Dr Saicharan Kulkarni MD

  1. https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? 60 year old male chronic smoker & alcoholic non diabetic & non hypertensive c/o fever since 15 days associated with burning micturition, on & off facial puffiness , abdominal distention , SOB Grade -2 which progressed to Grade -4 , aphthous ulcers & dysphagia. O/E: Distended abdomen with dilated superficial abdominal veins Shifting dullness + Localization: Cirrhosis of liver with portal hypertension UTI AKI on CKD Specificity of dilated abdominal veins :98%, sensitivity 42% in diagnosing hepatocellular disease. b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause o...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.   This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. 45M presented to casuality with c/o Pain abdomen and vomitings since yesterday morning. Pt was apparently asymptomatic 10years back where he developed epigastric burning sensation followed by vomiting. Pain aggrevated after food intake and relieved with medication. On UGIE they were told that ?ulcer has began now and he should stop alcohol and tobacco chewing. Then 3 years back patient met with an accident (he was under alcohol influence) developed injuries and hosp...