Vijay H Chandiramani

Interests

Research

Quality Improvement projects involving medical education and clinical care with a focus on improving patient care.

Teaching

Bedside teaching, history taking and physical examination. Teaching the challenges of In-patient medicine. Developing a curriculum especially for Inpatient service.

Courses

No activities entered.

Scholarly Contributions

Journals/Publications

• Kutti Sridharan, G., Kotagiri, R., Chandiramani, V. H., Mohan, B. P., Vegunta, R., Vegunta, R., & Rokkam, V. R. (2020). COVID-19 and Avoiding Ibuprofen. How Good Is the Evidence?. American journal of therapeutics, 27(4), e400-e402. doi:https://doi.org/10.1097/mjt.0000000000001196
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  Ibuprofen is an over-the-counter medication that is used widely for the treatment of pain and fever during COVID-19 pandemic. A concern was raised regarding the safety of ibuprofen use because of its role in increasing ACE2 levels within the Renin-Angiotensin-Aldosterone system. ACE2 is the coreceptor for the entry of SARS-CoV-2 into cells, and so, a potential increased risk of contracting COVID-19 disease and/or worsening of COVID-19 infection was feared with ibuprofen use. However, available data from limited studies show administration of recombinant ACE2 improves lung damage caused by respiratory viruses, suggesting ibuprofen use may be beneficial in COVID-19 disease. At this time, there is no supporting evidence to discourage the use of ibuprofen.
• Chandiramani, V., & Jaffer, F. (2015). Concomitant Persistent Left Superior Vena Cava and Horseshoe Kidney. Case reports in nephrology, 2015, 1-3. doi:10.1155/2015/178310
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  Persistent left superior vena cava (PLSVC) and horseshoe kidney (HSK) are common congenital abnormalities; however presence of both in the same person is extremely rare. A patient with hepatitis C cirrhosis awaiting transplant presented with worsening liver dysfunction, diagnosed with acute renal failure secondary to hepatorenal syndrome, and required X-ray fluoroscopy guided tunneled venous catheter placement for hemodialysis. Review of imaging studies demonstrated coexistence of PLSVC and HSK. PLSVC in adulthood is usually incidental with the most common drainage pattern being without physiologic dysfunction. Isolated horseshoe kidney is still the most common of renal fusion anomalies; however etiology of coexistent PLSVC remains unknown.
• John, S. G., Chandiramani, V., Vemulappalli, T., & Dominguez, C. (2013). A rare case intractable diarrhea secondary to Clostridium difficile and cytomegalovirus coinfection. American Journal of Case Reports, 14, 498-501. doi:10.12659/ajcr.889700
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  Male, 63 FINAL DIAGNOSIS: Cytomegalo virus (CMV) infection Symptoms: Diarrhea Medication:- Clinical Procedure:- Specialty: Infectious Diseases.Unusual clinical course.Coinfection with cytomegalovirus in a patient with Clostridium difficile persistent diarrhea and colitis can lead to a delay in diagnosis and treatment.A 63-year-old man with squamous cell carcinoma of the lower lip, status post surgical resection and currently on chemoradiation presented with intractable diarrhea and abdominal pain. Initial workup showed Clostridium difficile diarrhea with pancolitis. Diarrhea persisted despite being on antibiotics and bacteriological cure for C. difficile. Further noninvasive work up revealed associated cytomegalovirus infection, and patient had a dramatic response to ganciclovir without any relapse.Physicians should be cognizant about other causes of diarrhea and colitis in immunocompromised patient when treatment for primary diagnosis fails to resolve their symptoms.

Poster Presentations

• Chandiramani, V. H. (2023, October). Don't Wake Me Up Before You Go Go. ACP Arizona Chapter Annual Scientific Meeting 2023. Midwestern University, Glendale Arizona: American College of Physicians.
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  The importance of uninterrupted sleep for patients admitted to the hospital.This poster won 2nd place in Quality Improvement
• Chandiramani, V. H. (2023, October). The Proximity Paradigm : Enhancing Communication through the Geographic Model. ACP Arizona Chapter Annual Scientific Meeting 2023. Midwestern University, Glendale Arizona: American College of Physicians.
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  Improving Nurse Communication and Patient Care with Geographical distribution of patients admitted to the hospital.
• Chandiramani, V. (2015, November). Diffuse Large B Cell Lymphoma with Primary Cutaneous Manifestations; A case report. ACP - AZ ChapterAnnual Scientific Meeting November 13 to 15, 2015 DoubleTree Hilton Hotel Tucson – Reid Park Tucson, Arizona. DoubleTree Hilton Hotel Tucson – Reid Park Tucson, Arizona: ACP - AZ Chapter.
• Chandiramani, V. (2013, November). DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS) SYNDROME INDUCED BY VANCOMYCIN. ACP Arizona Chapter - Annual Scientific Meeting held on November 15‐17, 2013 at the University of Arizona, Tucson,. University of Arizona, Tucson, AZ: ACP Arizona Chapter.
• Chandiramani, V. (2013, November). Pandora’s Box to the Paranasal Sinus – Following the path of a rare pathology. ACP - AZ Chapter Annual Scientific Meeting held on November 15‐17, 2013 at the University of Arizona, Tucson, Arizona.. University of Arizona, Tucson, AZ: ACP - AZ Chapter.