::Departments : Clinical : Department of Chest Medicine

The Department of thoracic medicine has been functioning in this hospital for the past 20 years. The department of thoracic medicine has been provided with separate OP and wards for men and women and dedicated separate ward for tuberculosis patients
The department O.P. (out patient) start from 8 a.m. and functions up to 12 noon. The daily average number of out-patient, cases both new and old cases together is around 150. This includes both tuberculosis and other respiratory disease cases.
 
The HOD and assistant professors of this Department have been trained in RNTCP (Revised national Tuberculosis control programme). The department has been supported by district tuberculosis center provided with Binocular microscopy and necessary lab materials and a RNTCP trained lab Technician. Health visitor for registering TB cases and issue of transfer slips and a medical officer from the district TB centre has been deputed to the department for carrying out RNTCP.

 
The department has undertaken sputum examination for all chest symptomatic, referred from general medicine department and chest department including both out-patient and in-patient.
 
The department of chest medicine has been asked to register all tuberculosis and extra pulmonary tuberculosis cases from the same district and also from the neighboring  district.
 
 we have been referring cases (index, suspect pulmonary cases and extra pulmonary patients to the DTC as per RNTCP norms and all patients are brought under DOTS therapy.
 
We came across lot of occupational lung disease (pneumoconiosis) like Byssinosis, silicosis etc. , since there are lot of quarry workers, weavers and textile workers in and around salem.
 
 
We do come across HIV co-infection along with pulmonary tuberculosis. We maintain a separate register for same, as HIV/TB register.
 
Since HIV& TB co-infectoin are very common and our hospital is having VCTC (voluntary counseling centre), we have been referring all tuberculosis patient in whom HIV is suspected to the VCTC.
 

The in-patient strength, including male and female is 30. The bed occupancy rate is 100%  almost all the time. We admit both tuberculosis and non – tuberculosis cases like bronchial asthma, COPD, bronchogenic carcinoma,  suppurative  lung diseases and occupational lung disease cases.
 
The department of thoracic medicine has been provided with The cases being referred from all the departments of this hospital, both in-patient and out-patient. Department is equipped with flexible fibroptic bronchoscopy and spirometry, peak flow meter,     nebulizers , intercostal drainage facility, pulseoximeter  rigid broncoscope,  arterial blood gas machine  The department has been provided with flexible fibroptic bronchoscopy  and a separate room has been provided for doing the procedure.
 
The bronchoscopy room is provided with pulse oximeter , suction apparatus and nebulizer for conducting the procedures efficiently. We admit cases for doing bronchoscopy procedure in whom it is  indicated.

 
We have been provided with a spiro-meter for doing pulmonary function test in obstructive and restrictive lung diseases and asses the pulmonary function after broncho-dilator therapy and physio-therapy.
 
The SECOND CLINICAL YEAR MBBS STUDENTS are regularly posted every year to the department for training. We take clinical demonstrations classes both in out-patient department and TB & respiratory diseases ward in our hospital.
 
We take theory classes for final year MBBS students at Government mohan kumaramangalam medical college in the evening hours every fort-night.
 
We participate in the clinical meetings organized by the association of physicians of Govt. mohan kumaramangalam medical college and hospital every month and we present clinically interesting cases for open discussion . for the past 3 years we were presenting maximum number of clinically interesting cases and duly rewarded for the same.
 
 
Moreover the CRRI’s are posted to our department to undergo training in thoracic medicine. We discuss important articles in the clinical journals with the CRRI’s  to update their knowledge in the TB and Respiratory Medicine. We have adequate clinical materials to present papers in National conference.
 

 
We had conducted CME programme on TB & Respiratory medicine sponsored by Tamil Nadu Dr. MGR medical university and medical council of India in the month of may 2003. eminent professors from various parts of Tamil Nadu participated in the programme and gave guest lectures. The medical officers of PHC’S and private practitioners were the beneficiaries of the programme. Department of thoracic medicine and district tuberculosis center jointly conducted CME on RNTCP UPDATES on 2013.
 We also admit cases under CMCHIS , and so far 135 cases are benefited under the scheme.


THEORY PROGRAMME FOR THE UNDERGRADUATES (2015-2016)
 
 
DAY AND TIME UNIT STUDENTS TOPIC
FRIDAY
4-5 PM
(FROM MARCH 2015 –MAY 2015)
 
THORACIC MEDICINE
 
PRE FINAL
 
TB&OTHER RESPIRATORY DISEASES
 
-Clinical demonstration classes for first clinical year – for 15 days for each batch on rotation
-Weekly theory classes for the Pre-final year students - the following topics were discussed during theory classes
 
1) RNTCP
2) Tuberculosis
3) Chemotherapy of tuberculosis
4) Bronchial asthma
5) COPD
6) Pleural effusion
7) Pneumothorax
8) Pneumonia
9) Atelectasis
10) Occupational lung diseases
11) Respiratory failure
12) Lung abscess
13) Congenital anomalies of lung
14) Bronchiogenic carcinoma
15) ILD
16)ARDS

17) Bronchiectasis
18) Cystic fibrosis
19) Childhood asthma
20) Community acquired pneumonia

TEACHING PROGRAMME FOR THE POST GRADUATES 2015-2016
 
 
DAY DEPARTMENT TIMING
 
FRIDAY
 
THORACIC MEDICINE CLASS
 
12 TO 1 PM
 
 
-Clinical classes for PG students for 15 days (1st year M.D General  medicine) & for 1 month (II year M.D General medicine)
 

 
 
 SERVICES OFFERED
 
                     Number of units in the department
                                             One unit

                     OP Days and Timings
                                             Monday to Saturday  : 8:00 to 12:00 noon   

                      IP Unit and Admission Day                                                               
                                          TB ward (Monday to Saturday)
                                          Pulmonology ward (Monday to Saturday)     
    
                      Bed strength of Department      
                                           TB ward: 20 beds
                                            Pulmonology ward : 20 beds
                                                                                               
                                                                                                           
  Average OP statistics

 
YEAR MALE FEMALE TOTAL AVERAGE PER MONTH
2010 24227 13325 37552 3129
2011 22981 13764 36745 3062
 2012 21528 14019 35547 2962
2013 21223 13423 34646 2147
2014 25432 14321 39753 3312
 


   Average IP Statistics  


   
YEAR MALE FEMALE TOTAL AVERAGE PER MONTH
2010 180 30 210 18
2011 186 30 216 18
2012 190 50 240 20
2013 194 54 248 20
2014 207 38 245 20

 

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