Dear Colleagues,
Greetings from IMA Kauvery.
Happy Onam to all dear members.
These auspicious occasions in various states bring unity and also kind of give nostalgic memories of childhood memories.
With our professional commitment we should take time to enjoy festive moments.
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.
Thanks to our various departments for enriching our knowledge.
Yours in IMA service, Dr S Sivaram Kannan President
Dear IMA members,
IMA Kauvery’s endeavour towards academic excellence paves way for another monthly issue packed with many vibrant articles from various clinical specialities.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Dear friends
Happy to publish the next edition of our IMA Journal.
Thanks to postgraduates and to consultants for their contribution.
As always, the branding and editorial teams have been perfect in getting the journal released on time.
My sincere thanks to them.
Your feedback and suggestions are welcome.
With best regards Dr. R. Balasubramaniyam Editor
As nephrologists, our primary goal in prescribing peritoneal dialysis (PD) is to tailor the treatment to each patient’s 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’s 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.
Dialysate in PD consists 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.
Read Full Article
Abstract
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
Introduction
Spontaneous pneumothorax occurs without a clear cause, such as trauma or medical intervention.
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.
Preoperative Planning:
Case Report:
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’s 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.
Case description:
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.
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.
A 27-year-old gentleman came to our hospital with chief complaints of swelling and exertional numbness in proximal aspect of left leg. The patient was referred to Radiology for further imaging investigations.
A bony lesion with internal irregular mineralization seen arising from metaphyseal region of left proximal tibia. The articular margins are intact, without any abnormal erosion or sclerosis. No radiological evidence of fracture is seen around left knee. Post ACL repair with endo button in lateral aspect of distal left femur were noted.
