OVERVIEW - Why Pulmonary Medicine Department at RLJH?

Department of Pulmonary Medicine is a tertiary referral center for pulmonary diseases. The department has done pioneering work & benefited patients in the field of tuberculosis, asthma, allergy, COPD, lung cancers, and infectious lung diseases.

Pulmonary medicine is a broad specialty in medicine. It deals primarily with diseases afflicting the lungs. It also encompasses areas like critical care, sleeps medicine. The specialty in its formative years dealt mainly with tuberculosis. However; in recent years it has made forays into areas of diagnostics procedures & interventions like bronchoscopy & thoracoscopy. The discipline is a rapidly growing specialty with immense promise and hope for the future. It also works in tandem with the government to control tuberculosis as a part of the DOTS strategy.

Pulmonologists have made noteworthy contributions to society in dealing with the menace of tuberculosis over the years. The profile of a pulmonologist is gradually changing to combating allergies, smoking-related lung ailments & occupational lung diseases. Pulmonologists are branching into specialties like sleep medicine, critical care, bronchoscopists & allergologist.

The Department of Pulmonary Medicine at the Sri Devaraj urs medical college And university, Sri R L Jalappa hospital is unique in many ways. It is serving the people of Kolar and surrounding districts with respiratory diseases for the last 2 decades it has got a well-equipped Pulmonary Function Testing (PFT) Laboratory, Lung Cancer Clinic, RNTCP unit as well as a vast array of other facilities that are available for patient care and research. We continue to move forward with the Institute in the service of the country.

Vision

To Follow benchmark standards in the field of pulmonary medicine.
Provide state of art patient care of the highest quality and compassion
Advancement of this state of art care with biomedical research

Mission

To strengthen the sub speciality areas for providing high quality patient care

TREATMENT & PROCEDURES
  • comprehensive and state of the art evaluation
Facilities and Services
ANTENATAL CLINIC
Daily OPD
Smoking cessation in collaboration with Department of psychiatry
Pulmonary rehabilitation
CANCER SCREENING
Allergy clinic
RNTCP services
ICU care

Equipped with the most modern equipments related to critical care and provides state of the art care to critically ill respiratory patients with respiratory failure, sepsis, ARDS etc, strictly adhering to guidelines for evidence based practices for mechanical ventilation and critical care.

Faculty
Name Designation Qualification
Dr. Jagmohan S V Assistant Professor MBBS MD DNB
Dr. Guru Prasad T J Senior Resident MBBS ,DTCD, DNB
EXPLORE STORIES
Case 1

A 42-year-old male presented with fever, productive cough with episodes of hemoptysis and breathlessness from one week, and altered sensorium and tremors for 3 days. He was a chronic alcoholic, with a history of binge drinking for 1 month and stopped for 3 days. He did not have any other significant past, personal, or drug history. On examination, he was conscious but drowsy. He was febrile with a body temperature of 1020 F, pulse rate was 124beats/min, respiratory rate was 28 cycles/min and Blood pressure was 114/70mmHg. His O2 saturation was 88%. On systemic examinations, fine crepitations were heard in all the areas of the right lung. Other systems examination was unremarkable. His blood investigations revealed TLC17,250cell/mm3. Other investigations (Hb, platelet count, RBS, RFT, LFT, FBS, PPBS, HbA1C) were normal. VCTC was negative. Chest x-ray showed non-homogenous opacities, infiltrations, and two thin-walled cavities in the right lung upper and middle zone. (fig.1) Differential diagnosis of community-acquired pneumonia or pulmonary tuberculosis in alcohol withdrawal state was made and the patient was started on Inj.Linezolid(600mg bid), Inj.meropenem (1g tid) and bronchodilators. 4hrs after admission, the patient became tachypneic and his oxygen saturation was not maintained on an oxygen face mask. Then the patient was intubated and kept on a ventilator. Despite broad-spectrum antimicrobial therapy, the patient’s condition was deteriorating. ATT was planned to start but several sputum samples collected and tested for the presence of acid-fast bacilli were negative. Sputum for GeneXpert was also negative. Sputum Gram stain revealed Gram-positive thin branching filaments (figure 2). Modified Ziehl-Neelsen staining showed branching Acid-fast bacilli consistent with the morphology of Nocardia species(Figure 3). Culture and sensitivity of tracheal aspirate identified the organism as Nocardia. Tablet Cotrimoxazole (160/800mg DS tablets bd) was added to meropenem. The patient improved clinically and radiologically and was discharged after 15 days and advised to continue Cotrimoxazole for 9 months. The patient is coming for a follow-up and is doing well.

FAQs
What does pulmonary function test do ?
Pulmonary function tests (PFTs) are noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help your healthcare provider diagnose and decide the treatment of certain lung disorders.
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What are the conditions treated by pulmonologists?
A pulmonologist treats all the conditions and diseases of the respiratory tract which includes the lungs, airways, and respiratory muscles. Respiratory medicine doctor treats several disease or disorders such as asthma, bronchitis, COPD, lung cancer, etc.
What are the types of asthma ?
The different types of asthma are:
Mild intermittent asthma: In this type of asthma the symptoms are very mild that you will have symptoms up to two days per week or two nights per month.
Mild persistent asthma: In this type of asthma the symptoms are mild but they occur more frequently, more than twice per week.
Moderate persistent asthma: In this type of asthma you will have symptoms once each day.
Severe persistent asthma: In this type of asthma you will have symptoms several times during the day.
Can asthma be cured ?
No, there is no cure for asthma but it can be treated. The doctor creates an action plan that focuses on the symptoms and the factors that trigger them. Asthma can be treated with nebulizers, oral medicines, inhalers, and biologics, etc.
What is tuberculosis ?
Tuberculosis famously known as TB is caused by the bacteria Mycobacterium tuberculosis that affects the lungs mostly. TB is highly contagious, it spread through the air. When the person infected with T coughs, sneeze, or spit, they propel TB germs into the air.
What are the symptoms of tuberculosis ?
The symptoms of tuberculosis include cough, fever, night sweats, weight loss may be mild for many months. People with TB can infect around 10-15 other people in a year through close contact.
What is COPD ?
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that obstructs the oxygen flow from the lungs. The main cause of COPD is tobacco smoking.
What are the risk factors of COPD ?
The risk factors associated with COPD include exposure to tobacco smoke, exposure to dust and chemicals, exposure to fumes from burning fuel, age, alpha-1-antitrypsin deficiency, and smoking tobacco.
What are the symptoms of COPD ?
The symptoms of COPD include shortness of breath, recurrent cough, chest tightness.

Frequent cold and flu, lack of energy, high-pitched noisy breathing, fatigue, weight loss, swelling of the feet, ankles, or legs, etc.
What is cystic fibrosis?
Cystic fibrosis is a hereditary disorder that causes severe damage to the lungs, digestive system and other organs of the body. It affects the cells that produce mucus, sweat, and digestive juices and makes them sticky and thick. So instead of acting as the lubricant, the fluids clog the tubes, ducts, and passageways in the body.
Which is the best hospital for pulmonology in Kolar?
R L Jalappa Hospital and research center is the best pulmonology hospital in Kolar offering personalized and expert care for conditions such as allergy and asthma, lung cancer detection, airway disease, and other respiratory problems. Our team of pulmonology are skilled and focused on improving the lives of patients with serious lung diseases and chest conditions.