Capsule Magazine July 2017

Medi Magazine kauvery A quarterly magazine from VOLUME - 21 | ISSUE - 03 | JULY 2017 - 21 | ISSUE 03 JULY VOLUME Anesthesia and A Rare Organism Challenges Causing Septic Arthritis of Hip Joint Awareness on Vocal Hygiene Diabetic Retinopathy -An Overview Stricture Urethra Inauguration of Chennai, Anna Nagar Branch Acute Myocardial Infarction in Infancy and Renal Update Childhood - A reality 2017 - CME Annual Day 2017 Papillary Carcinoma of Thyroid Pattimandram To download this magazine This magazine is free circulation for hospitals and doctors only, Not for sale. Design and logo of kauvery hospital are property of scan this QR Code Kauvery Hospital, To get this magazine copy mail us at: [email protected] with QR scanner APP If you want to know any other details contact us on Editorial Address in your smartphone KAUVERY CAPSULE | JANUARY 2017 CAPSULE MAGAZINE Capsule Magazine is published by Kauvery Hospital Copyright 2016 © Kauvery Hospital PATRONS Dr. S. Chandrakumar Dr. S. Manivannan ADVISORY BOARD Dr. D. Senguttuvan 00 Acute Myocardial Dr. Aravindan Selvaraj Dr. T. Senthil Kumar Infarction in Infancy & Childhood - A reality EDITOR Dr. S. Senthil Kumar Dr. Prashanth Sha, MBBS., MS., DNB., Consultant Cardiologist EDITORIAL TEAM Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., Dr. S. Velmurugan Consultant Paediatrician Dr. S. Aravinda Kumar 01 Kauvery Hospital, Chennai From Dr. Iyyappan Ponnuswamy 00 the Editor’s Desk Acute Myocardial Infarction in Infancy & TECHNICAL TEAM Dr. S. Senthil Kumar, Ms., DNB., (Uro) Childhood - A reality Dr. Ve. Senthil Vel Murugan HOD & Senior consultant Urologist & Dr. A. Subramanian Andrologist Dr. Prashanth Sha, MBBS., MS., DNB., Transplant Surgeon Consultant Cardiologist Laparoscopic surgeon Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., ADMIN TEAM Kauvery Kidney Centre, Tennur, Trichy Consultant Paediatrician Mr. S. Sathishkumar Kauvery Hospital, Chennai Mrs. JPJ. Bindhu CO-ORDINATORS Mrs. G. Percy Dr. K. Senthil Kumar, MBBS., DA., Dr. Arunkumar C Anesthesiologist Kauvery Hospital, Trichy DESIGN & LAYOUT Mr. Vahid Ali N. Anesthesia and Challenges Dr. K. Senthil Kumar, MBBS., DA., Anesthesiologist 00 Kauvery Hospital, Trichy Anesthesia and Challenges EDITORIAL OFFICE Kauvery Hospital VI Floor, Administrative Office, #6, Royal Road, Cantonment, Tiruchirappalli-620001. Call us at (431) 40 77 777 00 E: [email protected] W: www. kauveryhospital.com 00 From the Editor’s Desk Dr. S. Senthil Kumar, Ms., DNB., (Uro) HOD & Senior consultant Urologist & Andrologist Transplant Surgeon Laparoscopic surgeon Kauvery Kidney Centre, Tennur, Trichy 00 Acute Myocardial Infarction in Infancy & Childhood - A reality Dr. Prashanth Sha, MBBS., MS., DNB., 00 Consultant Cardiologist Acute Myocardial Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., Infarction in Infancy & Consultant Paediatrician Childhood - A reality Kauvery Hospital, Chennai Dr. Prashanth Sha, MBBS., MS., DNB., Consultant Cardiologist Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., Consultant Paediatrician Kauvery Hospital, Chennai Dr. K. Senthil Kumar, MBBS., DA., Anesthesiologist Kauvery Hospital, Trichy Anesthesia and Challenges Dr. K. Senthil Kumar, MBBS., DA., Anesthesiologist Kauvery Hospital, Trichy 00 Anesthesia and Challenges 00 Editor’s desk From the Editor’s Desk Dear Readers, elcome to the 20th edition of capsule. It gives me immense happiness to connect with you through this capsule magazine. 2017 has been very eventful which consists of Annual Day of our hospital, and series of event to commemorate the Kidney W Day, observed on March 9th. 18th annual day of Kauvery hospital, was celebrated on 5th of March. It’s a day to rejoice, celebrate and bring the joy of togetherness within the Kauvery Family. Kauvery hospital to commemorate Kidney day themed on “Obesity and Kidney Disease”, organized a series of events like water bottle campaigns, one week urology camp at Thennur Kauvery Hospital, for the public from 6th to 10th March 2017. A Talk Show (Pattimandram) was conducted on 9th March by renowned orator of international repute, Mr.Suki Sivam,” to enhance the health awareness among the public. More than 750 people participated in the splendid event. A Urology CME titled “Renal Update -2017”, focusing on obesity and renal disease was conducted on 19th of March at Trichy. More than 150 practicing doctors were extensively benefitted out of the program. Creating awareness and enhancing the health consciousness among public will help sustain the health and leap towards better living conditions. Together lets work towards for the betterment of humanity. Dr. S. Senthil Kumar, Ms., DNB., (Uro) HOD & Senior consultant Urologist and Andrologist Transplant Surgeon Laparoscopic surgeon Kauvery Kidney Centre, Tennur, Trichy 01 • CAPSULE MAGAZINE • APRIL 2017 ACUTE MYOCARDIAL INFARCTION IN INFANCY AND CHILDHOOD - A REALITY “Bombay blood group -A rare entity” Dr. Senguttuvan MBBS, DCH. Dr. Suresh Chelliah DCH, MD Dr. Senthil kumar MD, DM. Dr. Sivagurunathan DCH, MD. DR. Vignesh MBBS, MD Dr. Naresh Kumar N MBBS DCH DNB(PG) Dr. Pradeep MBBS DNB(PG) The discovery of the ABO Case Report: was normal. His investigations revealed A three year old boy was referred to microcytic hypochromic anemia with blood group, over 100 our department for further other cell lines in normal limits. His years ago by Karl management of severe anaphylaxis reticulocyte count was on the higher reaction, which occurred immediately range. He had hyperbilirubinemia with Landsteiner has reduced after commencing blood transfusion. high urine bilirubin. His renal functions mortality secondary to Appropriate group(O positive) packed was normal. In view of acute hemolysis, red cell transfusion was commenced coomb’s test was done which revealed blood transfusion elsewhere in view of low haemoglobin negative DCT and significantly positive significantly. It is well (6.4 gm/dl), which was found on ICT. Hence minor & rare blood group evaluation for high grade intermittent disorder was considered and blood known that people with fever for 3 days with no localising signs. grouping with typing (forward and blood group A has Packed red cell transfusion was reverse) was repeated here, which antigen of type 'A' terminated immediately and he was revealed a rare blood group – referred here after adequate “Bombay blood group”. [Fig (1)] antibody of type 'B' in his management of anaphylaxis. /her blood. People with He was conservatively managed. In There was history of gradually view of increasing trend of AB have both antigen A progressing jaundice and dark yellow haemoglobin and iron deficiency and B in their blood and coloured urine since after blood anemia, blood transfusion was transfusion. There was no other deferred. His repeat liver enzymes no antibodies. localising symptoms. There was no gradually improved. He was started on significant past history. On examination, oral iron supplements and was he was icteric and febrile. His vitals discharged. He was doing well on his were normal. His systemic examination follow up. APRIL 2017 • CAPSULE MAGAZINE • 02 ACUTE MYOCARDIAL INFARCTION IN INFANCY AND CHILDHOOD - A REALITY Discussion: During cell grouping or routine Conclusion: The Bombay Blood Group is the rarest grouping, Bombay blood group would Bombay blood group individuals can of the rare in blood groups, which was be categorized as O group because receive blood only from individual with first reported in Bombay, India. The they wouldn't show any reaction to Bombay Phenotype. As Bomaby blood Bombay phenotype is characterized by anti-A and anti-B antibodies just like a group is usually misinterpretated as ‘O’ the absence of A, B, and H antigens on normal O group. When a cross group, kindly re-check serum typing its red cells and the serum of these matching is done, then it would show with reverse grouping along with individuals have anti-A and anti-B . But then it would show cross- reactivity or Anti-H lectin for all ‘O’ blood group the serum that agglutinates red cells of incompatibility. Therefore reverse patients requiring blood transfusion to ‘O’ group individuals through a wide grouping or serum grouping has to be avoid dreadful complications due to thermal range may be due to presence performed to detect the Bombay blood incompatibility. of strongly reactive anti-H antibodies . group . The concern with Bombay There is a registry for Bombay blood It was identified that the h allele is a blood group is that the individuals group maintained by result of mutation of the H gene (FUTI) having this group can only receive www.bombaybloodgroup.com. It is that would express the H antigen on either autologous blood donation or easy to get donors through this the red blood cell of ABO blood blood from an individual of Bombay registry. Also, kindly advice Bombay groups. Bombay phenotype is phenotype. blood group people to get registered homozygous (hh) for the 725G in this website. mutation in the FUT1 coding region. Fig (1):Blood grouping report of our patient. Cell grouping (Forward grouping) and serum grouping (Reverse grouping) 03 • CAPSULE MAGAZINE • APRIL 2017 ANESTHESIA AND CHALLENGES Once again she started bleeding and the haemoglobin level falls to 6 mg Uterine Artery and went for shock and hypotension.Intial resuscitation done and she was referred to our hospital for Embolization (UAE) further management. She was rescuciated with blood and blood Dr. MMMMMMMMMMMMMMn MBBS, DCH. products and bleeding was under control. She was explained about hysterectomy if further episodes A 26 years old female

Load more