Clinical TB & Chest Medicine

The following details are submitted for website upgradation.
NAME OF THE DEPARTMENT : Department of TB and Respiratory Medicine
DEPARTMENT MAIL ID :smctbrd@gmail.com
DEPARTMENT PHONE NO. :044-25280900

1.HISTORY :
Department of Respiratory Medicine started on year in Stanley Medical College. Department currently has HOD, Professor, Associate and Asst. Professor giving various services and treatment facilities.
It also has peripheral Institution. Govt. Hospital of Thoracic medicine, Started in the Year 1928. Which is spread across 110 Acores. It also has ART (Centre of Excellence) which takes care of HIV Patient. About 600 IP and 800 OP Patients services taken care per day.
In 2008, Post graduation course M.D (Respiratory Medicine) started, with 2 seats which increased to 6 seats currently.

HOD MAIL ID - srihema.1964@gmail.com

1. SERVICES OFFERED

• OUT PATIENT SERVICE
• IN PATIENT SERVICE
• TREATMENT FACILITIES
• INTERVENTIONS: BRONCHOSCOPY, THOROCOSCOPY
• DRUG RESISTANT TB: MDR / XDR CASES
• ART SERVICES

1. ACADEMIC ACTIVITIES

2. ACADEMIC CURRICULUM :

(Periodic academic activities held in the Department)

2. DIAGNOSTIC TESTS CONDUCTED.

!) Pulmonary Function Tests:
Pulmonary Function Tests (PFT's) are useful in diagnosing various lung disorders. They also measure the degree of impairment due to disease. Pulmonary Function Tests are also used frequently to assess preoperative risk.
Various Tests done are:

• Spirometry (PFT) and Reversibility Testing

• Diffusion capacity of carbon monoxide (DLCO)

• Lung volume (FRC, TLC)

• Six minutes walk test (6 MWT).

2) Flexible Video Bronchoscopy
. A fibreoptic Bronchoscopy system with video and photographic capability is used for performing bronchoscopies which helps in the complete visual assessment of air passages and in making an accurate diagnosis of infection, cancerous changes, and also in obtaining biological samples for pathological examinations.

Various Bronchoscopic Procedures Done are

• Bronchoscopic Alvoelar Lavage(BAL)
• Bronchoscopic Wash and Brush
• Transbronchial Needle Aspiration(TBNA)
• Transbronchial lung Biopsy(TBLB) etc

3) Pleural Procedures done are

• Pleural aspiration and biopsy
• Intercostal tube drainage and Pleurodesis

4) Other Tests done are :

• Fine needle aspiration Cytology and biopsy
• Lung biopsy via CT guided
• Bronchial artery embolisation with Radiology Dept for Hemoptysis Patients.
• Polysomnogram at GHTM

Specialty Clinic
Department of Respiratory Medicine is conducting
(1) Occupational Diseases Clinic
(2) Asthma and Allergy Clinic

3. RESEARCH PUBLICATION (NATIONAL AND INTERNATIONAL)- LAST 3 YEARS – LIST

1. Analysis of Tuberculosis related mortality at GHTM, Tambaram sanatorium. Stanley med journal. Vol 4(2). 2017 p 2 – 4.
2. Risk factors and patterns of opportunistic infections in GHTM- COE ART centre. SMJ. Vol 4 (2). 2017. P 5 – 8.
3. Correlation of six minute walk test and COPD assessment test (CAT) scores with spirometric indices in COPD patients in a tertiary care hospital in Chennai. J. evolution med. Dent. Sci. Vol 6(70). 2017. P 4983- 86
4. Progressive multifocal leukoencephalopathy in a patient on Antiretroviral therapy- A case report. BAOJ Neurol 2017,3 :4; 43 .
5. Extra pulmonary drug resistant Tuberculosis : A 5 year experience in GHTM, Tambaram Sanatorium. TAPPCON Journal Pg 76
6. A rare case of pleural metastasis of papillary adenocarcinoma of thyroid- A case report. TAPPCON Journal Pg 77
7. Elevated blood eosionphils and serum IgE levels as biomarkers of prediction of COPD exacerbations. TAPPCON Journal Pg 74
8. Evaluation of pre and post blood eosinophils as biomarkers to assess clinical response to inhaled corticosteroids in COPD. NAPCON Journal 2017
9. Study on predisposing factors towards Drug resistant Tuberculosis among retreatment cases attending GHTM, Tambaram Sanatorium. NAPCON Journal 2017
10. Assessment of smoking patterns and Awareness of smoking cessation among patients visiting Government Hospital of Thoracic Medicine. NAPCON Journal 2017
11. An unusual case of rib osteomyelitis- A case report. NAPCON Journal 2017.
12. Arare case of pleural metastasis of papillary adenocarcinoma of thyroid. SMJ 13.Comparison of predisposing factors for the development of drug susceptible and drug
resistant
14.pulmonary TB retreatment cases. J. Evid. Based Med. Health. 2018; 5 (33), 15. A study on factors leading to treatment interruption among TB patientsat GHTM.
16. To analyse the correlation between ABGA with peripheral VBGA in Acute Exacerbation of COPD & Asthma.

1. NAPCON 2018 abstract book p19.
18. Malignancies in PLHA at GHTM : A case series NAPCON 2018 abstract book p107.
19. Intra-pulmonary Teratoma: A Rare case. NAPCON 2018 abstract book P114.
20. A Cross Sectional Study on the prevalence of peripheral arterial disease among COPD and correlation with
21. BODE index. NAPCON 2018 abstract book p172.
22. Bone Marrow Density in COPD : A Cross Sectional Study. NAPCON 2018 abstract book p172.
23. A Cross Sectional Study to compare sit to stand test and four meter gait speed test with 6MWT for assessing
24. Exercise Tolerance in COPD patients at GHTM. NAPCON 2018 abstract book p181.
25. Anterior Mediastinal Mass: A rare presentation of tuberculosis in an immune competent patient. NAPCON
26. 2018 abstract book p184.
27. Utility of pleural fluid CBNAAT in evaluation of pleural effusion among people living with HIV-AIDS (PLHA).
28. NAPCON 2018 abstract book p209.
29. An Unusual Case of Ovarian Mass with elevated Ca125. NAPCON 2018 abstract book p278.
30. A case of Acute Lung Injury Following blood transfusion. NAPCON 2018 abstract book p291.
31. Unilateral Pulmonary Hypoplasia – A case report. NAPCON 2018 abstract book p311.
32. Dysphagia Lusoria – A case report. NAPCON 2018 abstract book p333.
33. Utility of pleural fluid CBNAAT in evaluation of pleural effusion among people living with HIV-AIDS (PLHA).
34. TAPPCON 2018 abstract book p91.
35. A Cross Sectional Study to compare sit to stand test and four meter gait speed test with 6MWT for assessing
36. Exercise Tolerance in COPD patients at GHTM. TAPPCON 2018 abstract book p92
37. To analyse the correlation between ABGA with peripheral VBGA in Acute Exacerbation of COPD & Asthma.
38. TAPPCON 2018 abstract book p96.
39. A rare cause of malignant pleural effusion. TAPPCON 2018 abstract book p98.
40. An Unusual Case of Ovarian Mass with elevated Ca125. TAPPCON 2018 abstract book p108.
41. Malignancies in PLHA at GHTM : A case series. TAPPCON 2018 abstract book p115.
42. A study on factors leading to treatment interruption among TB patients admitted at GHTM. TAPPCON 2018
43. abstract book P126.
44. An evaluation of outcome of patients admitted with acute pulmonary ailments at GHTM, Tambaram sanatorium utilizing 108 ambulance services. TAPPCON 2018 abstract book p130.

4. ON- GOING RESEARCH

 

• HIV – TB data analysis – in GHTM June’16 to June’17
• HIV – TB death analysis – in GHTM
• DISSEMINATED CRYPTOCOCCOSIS IN HIV -A CASE REPORT
• Liver function test in DOTS therapy vs FDC in HIV-TB:A comparative study
• PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY-
• Premature aging/immunosenescence seen in HIV-infected subjects on long term antiretroviral therapy
• Third line data analysis
• A Compare study of FDC and DOTS in GHTM

5. DISSERTATION

• A Cross Sectional Study to compare sit to stand test and four meter gait speed test with 6MWT for assessing
• Exercise Tolerance in COPD patients at GHTM.

6. PRIZES AND AWARDS WON (DESCRIPTION WITH PHOTOS)

• Dr.Lakshmi Subedar (2018)

• Dr.Velkumar (2009)
• Dr.Madhan Mohan (2011)
• Dr.Elakya (2012)

QUIZ

1 ST PRIZE – Dr. KALICHARAN PANDIAN

2 nd PRIZE – Dr. BHARAKATHUL RESHMA

AWARD PAPER PRESENTATION 3rd PRIZE – Dr. BHARAKATHUL RESHMA
PAPER PRESENTATION 3rd PRIZE – Dr. KALICHARAN PANDIAN

POSTER PRESENTATION 3rd PRIZE – Dr. A.S.MOHAN

QUIZ :

3rd PRIZE – Dr.KALICHARAN PANDIAN & Dr.BHARAKATHUL RESHMA

EMERGING PNEUMONIA ISSUES AND CURRENT DILEMMA (EPIC):

QUIZ :

1 ST PRIZE : Dr. A.S.MOHAN & Dr. M.SIVASHANMUGAM

QUIZ :

1 ST PRIZE : Dr. RAMASAMY & Dr. M.SIVASHANMUGAM

ORAL PRESENTATION – 2^ndPlace

• Dr.K.Bharakathul Reshma

ORAL PRESENTATION – 1^stPlace

• Dr.Lakshmi.S.Subedar

2^ndPrize

• Dr.Lakshmi.S.Subedar

POSTER PRESENTATION – 2^ndPlace -‘ESCOBAR SYNDROME’

• Dr.Lakshmi.S.Subedar

Quiz Winners

• Dr.Maheswaran

Quiz Winners

• Dr.Sivaraja
• Dr.Madhan Mohan
• 10. MEDAL EXAM (DESCRIPTION WITH PHOTOS OR ANY COMPETITION ROUTINELY CONDUCTED IN THE DEPARTMENT.

• Dr.Lakshmi Subedar (2018)

• Dr.Velkumar (2009)
• Dr.Madhan Mohan (2011)
• Dr.Elakya (2012)

• 11. CME/CONFERENCE/WORKSHOP CONDUCTED BY THE DEPARTMENT (PHOTOS IF AVAILABLE)