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IMA Journal – November 2024

IMA Journal – November 2024

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear Colleagues,

Greetings from IMA Chennai Kauvery Alwarpet Branch.

It is indeed with a very heavy heart I write this note.

We strongly condemn the unacceptable, barbaric assault on one of our colleagues in his institution while he was attending to his patients.

On 14/11/24 the IMA Kauvery Alwarpet branch organised a meeting to condemn the incident and to express our solidarity with our colleague.

I’m sure our state leadership along with other associations will persuade the Government to ensure the safety of Doctors.

This month’s journal gives you a variety of case discussions to enrich our medical knowledge.

Yours in IMA service,
Dr S Sivaram Kannan
President

Dear IMA members,

Violence is not a means of showing displeasure.

It is a sad situation to feel unsafe at workplace and we hope Government takes necessary measures to prevent such dastardly acts against medical professionals.

Kauvery IMA is coming out with another monthly issue filled with articles to enhance our clinical practice and knowledge.

Yours in IMA service,
Dr. Bhuvaneshwari Rajendran
Secretary

Dear friends

It is very unfortunate that one of our colleagues was stabbed inhumanly by a patient’s attendee.

This act must be highly condemned. Doctors are life savers, and we spend sleepless nights towards saving an unknown and unfortunate patient.

It is time for us to ensure that these acts don’t get repeated at all.

We should strengthen our hands and always support our colleagues.

This month’s journal is presented to you, and we look forward for your suggestions and feedbacks.

With best regards
Dr. R. Balasubramaniyam
Editor

AA Amyloidosis: A Rare Complication Of Chronic Diabetic Ulcer

INTRODUCTION:

Amyloidosis refers to a group of diseases characterized by abnormal deposits of amyloid proteins in various tissues and organs. It can be primary (AL-light chain) or secondary(AA).

In secondary amyloidosis, also known as AA amyloidosis, these amyloid deposits are formed from a protein called serum amyloid A (SAA), which is produced in response to inflammation. Chronic inflammatory or infectious diseases lead to a sustained increase in SAA levels, increasing the likelihood of amyloid buildup and subsequent organ damage.

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Acute pancreatitis in ICU with a rare cause

Abstract

Alcohol abuse and gallstones were the two most common causes of acute pancreatitis (AP). Hypertriglyceridemia is an uncommon etiology of acute pancreatitis, with a reported incidence of 2-4 % (1). Typically, triglyceride(TGL) levels >1000 mg/dL have been associated with AP; however, the level above which AP may occur is unknown and varies with individuals. Here we discuss management of a patient with acute pancreatitis presented to our ICU with a rare cause with our multi-disciplinary approach.

Introduction

Ηуреrtriglуceridеmia-induced раոcrеаtitis (HTGP) causes 1 to 35 percent of all cases of acute раոсreаtitis

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Anaesthesia Implications For Myasthenia Gravis Patient

A 33 years old male, known Myasthenia gravis on Neostigmine 15mg, s/p Thymectomy for Thymoma on April 2024, post radiotherapy, came with complaint of headache and confused state for 3 days. GCS- 14/15. MRI brain has shown bilateral maxillary, posterior Ethmoidal, sphenoid sinusitis-? Fungal origin. Lumbar puncture- Negative. Hence he was posted for Diagnostic Functional Endoscopic Sinus Surgery.

Pre-Operative Planning:

  • The results of routine investigations were within normal limits. Normal sinus rhythm on the ECG. 2D ECHO: Lv function Normal.

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Testicular Dislocation

Abstract:

Patient presented to Emergency department following an RTA with injury to Perineum. On evaluation had bilateral groin tenderness and empty scrotum. He ascertained a previous normal scrotal position of both testes. The doppler ultrasound confirmed the diagnosis of B/L dislocated testes in inguinal canal. As there were no associated injuries and all layers were intact– Manual closed reduction was done and testes relocated in normal scrotal position. Patient was admitted for further observation.

Case History: 

A 18yr gentlemen presented to ER with A/H/O RTA (2 wheeler vs 4 wheeler), patient was the bike rider had trauma to genitals (petrol tank hit against genitals)and patient hit the 4 wheeler’s windshield.

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Crescent Sign In ICA- Classical Case Of ICA Dissection

In this report, we aim to present a case of 45 years old male patient came with complaints of giddiness and fall, left upper and lower limb weakness, dysarthria. Patient underwent CT-cerebral angiogram to rule out stroke.

Cerebral angiogram shows circumferential wall thickening with suspicious peripheral wall enhancement seen in distal cervical, petrosal and laceral  part of right ICA causing moderate luminal narrowing and near total narrowing in the laceral part of ICA. However, there is normal contrast opacification in distal vessels.

The possible differential diagnosis includes vasculitis and dissection.

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Comparative Analysis of Clinical Profile and Outcomes of Antibody Mediated Rejection Alone and Combined Antibody and T Cell Mediated Rejection - Single Centre Study

Introduction

Antibody mediated rejection (ABMR) is recognised as one of the biggest challenges in renal transplant.(1) It is one of the major determinants of graft survival.(2)ABMR is distinct from T cell mediated rejection (TCMR) but shares inflammation elements with TCMR.

Aim of Study 

  1. To study the clinical profile of renal transplant recipients with antibody mediated rejection ABMR alone

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Highlights @ Kauvery

On November 14th 2024, IMA Kauvery Alwarpet branch organised a meeting to condemn the incident and to express our solidarity with our colleague.

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