General Medicine

The Department of General Medicine is one of the main departments in the hospital whichprovidesgeneral medical care for adult patients. The common medical ailments treated include acute and chronic infections, metabolic disorders such as hypertension, obesity, diabetes mellitus, endocrine disorders, liver disorders, renal disorders, cardiac disorders neurological ailments,nutritional disorders, geriatric care, hematological disorders and critical care illness. This department is the backbone for the entire hospital andfetching opinions and advice to various departments on demand.

The team is headed byProf V.R. Mohan Rao and is anaccurate admixture of experienced senior and dynamic junior physicians who are highly qualified, competent, dedicated and altruistic.

The Department of General Medicine provides outpatient services from 08:30 AM to 08:00 PM on all days. On holidays the services are restricted from 8:30 AM to 02:00 PM.

Inpatient care is facilitated by means ofeight medical units providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

In addition, the department has provided unique health care services to the poor and downtrodden at their door steps by conducting rural health camps for the detection of communicable as well as non-communicable diseases.For minor ailments drugs are provided free of cost at the camp site.

Patients requiring further medical intervention will be referred to the hospital for further work up. In addition to the above services specialist consultation is provided to peripheral centers such as our urban health centre at Karapakkam, Government Primary health centerKelambakkam and rural health centre Poonjeri.

Another prime focus of the Department of General Medicine is medical education which involves imparting knowledge to the Undergraduate (MBBS, BDS and BPT) and Postgraduate (MD) Medical students.

The teaching learning methods for the MBBS students includes theory classes, Outpatient clinic, Bedside clinical teaching, Clinical Tutorials,Vertical integration programs, monthly CPC, Skills lab training, BLS training, weekly seminars and symposium, CME programs, conferences and workshops. Methodology adopted for slow learners is organizing special bedside clinical classes by thesenior faculty and weekly clinical orientated theory tests.

For BDS students, theory classes and bedside teaching is carried out, while for BPT student’s theory classes are conducted.

The teaching methodology adopted for the Post graduate students includes Outpatient clinic, Bedside clinical teaching, lectures in basic sciences, diagnostic challenges, laboratory approach to common medical disorders, update on emergencies, journal clubs, interdepartmental discussions, CME, Workshops and conferences. Online clinical discussion by distinguished faculty has also been introduced.

Thrust areas for research include COVID 19 and its biomarkers, Cardiac enzymes in kidney disease, multidrug resistant Acinetobacter species, chronic kidney disease, disorders of cardiac rhythm, CNS disorders, tuberculosis, Dengue, peripheral neuropathy in diabetics, sepsis and metabolic disorders.

The Department of General Medicine provides outpatient services from 08:30 AM to 08:00 PM on all days. During holidays the services are restricted from 8:30 AM to 02:00 PM.

Diabetic clinic:The department of General Medicine has systematizeda diabetic speciality clinic which functions6 days a week from 08.30 AM to 04.00PM, wherein glycemic control of patientsis assessed and appropriate medications are prescribed. The clinic is also provided by qualified dietician for proper dietary advise to the patients. The minor complications of diabetes mellitus such as neuropathy and retinopathy are screened in the separate premises adjacent to diabetic clinic.

Speciality clinics: The Department of General Medicine has dedicated specialty clinics conducted once in a week as per schedulewith concerned super specialists. Currently the following specialty clinics are functioning

General Medicine – 02
Geriatrics Tuesday
Hypertension Wednesday
Diabetes Thursday
Hematology Friday
Endocrine Saturday
Cardiovascular Tuesday
Nephrology Wednesday
Gastroenterology Thursday
Neurology Friday

Inpatient care is facilitated by means of eight medical units providing utmost care to the sick patients. In addition to general medical wards the patients are also provided medical care in special wards with all basic amenities based on their option.

Severely ill patients are triaged at the zero-delay ward and are transferred to intensive medical care unit for prompt treatment.
The salient feature of intensive care unit is that the unit is fully equipped with all necessary lifesaving equipment like multipara monitors, ventilators, centralized oxygen and suction facilities, infusion pumps, syringe pump, defibrillators etc. Medical emergencies such as acute myocardial infarction, stroke, metabolic derangements and toxicological emergencies like acute poisoning, snake bite and scorpion sting are taken care of in the intensive medical care unit.

1 Downs arthropathy
2 Polymyositis with multiple angiomyolipoma
3 Unusual case of intracranial abscess
4 Cerebellopontine angle tumor
5 Subclavian Steel syndrome with posterior circulatory stroke
6 Hemorrhagic pericarditis
7 Triple trouble (thoracic outlet syndrome, macular hole, myeloma)
8 Sickle cell crisis, Portal biliopathy
9 Unusual case of PSGN with multisystemic infection
10 Cholangiocarcinoma mimicking primary biliary cirrhosis
11 Haemolytic Crisis
12 Pituitary macroadenoma
13 Sjogren’s overlap syndrome
14 Polycythemia causing sensorineural hearing loss
15 Rhupus syndrome
16 Subdural empyema following CSOM
17 Henoch Schoenlein purpura
18 Unusual Case of fever/ cough/ bleeding manifestation.
19 Interesting case of Lower GI Bleed
20 Epidural abscess
21 Wilsons disease with tumors
22 Interesting case of Splenic infarct
23 Tuberculous Sarcoidosis
24 Cerebral Salt wasting syndrome
25 Vitamin B12 deficiency mimicking as Addison’s Disease
26 CIDP Associated withLeucoclastic Vasculitis and Hemolytic Anemia
27 Tumefactive multiple sclerosis
28 Polyneuritis cranialis
29 Gittelman syndrome
30 HSV encephalitis
31 Typhoid tonsillitis
32 Immune reconstitution inflammatory syndrome
33 Sensory neural hearing loss secondary to polycythemia
34 Nitrofurantoin induced pleurisy
35 Takayasu arteritis
36 Ascites precox

The department has provided unique services to the poor and downtrodden at their door steps by conducting rural health camps for the detection of communicable as well as non-communicablediseases. For minor ailments drugs are provided free of cost at the camp site. Patients with notable disorders will be referred to the hospital for further work up. In addition to the above services specialist consultation is provided to peripheral centres such as our urban health centre at Karapakkam, Government Primary health centre Kelambakkam and rural health centre Poonjeri.

Presently, in view of the COVID 19 pandemic, the department provides telephonic consultation for remote monitoring of COVID19 patients in addition to inpatient care.

Ongoing Projects by Faculty

S.No Name of the Investigators Title
1 Dr. Durga Krishnan Clinical, microbiological and laboratory profile of Acinetobacter infections in a tertiary care hospital in South India
2 Dr. Vigneswaran Cardiac troponins in Stage III & IV Chronic Kidney Disease
3 Dr. Vrinda V Knowledge attitudes and practices towards prevention and early detection of chronic kidney disease among high risk patients attending a tertiary care centre
4 Dr.Ananthakumar P K Study on the effect of teneligliptin on QT interval in frail and pre frail elderly population
5 Dr.Ananthakumar P K

Prof V R Mohan Rao

Randomized study of the effect of methylprednisolone and dexamethasone on the effect of IL6 and clinical outcome in severe COVID19
6 Dr Nirmala Devi

Prof V R Mohan Rao

Serial Troponin I monitoring in acute ischemic stroke patients as a prognostic marker in predicting underlying undiagnosed cardiovascular morbidity

Ongoing projects by students

Completed projects

S.No Name of the Investigators Title
1 Dr Vishal V Relationship between left atrial enlargement and ischemic strokein patients attending a tertiary care hospital in South India
2 Dr. Gnanadeepan Scoring for diagnosis of tuberculous meningitis –Validating in our hospital population
3 Dr. VenkatSaiSuhas Correlation of serum phosphorus and magnesium levels and severity of peripheral neuropathy in patients with type 2 diabetes
4 Dr. Thejesh C V Pattern of Infections in Chronic kidney disease, their short-term outcome during hospitalization and the impact of infections on progression of chronic kidney disease-A prospective cohort study in a Tertiary care center
5 Dr ShreedeveShamritha Albuminuria as a predictor of CKD in patients with NAFLD
6 DrYalamanchi Sriram Srujan Study on assessment outcome of patients in sepsis with supplementing antioxidants and micronutrients
7 Dr.RagalikhithKesamneni Comparative study to assess troponin i variability in CKD patients with or without acute coronary syndrome.
8 Dr Aarifaa Cross sectionals study to assess the association of hypercholesterolemia with outcomes in patients admitted in medical ICU
9 Dr ArunPandyan Monocyte to HDL ratio as a short-term prognostic marker in patients with acute coronary syndrome and its correlation with TIMI score and angiographic profile
10 Dr Kunal Narang Case control study of the contribution of genetic variation in development of cirrhosis in chronic alcoholics in Indian population
11 Dr Mounika Assessment of subclinical left ventricular dysfunction with2d longitudinal speckle tracking echocardiography inpatients with thyroid dysfunction and preserved ejection fraction
12 Dr Prasanna Kumar Reddy A cross sectional study ofprestroke glycemic status andadmission capillary blood glucose levels as a predictorof severity and short-termoutcome in patients withacute ischemic stroke
13 Dr Sudha Prasanth Reddy Initial Total Leucocyte Count andMonocyte count as markers inpredicting severity and outcome inDengue fever
14 Dr.M.C.S.Praveen Randomized Control Study on theeffects of statins and aspirin on themean platelet volume in diabeticpatients with poor glycemic control
15 Dr Rehab Nainar Comparison of NFS score, AAR and APRI with fibroscan score in predicting liver fibrosis in NAFLD patients -A cross sectional study in a tertiary care centre of South India
16 Dr Rajat Pande A case control study on the role of genetic polymorphism as a risk factor for the development of COPD in smokers
17 Dr Suraj R Patil Study of recurrent uncomplicated UTI and its association with virulence factor genes
18 Dr Pruthvi Raj Incidence of Thyroid functionabnormalities in patients started onamiodarone and its correlation withbaseline urine iodine levels
19 Dr Vignesh Ram Cross sectional study on influenceofserotypes on severity and outcomesinDengue infection
Date Theme Details
17/08/2019 CHETMEDICON 2019 National speakers
21/03/2020 ECG workshop Faculty of medicine
14-21/11/2019 World Diabetic week guest lecture series State speakers
Date Theme No.of Participants Details of outstanding participants Funding if any
23.03.2019 Endocrine emergencies 100 Dr SreeramMahadevan CARE
17.03.2018 ECG workshop 80 Faculty of medicine CARE
18.08.2018 CHETMEDICON 2018
Renal involvement in systemic disorders
500 National Speakers CARE
.05.2018 ECG workshop 80 Faculty of medicine CARE
14-21 Nov 2018 World diabetes week Guest lecture series 210 State Speakers CARE
19.08.2017 CHETMEDICON 2017
Recent advances in hematological abnormalities and management
450 National speakers CARE
26.03.2017 Basics of ECG workshop 120 CARE
28.08.2016 CHETMEDICON 2016
Recent advances in Infectious diseases
420 National speakers CARE

07.11.2016 to 14.12.2016


Diabetes Week in association with Constituent colleges of CARE

14.11.2016 Awareness of diabetes and its complications Patients in general medicine OPD Faculty of College of Nursing CARE
15.11.2016 Diabetic Diet & Lifestyle
16.11.2016 Diabetic Foot Care
17.11.2016 Diabetes And Stroke
18.11.2016 Diabetes & cardiovascular diseases
19.11.2016 Diabetes & cardiovascular diseases
21.11.2016 Role Of Care Givers
14.11.2016 Simplified overview on diabetes
15.11.2016 Nutrition in diabetes-myths & facts
16.11.2016 GUEST LECTURE ON
“Current Trends In
Management Of Type 2
Diabetes”
Dr.Paneerselvam,

Consultant

Diabetologist

Aruna Diabetics Center

CARE
17.11.2016 Targets In Diabetes Mellitus
18.11.2016 Diabetes And Kidney
19.11.2016 Diabetes And Nervous
System
21.11.2016 Debate On Insulin Therapy
29.08.2015 CHETMEDICON 2015: recent advances in the management of chronic organ dysfunction 425 National faculty CARE
22.03.2015 Workshop on Basics of ECG 100 Nil CARE
23.08.2014 CHETMEDICON 2014: Recent Advances in Medical Emergency Situations 400 National faculty CARE
02.11.2014 Workshop on Basics of ECG 75 CARE
10/7/2013 At the 25th Physician’s conference, Medicine Department organised a Guest Lecture “Experiences in the Management of Epilepsy” – Prof. Dhanraj, Retired Prof. of Neurology, Govt. Stanley Medical college 103 Nil
17th May 2011 Management strategies in Hypertension 100
July 1st 2011 Medicine Department conducted a Debate Competition for students in connection with “Doctors day Celebrations 100
18thApril 2013 Major CME on”Antibiotics in Infection 300
S.No Date Topic Speaker Time
1 27/06/2020 Clinical discussion on paraparesis Prof Hariharan, Director MMC 2.00PM-04.00PM
2 04/07/2020 Clinical discussion on abdomen -DCLD Prof Hariharan, Director MMC 2.00PM-04.00PM
3 04/07/2020 Viral pneumonias with emphasis on COVID 19 pneumonia Dr Bharath Kathi, S V Medical College ,Thirupathi 6.00PM-08.00PM
4 11/07/2020 Clinical discussion on myelopathies ProfLakshmi Narasimhan, Director of Neurology, MMC 2.00PM-04.00PM
5 11/07/2020 Targetted therapy in Oncology Dr BiswajithDubashi, JIPMER Pondicherry 6.00PM-08.00PM
6 18/07/2020 Clinical discussion on pleural effusion Prof M Natarajan, HOD GRH Madurai 2.00PM-04.00PM

Department of General Medicine

About the Department

The Department of General Medicine is one of the main departments in the hospital whichprovidesgeneral medical care for adult patients. The common medical ailments treated include acute and chronic infections, metabolic disorders such as hypertension, obesity, diabetes mellitus, endocrine disorders, liver disorders, renal disorders, cardiac disorders neurological ailments,nutritional disorders, geriatric care, hematological disorders and critical care illness. This department is the backbone for the entire hospital andfetching opinions and advice to various departments on demand.

The Team

The team is headed byProf V.R. Mohan Rao and is anaccurate admixture of experienced senior and dynamic junior physicians who are highly qualified, competent, dedicated and altruistic.

Patient Care

The Department of General Medicine provides outpatient services from 08:30 AM to 08:00 PM on all days. On holidays the services are restricted from 8:30 AM to 02:00 PM.

Inpatient care is facilitated by means ofeight medical units providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

In addition, the department has provided unique health care services to the poor and downtrodden at their door steps by conducting rural health camps for the detection of communicable as well as non-communicable diseases.For minor ailments drugs are provided free of cost at the camp site.

Patients requiring further medical intervention will be referred to the hospital for further work up. In addition to the above services specialist consultation is provided to peripheral centers such as our urban health centre at Karapakkam, Government Primary health centerKelambakkam and rural health centre Poonjeri.

Teaching

Another prime focus of the Department of General Medicine is medical education which involves imparting knowledge to the Undergraduate (MBBS, BDS and BPT) and Postgraduate (MD) Medical students.

The teaching learning methods for the MBBS students includes theory classes, Outpatient clinic, Bedside clinical teaching, Clinical Tutorials,Vertical integration programs, monthly CPC, Skills lab training, BLS training, weekly seminars and symposium, CME programs, conferences and workshops. Methodology adopted for slow learners is organizing special bedside clinical classes by thesenior faculty and weekly clinical orientated theory tests.

For BDS students, theory classes and bedside teaching is carried out, while for BPT student’s theory classes are conducted.

The teaching methodology adopted for the Post graduate students includes Outpatient clinic, Bedside clinical teaching, lectures in basic sciences, diagnostic challenges, laboratory approach to common medical disorders, update on emergencies, journal clubs, interdepartmental discussions, CME, Workshops and conferences. Online clinical discussion by distinguished faculty has also been introduced.

Research

Thrust areas for research include COVID 19 and its biomarkers, Cardiac enzymes in kidney disease, multidrug resistant Acinetobacter species, chronic kidney disease, disorders of cardiac rhythm, CNS disorders, tuberculosis, Dengue, peripheral neuropathy in diabetics, sepsis and metabolic disorders.

A) Outpatient

The Department of General Medicine provides outpatient services from 08:30 AM to 08:00 PM on all days. During holidays the services are restricted from 8:30 AM to 02:00 PM.

Diabetic clinic:The department of General Medicine has systematizeda diabetic speciality clinic which functions6 days a week from 08.30 AM to 04.00PM, wherein glycemic control of patientsis assessed and appropriate medications are prescribed. The clinic is also provided by qualified dietician for proper dietary advise to the patients. The minor complications of diabetes mellitus such as neuropathy and retinopathy are screened in the separate premises adjacent to diabetic clinic.

Speciality clinics: The Department of General Medicine has dedicated specialty clinics conducted once in a week as per schedulewith concerned super specialists. Currently the following specialty clinics are functioning

General Medicine – 02
Geriatrics Tuesday
Hypertension Wednesday
Diabetes Thursday
Hematology Friday
Endocrine Saturday
Cardiovascular Tuesday
Nephrology Wednesday
Gastroenterology Thursday
Neurology Friday

B) Inpatient

Inpatient care is facilitated by means of eight medical units providing utmost care to the sick patients. In addition to general medical wards the patients are also provided medical care in special wards with all basic amenities based on their option.

Severely ill patients are triaged at the zero-delay ward and are transferred to intensive medical care unit for prompt treatment.
The salient feature of intensive care unit is that the unit is fully equipped with all necessary lifesaving equipment like multipara monitors, ventilators, centralized oxygen and suction facilities, infusion pumps, syringe pump, defibrillators etc. Medical emergencies such as acute myocardial infarction, stroke, metabolic derangements and toxicological emergencies like acute poisoning, snake bite and scorpion sting are taken care of in the intensive medical care unit.

Interesting cases (June 2019-2020):

1 Downs arthropathy
2 Polymyositis with multiple angiomyolipoma
3 Unusual case of intracranial abscess
4 Cerebellopontine angle tumor
5 Subclavian Steel syndrome with posterior circulatory stroke
6 Hemorrhagic pericarditis
7 Triple trouble (thoracic outlet syndrome, macular hole, myeloma)
8 Sickle cell crisis, Portal biliopathy
9 Unusual case of PSGN with multisystemic infection
10 Cholangiocarcinoma mimicking primary biliary cirrhosis
11 Haemolytic Crisis
12 Pituitary macroadenoma
13 Sjogren’s overlap syndrome
14 Polycythemia causing sensorineural hearing loss
15 Rhupus syndrome
16 Subdural empyema following CSOM
17 Henoch Schoenlein purpura
18 Unusual Case of fever/ cough/ bleeding manifestation.
19 Interesting case of Lower GI Bleed
20 Epidural abscess
21 Wilsons disease with tumors
22 Interesting case of Splenic infarct
23 Tuberculous Sarcoidosis
24 Cerebral Salt wasting syndrome
25 Vitamin B12 deficiency mimicking as Addison’s Disease
26 CIDP Associated withLeucoclastic Vasculitis and Hemolytic Anemia
27 Tumefactive multiple sclerosis
28 Polyneuritis cranialis
29 Gittelman syndrome
30 HSV encephalitis
31 Typhoid tonsillitis
32 Immune reconstitution inflammatory syndrome
33 Sensory neural hearing loss secondary to polycythemia
34 Nitrofurantoin induced pleurisy
35 Takayasu arteritis
36 Ascites precox

Outreach Activities

The department has provided unique services to the poor and downtrodden at their door steps by conducting rural health camps for the detection of communicable as well as non-communicablediseases. For minor ailments drugs are provided free of cost at the camp site. Patients with notable disorders will be referred to the hospital for further work up. In addition to the above services specialist consultation is provided to peripheral centres such as our urban health centre at Karapakkam, Government Primary health centre Kelambakkam and rural health centre Poonjeri.

Presently, in view of the COVID 19 pandemic, the department provides telephonic consultation for remote monitoring of COVID19 patients in addition to inpatient care.

Ongoing Research Projects

Ongoing Projects by Faculty

S.No Name of the Investigators Title
1 Dr. Durga Krishnan Clinical, microbiological and laboratory profile of Acinetobacter infections in a tertiary care hospital in South India
2 Dr. Vigneswaran Cardiac troponins in Stage III & IV Chronic Kidney Disease
3 Dr. Vrinda V Knowledge attitudes and practices towards prevention and early detection of chronic kidney disease among high risk patients attending a tertiary care centre
4 Dr.Ananthakumar P K Study on the effect of teneligliptin on QT interval in frail and pre frail elderly population
5 Dr.Ananthakumar P K

Prof V R Mohan Rao

Randomized study of the effect of methylprednisolone and dexamethasone on the effect of IL6 and clinical outcome in severe COVID19
6 Dr Nirmala Devi

Prof V R Mohan Rao

Serial Troponin I monitoring in acute ischemic stroke patients as a prognostic marker in predicting underlying undiagnosed cardiovascular morbidity

Ongoing projects by students

Completed projects

S.No Name of the Investigators Title
1 Dr Vishal V Relationship between left atrial enlargement and ischemic strokein patients attending a tertiary care hospital in South India
2 Dr. Gnanadeepan Scoring for diagnosis of tuberculous meningitis –Validating in our hospital population
3 Dr. VenkatSaiSuhas Correlation of serum phosphorus and magnesium levels and severity of peripheral neuropathy in patients with type 2 diabetes
4 Dr. Thejesh C V Pattern of Infections in Chronic kidney disease, their short-term outcome during hospitalization and the impact of infections on progression of chronic kidney disease-A prospective cohort study in a Tertiary care center
5 Dr ShreedeveShamritha Albuminuria as a predictor of CKD in patients with NAFLD
6 DrYalamanchi Sriram Srujan Study on assessment outcome of patients in sepsis with supplementing antioxidants and micronutrients
7 Dr.RagalikhithKesamneni Comparative study to assess troponin i variability in CKD patients with or without acute coronary syndrome.
8 Dr Aarifaa Cross sectionals study to assess the association of hypercholesterolemia with outcomes in patients admitted in medical ICU
9 Dr ArunPandyan Monocyte to HDL ratio as a short-term prognostic marker in patients with acute coronary syndrome and its correlation with TIMI score and angiographic profile
10 Dr Kunal Narang Case control study of the contribution of genetic variation in development of cirrhosis in chronic alcoholics in Indian population
11 Dr Mounika Assessment of subclinical left ventricular dysfunction with2d longitudinal speckle tracking echocardiography inpatients with thyroid dysfunction and preserved ejection fraction
12 Dr Prasanna Kumar Reddy A cross sectional study ofprestroke glycemic status andadmission capillary blood glucose levels as a predictorof severity and short-termoutcome in patients withacute ischemic stroke
13 Dr Sudha Prasanth Reddy Initial Total Leucocyte Count andMonocyte count as markers inpredicting severity and outcome inDengue fever
14 Dr.M.C.S.Praveen Randomized Control Study on theeffects of statins and aspirin on themean platelet volume in diabeticpatients with poor glycemic control
15 Dr Rehab Nainar Comparison of NFS score, AAR and APRI with fibroscan score in predicting liver fibrosis in NAFLD patients -A cross sectional study in a tertiary care centre of South India
16 Dr Rajat Pande A case control study on the role of genetic polymorphism as a risk factor for the development of COPD in smokers
17 Dr Suraj R Patil Study of recurrent uncomplicated UTI and its association with virulence factor genes
18 Dr Pruthvi Raj Incidence of Thyroid functionabnormalities in patients started onamiodarone and its correlation withbaseline urine iodine levels
19 Dr Vignesh Ram Cross sectional study on influenceofserotypes on severity and outcomesinDengue infection

Conferences Organized
Webinar Series

S.No Date Topic Speaker Time
1 27/06/2020 Clinical discussion on paraparesis Prof Hariharan, Director MMC 2.00PM-04.00PM
2 04/07/2020 Clinical discussion on abdomen -DCLD Prof Hariharan, Director MMC 2.00PM-04.00PM
3 04/07/2020 Viral pneumonias with emphasis on COVID 19 pneumonia Dr Bharath Kathi, S V Medical College ,Thirupathi 6.00PM-08.00PM
4 11/07/2020 Clinical discussion on myelopathies ProfLakshmi Narasimhan, Director of Neurology, MMC 2.00PM-04.00PM
5 11/07/2020 Targetted therapy in Oncology Dr BiswajithDubashi, JIPMER Pondicherry 6.00PM-08.00PM
6 18/07/2020 Clinical discussion on pleural effusion Prof M Natarajan, HOD GRH Madurai 2.00PM-04.00PM

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