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Capsule Magazine Aprl 2017

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Capsule Magazine Aprl 2017 Medi Magazine kauvery A quarterly magazine from VOLUME - 20 | ISSUE 02 APRIL 2017 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 Papillary Carcinoma 2017 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 01 From the Editor’s Desk PATRONS Dr. S. Chandrakumar Dr. S. Manivannan 02 Acute Myocardial ADVISORY BOARD Dr. D. Senguttuvan Infarction in Infancy & Dr. Aravindan Selvaraj Dr. S. Senthil Kumar, Ms., DNB., (Uro) Childhood - A reality Dr. T. Senthil Kumar HOD & Senior consultant Urologist & Andrologist Dr. Prashanth Sha, MBBS., MS., DNB., EDITOR Transplant Surgeon Consultant Cardiologist Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., Dr. S. Senthil Kumar Laparoscopic surgeon Kauvery Kidney Centre, Tennur, Trichy Consultant Paediatrician Kauvery Hospital, Chennai EDITORIAL TEAM Dr. S. Velmurugan Dr. S. Aravinda Kumar Dr. Iyyappan Ponnuswamy TECHNICAL TEAM Dr. Ve. Senthil Vel Murugan Dr. A. Subramanian ADMIN TEAM Mr. S. Sathishkumar Mrs. JPJ. Bindhu CO-ORDINATORS 04 Mrs. G. Percy Anesthesia and Dr. Arunkumar C Challenges Dr. K. Senthil Kumar, MBBS., DA., DESIGN & LAYOUT Anesthesiologist Mr. Vahid Ali N. Kauvery Hospital, Trichy 06 Diabetic Retinopathy -An Overview Dr. B.S. Anil Chandra, MS (Oph) Sr. Consultant Ophthalmic Surgeon, Kauvery Hospital, Chennai EDITORIAL OFFICE Kauvery Hospital VI Floor, Administrative Office, #6, Royal Road, Cantonment, Tiruchirappalli-620001. Call us at (431) 40 77 777 E: [email protected] W: www. kauveryhospital.com 11 Stricture Urethra Dr. S. Senthil Kumar, Ms., DNB., (Uro) HOD & Senior consultant Urologist & 09 Andrologist, Transplant Surgeon, Laparoscopic surgeon Adolescent Dr. N. Karthickeyan, M.S., MRCS(Edinburgh)., DNB., M.Ch (Urology) Idiopathic Scoliosis Consultant Urologist Dr. Vignesh Pushparaj, MBBS., D Ortho., FIPM., Kauvery Kidney Centre, Tennur, Trichy AO-FISS(Asia pacific)., FISS(Netherlands) M.S(General Surgery)., M.Ch(Plastic & Reconstructive Surgery) Spine & Orthopaedics Surgeon Dr. Balamurali MBBS, MRCS (Edin), FRCS (Surgical Neurology), MD (UK) Neurologist & Neurosurgeon Kauvery Hospital, Chennai 12 A Rare Organism Causing Septic Arthritis of Hip Joint Dr. Chockalingam, MBBS., D.Ortho., FRCS(Surgery)., FRCS(Trauma & Ortho)., Sr. consultant, Department of orthopedics. 14 Papillary Carcinoma Dr. Midhun Madhavan P.C, MBBS., DNB., of Thyroid PG(Orthopedic surgery) 16 Kauvery hospital, Trichy Dr. Anish, MS., MRCH., MCh., Consultant Surgical Oncologist Awareness on Vocal Hygiene Kauvery hospital, Tennur, Trichy Dr. Sundhari, MBBS., DNB(ENT)., MNAMS. Consultant-ENT Head and Neck Surgery Kauvery Hospital, Chennai 18 Renal Update 21 2017 - CME 5S-Kaizen Award 19 22 Pattimandram Healthy Chocolate Banana Pancake 20 Inauguration of Chennai, Anna Nagar Branch 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 Acute Myocardial Infarction in Infancy and Childhood - A reality Dr. Prashanth Sha, MBBS., MS., DNB., Consultant Cardiologist Dr. Lakshmi Prashant, MBBS., MD(AIIMS)., Consultant Paediatrician Kauvery Hospital, Chennai Infants and children can also suffer pulmonary artery instead of the aorta. An acute what we call in common parlance, a In such cases the left main coronary Myocardial Infarction (MI) “heart attack” and present with carries deoxygenated blood is largely considered symptoms of myocardial ischemia (lack (oxygen-poor blood) under low of oxygen supply) and heart failure just pressure to the heart muscle. This leads a clinical event that affects as adults do. A six month old to myocardial ischemia. A the elderly and is distressed, malnourished baby girl was phenomenon known as “coronary presented to us with the steal” further damages the heart in attributed to coronary aforementioned features (poor feeding, babies with ALCAPA. Low blood artery disease. rapid breathing, and sweating, pale pressure in the pulmonary artery skin). Her status was mistaken for causes the blood from the abnormal common paediatric conditions such as left coronary artery to flow towards the reflux, colic and bronchiolitis. Our pulmonary artery instead of the heart. evaluation revealed cardiomegaly, rapid pulse, abnormal heart rhythm When and how does ALCAPA and ECG changes suggestive of a MI. present? The baby’s clinical condition was ALCAPA is present prenatally because pathognomonic of ALCAPA – of the favourable fetal physiology that anomalous origin of the left coronary includes (1) equivalent pressures in the artery from the pulmonary artery. She main pulmonary artery and aorta underwent prompt surgical correction secondary to a patent ductus for the same. arteriosus, and (2) relatively similar oxygen concentrations due to parallel What is ALCAPA? circulations. Shortly after birth, as the ALCAPA is a rare, serious congenital circulation becomes one in series, cardiac anomaly, where the left main pulmonary artery pressure and coronary artery originates from the resistance decrease, as does oxygen APRIL 2017 • CAPSULE MAGAZINE • 02 ACUTE MYOCARDIAL INFARCTION IN INFANCY AND CHILDHOOD - A REALITY content of pulmonary blood flow. This changes). Confirmation of the anomaly echocardiography is used to assess for results in myocardial ischemia. may be obtained by means of 2D improvement in left ventricular function echocardiography or cardiac and mitral regurgitation. Outpatient The symptoms usually present by 2 catheterization with angiography. therapy with diuretics and afterload months of age and include the reduction is often used after discharge. following: What is the treatment of ALCAPA? • Crying or sweating during Treatment of ALCAPA involves surgical What is the outcome and prognosis? feeding reimplantation and direct transfer of If such babies do not have surgery, • Pale skin the left coronary to the aortic root. The they most likely do not survive their • Poor feeding procedure is an open heart surgery first year. With timely intervention, they • Rapid breathing performed on cardiopulmonary can expect a normal life and • Poor weight gain by-pass. Mechanical ventilation and functionalities. With the right diagnosis, On examination they have features of inotropic support are typically required pre-surgical stabilization and congestive heart failure, mitral in the post-operative period in view of team-oriented post-operative regurgitation, diminished peripheral left ventricular dysfunction. Afterload paediatric care, ALCAPA has shown to pulses and classical ECG changes (deep reduction therapy is used to manage have an excellent outcome. q waves, peaked t waves, ST segment postoperative hypertension. Serial Dr. S.Aravindakumar, Dr. A.Veni, Neurologist of Cardiologist of Kauvery Kauvery Hospital Heartcity, Trichy has been Cantonment was selected specialized in Clinical as the “Women Cardiology and Achiever”, amongst five Interventional Cardiology. women of Trichy for their He has been conferred notable service and with internationally success in their own field acclaimed fellowship by a prominent satellite namely, FACC (The Fellow television channel. She of the American College was interviewed and was of Cardiology) and FESC aired on Women’s Day, to (Fellowship of the instill the spirit of European Society of Cardiology) recently. Womanhood. She was a state player in chess and a gold medalist in DM Neurology. FACC is one of the most
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