Dr. KM Cherian Institute Of Medical Sciences Healthcare

Cesarean Scar Pregnancy – Rising Incidence And Challenges

Caesarean scar pregnancy (CSP) refers to a pregnancy that is implanted on or in a scar from a prior caesarean birth. CSP occurs in approximately 1 in 2000 pregnancies and accounts for approximately 6 percent of abnormally implanted pregnancies among patients with a prior caesarean birth. There are two types of caesarean scar pregnancy: Type - 1 Type – 2 On-the-scar – Implantation of the CSP on the well-healed scar of a previous caesarean birth (also termed "endogenous" implantation) In-the-niche – Implantation of the CSP within the defect or "niche" of an incompletely healed scar (also termed "niche pregnancy," or "exogenous"…
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Acute myocardial infarction with cardiogenic shock
Dr. KM Cherian Institute Of Medical Sciences Healthcare

Acute myocardial infarction with cardiogenic shock

Risk stratification and role of mechanical circulatory support devices Cardiogenic shock (CS) is a primary cardiac disorder that result in clinical and biochemical evidence of tissue hypoperfusion due to extensive damage of myocardium due to acute myocardial infarction (AMI). It is characterised clinically by a systolic blood pressure less than or equal to 90mmHg for greater than or equal to 30 minutes and urine output less than or equal to 30mlo / hr or cool extramitres and hemodynamically by depressed cardiac index (less than or equal to 2.2L/min/M2 body surface area and an elevated pulmonary capillary wedge pressure greater than…
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Dr. KM Cherian Institute Of Medical Sciences Articles, Healthcare, Neurovascular & Interventional Radiology

Non-Surgical Relief for Urinary Obstruction: Prostatic Artery Embolization (PAE)

Urinary obstruction is a common health concern among the elderly population, particularly in men. This is often caused by the progressive enlargement of the prostate gland, which surrounds the urethra as it exits the bladder. As the gland grows with age, it can eventually obstruct the natural flow of urine. From Surgery to Advanced Alternatives Traditionally, the treatment path for an enlarged prostate followed a specific order: Medication: Doctors would first attempt to manage the condition with medicine. Surgery: If medication failed, surgical intervention was the primary remaining option. Today, however, a modern non-surgical alternative called Prostatic Artery Embolization (PAE)…
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Dr. KM Cherian Institute Of Medical Sciences Healthcare

Within A Stroke

There was silence at a distance. I was slowly moving towards it as I slipped into the much-needed shut eye after a long fought day. I have always longed for a peaceful night of sleep. Cannot remember the last time I had one! As I lay down waiting for the gentle embrace of tranquillity, my thoughts wandered across the day I endured to be here, now. The radiating smiles, the struggles of the downtrodden, the emphatic expressions of the affluent and most commonly, the stressed-out facies of the working class. As I soaked in Hans Zimmer’s orchestral masterpiece “Time”, my…
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Dr. KM Cherian Institute Of Medical Sciences Articles, Healthcare, Reproductive Medicine

Ectopic Pregnancy: Understanding Tubal Pregnancy Risks & Treatment

In a normal pregnancy, the embryo implants in a specific site within the uterine wall. However, when an embryo implants outside of this area, it is known as an ectopic pregnancy. The most common site for this to occur is within the Fallopian tube, specifically in the widest section known as the ampulla. Risk Factors for Tubal Pregnancy Certain factors can increase a woman's likelihood of experiencing an ectopic pregnancy: Advanced Maternal Age: Women who conceive at an older age face a higher risk. Previous Tubal Surgery: Any past surgical procedures performed on the Fallopian tubes can be a contributing…
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Dr. KM Cherian Institute Of Medical Sciences Articles, Healthcare, Neurosurgery

Modern Craniotomy: Advanced Technology for Safer Brain Surgery

A craniotomy is a surgical procedure where a portion of the skull is removed to access the brain. While the idea of brain surgery can be intimidating, significant medical advancements have transformed this procedure into a much simpler and safer operation with better patient outcomes. When is a Craniotomy Necessary? Surgeons perform a craniotomy to treat various conditions within the brain, including: Brain Tumors: Removing abnormal growths. Vascular Malformations: Addressing issues with blood vessels. Internal Bleeding: Managing hemorrhages within the skull. Traumatic Injuries: Treating damage following a serious accident. The Surgical Process During the procedure, the skull is opened to…
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Dr. KM Cherian Institute Of Medical Sciences Articles, Healthcare, Ophthalmology

Diabetic Retinopathy: Why Annual Eye Exams Are Essential for Diabetics

  For individuals living with diabetes, managing blood sugar levels is only part of the journey. High blood sugar can affect various parts of the body, leading to complications like diabetic neuropathy (nerve damage) and diabetic nephropathy (kidney damage). Just as it is vital to screen for these conditions, it is equally important to monitor for diabetic retinopathy—a condition where diabetes affects the blood vessels in the retina. How Diabetes Affects Your Eyes Diabetes can impact ocular health in several ways, often progressing without symptoms until vision is significantly affected: Vision Loss: General decline in the clarity of vision. Cataracts:…
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Dr. KM Cherian Institute Of Medical Sciences News & Events

Mental Health Awareness Programme at Mar Thoma Residential School, Kuttapuzha, Thiruvalla

Department of Behavioural Sciences at Dr. KM Cherian Institute of Medical Sciences organized the Mental Health Awareness Programme on ‘Behavioural Issues in Children Due to Social Media’ at Mar Thoma Residential School, Kuttapuzha, Thiruvalla. The awareness sessions were led by Dr. Ruben John (Consultant Psychiatrist) and Dr. Sreeja Sambath (Clinical Psychologist).
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Self Medication – Cure Or Curse?
Dr. KM Cherian Institute Of Medical Sciences Healthcare

Self Medication – Cure Or Curse?

Self-medication is when a person treats their own illness or symptoms without consulting a healthcare professional. While it may seem harmless for minor issues, self-medication can lead to serious health risks when done irresponsibly. This includes: Taking old prescriptions for new problems Using drugs without guidance Following advice from friends, family, or the internet ️ Why Self-Medication is Risky Wrong Diagnosis: You might be treating the symptom, not the cause Dangerous Drug Interactions: Combining meds without knowing the risks Antibiotic Resistance: Misuse makes infections harder to treat Dependency Risks: Painkillers and sedatives can be addictive Medical Help: Wasting time on…
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