Dr Saicharan Kulkarni MD

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. 60year old female came with c/o SOB since 4days and Pedal edema since 10days productive cough since 4days Decreased urine output since 1week Fever since 4 days. Pt was apparently alright 20years back,after which she developed low grade fever on and off associated with productive cough,generalised weakness and then was diagnosed with pulmonary kochs and used ATT for 6months 10days back pt developed B/L pedal edema pitting type which has gradually progressed associated w...

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. A 54-year-old female brought to Casualty With complaints of  involuntary movement of fist Unable to speak and walk since two days. she was apparently asymptomatic 13 years back then she developed generalised weakness with tingling and numbness of both foot and diagnosed with Diabetes, currently on Tab. Glimiperide  0.5mg and Tab. Metformin 500mg OD. Three years back she had a episodes of involuntary movements of Fist (?focal seizures) associated with up rolling...

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. 46 year old Man, cook by occupation presented with cheif complaints of Abdominal distension, Shortness of breath, pedal edema since 15 days. Patient was apparently normal 20years back, when he started drinking with friends initially as a recreation, drinks 180ml of whiskey per day, eventually progressed to 360ml per day since 20years. History of smoking of 10 beedis per day since 20 years. 3 years back patient reported history of Alcohol binge following which he develo...