Uma Devaraj
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Comparison of Lung Ultrasound Findings in Patients with Pulmonary Tuberculosis and Lobar Pneumonia: A Case–control Study Open
Background: The utility of lung ultrasound (LUS) in diagnosing respiratory disorders is being studied only in recent times. We aimed to describe the ultrasound (USG) features of pulmonary tuberculosis (TB) and compare them with those of lo…
A rare cause of recurrent massive hemoptysis Open
Pulmonary artery aneurysmal rupture is a rare cause of massive hemoptysis. When the suspected origin of bleeding is the pulmonary artery, comprehensive evaluation is necessary to determine aetiology and guide appropriate management. Behçet…
Assessment of health-related quality of life in individuals with interstitial lung diseases in a tertiary care hospital in south India Open
Background & objectives Interstitial lung diseases (ILD) cause progressive symptoms and decline in lung functions which impact health-related quality of life (HRQoL). Although HRQoL is gaining wider acceptance as an endpoint for disease pe…
Mediastinal hematoma following thrombolysis for acute pulmonary thromboembolism Open
Massive pulmonary thromboembolism (PE) is a cardiorespiratory emergency and can be fatal if left untreated. The recommended treatment for PE in the presence of right ventricular dysfunction and hemodynamic instability is thrombolysis. Howe…
Pleurodesis in Children with Povidone-Iodine: A New Intrapleural Drug Open
Obliteration of pleural space by the adhesion of both the layers of pleura with chemical agents instilled intra-pleurally is termed as pleurodesis.Povidone-iodine is one of the newer agents used for pleurodesis in adults.We report a case o…
Mixed Method Model to Assess CPAP Adherence Among Patients with Moderate to Severe OSA Open
Background.Continuous positive airway pressure (CPAP) is an effective therapy for obstructive sleep apnoea (OSA).Despite proven benefits of CPAP in OSA, adherence has been sub-optimal.The present study was designed to evaluate the complian…
An Unusual Cause of Bilateral Pneumothoraces Open
Pulmonary strongyloidiasis is an unusual manifestation of Strongyloides stercoralis infection typically seen in the immunocompromised patients.We report a case of Strongyloides hyperinfection in a patient with chronic obstructive pulmonary…
Development of a reference equation for maximal exercise capacity in normal Indian subjects using cardiopulmonary exercise testing Open
Objectives: Cardiopulmonary exercise testing (CPET) is an integrative assessment of multiple interdependent variables contributing to exercise response. CPET parameters such as maximum or peak oxygen uptake (VO2max/peak) are used to estima…
Study of Maternal and Perinatal Outcomes in Pregnant Women with Respiratory Complications Open
Introduction:The frequency and significance of acute and chronic respiratory disorders in pregnant women have increased in recent years.Clinicians must have an understanding of cardiopulmonary physiology to promptly recognize and treat pre…
Assessing Cognitive Impairment in Patients with Sleep-disordered Breathing Using Mini-mental State Score and Addenbrooke\'s Cognitive Examination—Revised Open
Aims and objectives: Obstructive sleep apnea (OSA), which is by far the most common form of sleep-disordered breathing, is associated with many other adverse health consequences including cognitive impairment.The screening methods for cogn…
Prevalence and Risk Factors for OSA among Urban and Rural Subjects in Bengaluru District, South India: A Cross-sectional Study Open
Introduction:Prevalence rates of obstructive sleep apnea (OSA) in India vary widely due to diverse study settings.Besides, the literature comparing the prevalence of OSA between urban and rural settings is sparse.Aims and objectives: To de…
Role of ultrasound in the assessment of diaphragm function in patients with chronic obstructive pulmonary disease Open
Chronic obstructive pulmonary disease (COPD) characterized by irreversible airway obstruction, has numerous systemic complications including skeletal muscle dysfunction. Diaphragm, an important muscle of respiration, is also affected and i…
View article: A filamentous trio
A filamentous trio Open
Opportunistic infections caused by fungi and unusual bacteria are predominantly encountered in the setting of immunosuppressed host. Co-infections with multiple such organisms can pose multiple challenges even to the astute clinician from …
View article: Chronic granulomatous ‘Aspergillus lung mass’
Chronic granulomatous ‘Aspergillus lung mass’ Open
The diverse clinicopathological spectrum of pulmonary aspergillosis is a consequence of varying levels of invasiveness of this ubiquitous fungus, which largely depends on the host immune response and pre-existing lung disease. The clinical…
Pulmonary arteries in a fix Open
CASE SUMMARY A 70-year-old woman with no comorbidities presented with dyspnea on exertion and chest tightness for the last 4 months. There was no history of cough, wheezing, fever, or chest pain. There was no history of any significant env…
Ultrasonographic assessment of skeletal muscle mass and diaphragm function in patients with chronic obstructive pulmonary disease: A case–control study Open
Ultrasonographic assessment of the diaphragm and rectus femoris can be used as markers to assess skeletal muscle dysfunction in COPD as diaphragmatic function and RFCSA were lower in COPD patients.
Comparison of spray catheter with “spray-as-you-go” technique for airway anesthesia during flexible bronchoscopy – A randomized trial Open
Lignocaine instillation using the SC during bronchoscopy reduced cough, need for sedation, and improved operator satisfaction.
E-cigarettes: Out of the frying pan into the fire? Open
Electronic nicotine delivery systems were developed over a decade ago to simulate the experience of smoking, although with a lower exposure to toxins than in conventional smoking. However, they have their own unique profile of side effects…
View article: The utility of bronchoalveolar lavage fluid and serum galactomannan assay in patients with nonresolving pneumonia in a tertiary care hospital
The utility of bronchoalveolar lavage fluid and serum galactomannan assay in patients with nonresolving pneumonia in a tertiary care hospital Open
Background The fungus aspergillus causes a plethora of diseases in humans. Invasive pulmonary aspergillosis (IPA), a serious opportunistic infection seen in immunosuppressed or hospitalized patients with severe underlying diseases, is asso…
Assessing the flat diaphragm in chronic obstructive pulmonary disease: Deep-diving is a better approach Open
Sir, We read the article titled, "Study of the diaphragm in chronic obstructive pulmonary disease using ultrasonography"[1] published in Lung India with great interest. Sonographic assessment of the diaphragm is a specialized and relativel…
Comparison of methods to quantitate spontaneous pneumothorax — A study from a tertiary care hospital Open
Background Pneumothorax can present as a respiratory emergency and has varied etiology. However, literature available on assessment and management of primary spontaneous pneumothorax (PSP) based on radiological quantitation is scarce. This…
Anaesthetic management of endobronchial ultrasound guided trans bronchial needle aspiration: Our experience with laryngeal mask airway Open
Introduction: Endobronchial Ultrasound Guided Trans bronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic modality for evaluating intra thoracic lymph nodes, becoming one of the important tool in the armamentarium of p…
Double whammy: A rare disorder complicating a common infection – A case report and review of literature Open
Gorham-stout disease (gsd), is a rare disorder of unknown etiology. although a non-malignant, non-infectious condition, gsd results in massive destruction of bones by osteolysis secondary to proliferation of blood vessels. we present a you…
Acute pain abdomen after bronchial artery embolization Open
Sir, Massive hemoptysis is a life-threatening emergency and is one of the worst nightmares for a pulmonary physician. Both benign and malignant conditions can result in massive hemoptysis. Bronchial artery embolization is commonly performe…
View article: A cross-sectional study of skin prick test to Aspergillus fumigatus antigen in asthmatic patients seen at a tertiary healthcare center
A cross-sectional study of skin prick test to Aspergillus fumigatus antigen in asthmatic patients seen at a tertiary healthcare center Open
INTRODUCTION: Asthma is a significant public health problem. The severity of asthma varies from patient to patient and the reasons for this are not fully understood. Atopy is known to play an important part in the pathogenesis of asthma. S…
The sandwiched pleural effusion Open
Sir, T-cell lymphoblastic lymphoma (T-LBL) is a rare type of non-Hodgkin's lymphoma (NHL). Predominantly seen in adolescents and young adults, it usually presents with a mediastinal mass with pleural effusion. Pleural fluid analysis may be…
A successful obstetric outcome in pregnancy complicated with cor pulmonale, pulmonary hypertension secondary to pulmonary tuberculosis: a case report Open
Pregnancy in patients with pulmonary hypertension and cor pulmonale is associated with high morbidity and mortality. The timing of termination of pregnancy, mode of delivery, labour analgesia and anaesthesia and management during puerperiu…
Restless legs syndrome in patients with chronic renal failure on hemodialysis: Does peripheral iron status matter? Open
BACKGROUND: Scant information is available on the prevalence of restless legs syndrome (RLS) among patients with chronic kidney disease (CKD) on hemodialysis and its correlation with peripheral iron status. This study was carried out to es…