orthopedic trauma. Diagnosis is only by strong clinical suspicion. Treatment is only supportive care. Here, we report a young male who presented with altered sensorium 48 hours after trauma, diagnosed as fat embolism and managed effectively with multi-disciplinary approach.<\/p>\n<p><strong>Introduction<\/strong><\/p>\n<p style=\"text-align: justify;\">Fat embolism is defined by the presence of fat globules in pulmonary circulation.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/management-of-a-young-patient-with-fat-embolism-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;8607&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Anaesthesia For Rigid Bronchoscopy And Stenting Of Acquired Tracheo Esophageal Fistula &#8211; 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;\">61-year male known case of COPD, Diabetes mellitus, hypertension, Carcinoma oesophagus which was diagnosed in 2023 for which he received chemotherapy and radiotherapy. \u00a0OGD (2024) showed oesophageal stricture and dilatation was done. PET CT (2024) revealed residual disease, was started on chemotherapy. Feeding jejunostomy was done. Bronchoscopy revealed left vocal cord palsy.<\/p>\n<p>Patient presented to ER with compliant of breathlessness and desaturation and diagnosed as aspiration pneumonia.<\/p>\n<p>Patient received in ICU in view of desaturation and connected on NIV support.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/anaesthesia-for-rigid-bronchoscopy-and-stenting-of-acquired-tracheo-esophageal-fistula-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;8649&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Robotic Pancreaticoduodenectomy \u2013 A Minimally Invasive Answer To An Extremely Technically Complex Surgical Procedure&#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>Abstract:<\/strong><\/p>\n<p style=\"text-align: justify;\">Whipple operation \u2013 a pancreaticoduodenectomy is an advanced surgical procedure which requires a lot of technical expertise and is associated with a lot of morbidity and mortality. This is usually performed by open surgical approach, with a long wound which is painful . Currently minimally invasive surgery (MIS) is used worldwide with improved wound cosmesis and to minimize pain in most abdominal procedures, but minimally invasive pancreaticoduodenectomy is not very well established for complex pancreaticoduodenectomy due to its technical complexity. Robotic surgery which has been recently introduced can help overcome most of the limitations associated with the laparoscopic approach.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/robotic-pancreaticoduodenectomy-a-minimally-invasive-answer-to-an-extremely-technically-complex-surgical-procedure\/\">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; July 2024 [\/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 from IMA Kauvery. Doctor\u2019s<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8588","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>IMA Journal - July 2024<\/title>\n<meta name=\"description\" content=\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IMA Journal - July 2024\" \/>\n<meta property=\"og:description\" content=\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/\" \/>\n<meta property=\"og:site_name\" content=\"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-09T09:28:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/07\/kh-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"250\" \/>\n\t<meta property=\"og:image:height\" content=\"210\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/\",\"name\":\"IMA Journal - July 2024\",\"isPartOf\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-150x150.jpg\",\"datePublished\":\"2024-07-11T12:47:20+00:00\",\"dateModified\":\"2025-04-09T09:28:33+00:00\",\"description\":\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/#primaryimage\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram.jpg\",\"contentUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram.jpg\",\"width\":1314,\"height\":1407},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2024\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"IMA Journal &#8211; 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