Dr Saicharan Kulkarni MD

 A 56 year old male patient daily waged labourer and farmer by occupation presented with  c/o altered sensorium since 2 days   decreased urine output, pedal edema, and shortness of breath since 4 days. Patient was apparently alright 16years back later he developed jaundice for which patient initially took some herbal medication and as the patient did not felt any improvement he went to local doctor and took some medication. Then he was incidentally found to have low platelets for which SDP was done ( yellow coloured blood as in terms of patient) and diagnosed with diabetes and adviced OHA. 4-5 years back patient feels generalised weakness, easy fatigue, and loss of apatite which made him to stop his daily labour work and started taking rest in home. Since 1 year his symptoms are aggravating. In January 2020  patient developed swelling in rt gluteal Region and was diagnosed with right gluteal abcess for which Incision and drainage was performed. He also had pedal edema and SOB for which

 Question 1 1) " 55 year old male patient  came with the complaints of  Chest pain since 3 days Abdominal distension since 3 days Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days  https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them?  Q )  Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them?   I localise patients problem to Abdomen ( pancreas ) which is involving other organs systems such as KIDNEY and LUNG. Etiological possibilities:  1] Gall bladder calculus/ polyps 2) Hypertriglyceridemia. ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040532/  ) 3) DKA inducing Hypertriglyceridemia causing Acute pancreatitis (  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206354/  ) KIDNEY INVOL

A 26y Male patient presented to OPD with complaints of Pedal edema since 8 months and Shortness of breath since 8months. The patient was apparently alright 10yrs back following which he developed fever and generalised weakness and then he diagnosed with Diabetes which is managed with Insulin since then.  The patient developed blebs on Right lower limb associated with fever 1year back for which some intervention was done and which healed eventually.  8months back he developed pedal edema and fever with shortness of breath on exertion and decreased urine output and then diagnosed to have renal problem (in attenders language). Where first dialysis was done.  Since then the patient was on regular hemodialysis with frequency of 2-3 dialysis for week since 8months with intermittent SOB and pedal edema.  3months back the patient shifted to nearest town for dialysis for which a Right Subclavian central line was placed and dialysis is being done through it since 3months. Patient presented with