[\/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\/2023\/09\/dr.sivaram-150x150.jpg\")
<\/p>\n
Dear Colleagues,<\/p>\n
Greetings from IMA Kauvery.<\/p>\n
Happy Onam to all dear members.<\/p>\n
These auspicious occasions in various states bring unity and also kind of give nostalgic memories of childhood memories.<\/p>\n
With our professional commitment we should take time to enjoy festive moments.<\/p>\n
Likewise, our knowledge is rekindled with the IMA journals which is also one way of connectivity amongst us and it is very important to take time and read the journals and keep our knowledge updated.<\/p>\n
Thanks to our various departments for enriching our knowledge.<\/p>\n
Yours in IMA service,<\/em> [\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=”blog-col1″ width=”1\/3″][vc_column_text] Dear IMA members,<\/p>\n IMA Kauvery\u2019s endeavour towards academic excellence paves way for another monthly issue packed with many vibrant articles from various clinical specialities.<\/p>\n Yours in IMA service,<\/em> Dear friends<\/p>\n Happy to publish the next edition of our IMA Journal.<\/p>\n Thanks to postgraduates and to consultants for their contribution.<\/p>\n As always, the branding and editorial teams have been perfect in getting the journal released on time.<\/p>\n My sincere thanks to them.<\/p>\n Your feedback and suggestions are welcome.<\/p>\n With best regards<\/em> As nephrologists, our primary goal in prescribing peritoneal dialysis (PD) is to tailor the treatment to each patient\u2019s specific physiological needs and lifestyle. The effectiveness of PD is intricately linked to a detailed and individualized prescription, which must address multiple facets of the patient\u2019s health and treatment goals. This article delves deeper into the complexities of peritoneal dialysis prescription, exploring the physiological principles, detailed components, and considerations necessary for optimal patient outcomes.<\/p>\n Dialysate in PD\u00a0consists of glucose concentration, electrolytes, osmolarity, maintaining pH of the dialysate. Glucose acts as an osmotic agent to facilitate the removal of excess fluid from the body.<\/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=”9002″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Macklin effect \u2013 A Rare Occurrence in ICU” 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\u00a0<\/b><\/p>\n Presence of free air in pleural cavity is called as pneumothorax. Macklin effect refers to passage of air from damaged alveoli along the bronchopulmonary tracts towards proximal end & leaks to mediastinum by hilum. This case report demonstrate the timely intervention of spontaneous pneumothorax with a multi- disciplinary approach<\/p>\n Introduction\u00a0<\/b><\/p>\n Spontaneous pneumothorax occurs without a clear cause, such as trauma or medical intervention.<\/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=”8607″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Anaesthesia for Airway Procedures \u2013 Without Intubation – A Tubeless Ventilation Using Thrive – 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>\n 65-year-old male k\/c\/o carcinoma vocal cord which was diagnosed 10 months back for which he received radiotherapy and underwent microlaryngeal excision of laryngeal papilloma. Then he had h\/o voice change for last 2 months and PET CT revealed SUBGLOTTIC GROWTH for which he was posted for Direct Laryngoscopy + biopsy.<\/p>\n Preoperative Planning:<\/strong><\/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=”9004″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Battle on Multiple Fronts: Managing Severe Infections and Surgical Challenges in a Diabetic Patient- Deadly Staph along with MDR Klebsiella and Enterococcus” 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 65-year-old male k\/c\/o carcinoma vocal cord which was diagnosed 10 months back for which he received radiotherapy and underwent microlaryngeal excision of laryngeal papilloma. Then he had h\/o voice change for last 2 months and PET CT revealed SUBGLOTTIC GROWTH for which he was posted for Direct Laryngoscopy + biopsy.<\/p>\n Preoperative Planning:<\/strong><\/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=”9008″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Thrombotic Thrombocytopenic Purpura as the Initial Presentation of Systemic Lupus Erythematosus” 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 31-year-old female presented with acute onset severe headache and giddiness. Review of systems was unremarkable. MRI brain with MR venogram was normal. Blood work up revealed hemolytic anaemia (Table 1). Autoimmune haemolytic anaemia was ruled out by Coomb\u2019s test. Peripheral smear had schistocytes (Figure 1) A diagnosis of MAHA-TTP was made; Two cycles of emergency therapeutic plasma exchange (TPE) and steroid pulse therapy were given. After an initial improvement, platelet count and hemoglobin immediately dropped after stopping plasma exchange. So, Rituximab was started.<\/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=”9015″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Prompt Recognition and Management Of Unusual Post Op GI Bleed” 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 description:<\/b><\/p>\n Mr D, a 55-year-old male, was admitted to our hospital with complaints of sudden onset upper abdominal pain. The patient had a history of diabetes mellitus, hypertension, CAD (S\/P PTCA), and hypothyroidism. He also had chronic kidney disease, and was on haemodialysis. He was recently managed for Gallstone pancreatitis, for which ERCP with plastic stenting of the bile duct and laparoscopic cholecystectomy were performed 8 days prior to current admission.<\/p>\n A systemic examination performed upon admission showed a soft abdomen with epigastric tenderness. He was advised abdominal CT scan and liver function test. His vitals were stable at admission.<\/p>\n
\nDr S Sivaram Kannan<\/strong>
\nPresident<\/p>\n![\"\"](\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-150x150.jpg\")
<\/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-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=”9037″ img_size=”large”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”A Nephrologist\u2019s prospective: Choosing a dialysate based on composition for optimizing Peritoneal Dialysis” 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\n
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