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. ---------------------------------------------------------------------------------------------------------------------------- 13 year old female with complaints of sudden onset left lower limb edema: non pitting type with fever since 5 days high grade and cough since 2 days . Patient was initially admitted in ortho in view of osteomyletis but xrays normal esr (112) and crp elevated. Usg left lower limb showed subacute thrombosis external iliac ve

suspected budd chiari 1.  myxedma coma 2.  post covid sequale 3.  Cushing syndrome 4.  yellow phosphorous poisoning 5.  ?MISC acute fulminant liver failure 6.  leptospirosis weils disease 7.  black fungus vs herpes vs MRSA 8.  Pan hypopitutarism 9.  kartageners 10.  dermatomyositis 11.  multiple myeloma 12.  neurobechets disease 13.  neurodegenerative disorder 14.  chorea 15.  downs syndrome 16.  PFAPA 17.  Paraplegia 2 to Mets 18.  multiple myeloma 19.  SLE 20.  pancytopenia ?celiac ds 21.  LETM, NsMO 22.  HIV & LN 23.  coccidian parasites in HIV pt stool 24.  MCTD - SS - MIZUTANI 25.  flare SLE, LIBMANN SACHS, APLA 26.  strongyloides stercoralis HIV pt 27.  suspected Arsenic poisoning 28.  complicated malaria 29.  hodgkins lymphoma 30.  addisons disease 31.  capillaria Phillipinensis diarrhea 31.  Giardia diarrhea 31.  male with SLE and raynauds 32.  Huntington chorea ( involuntary movements) 33.  male with Huntington chorea ( inv. movements) 34.  soft tissue Tumor of LL 35.  NCP

BIMONTHLY EXAM AUGUST 1) REVIEW  https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE :  A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. *evolution of symptomatology is well described in the illness . * Proper past ,personal ,family ,surgical ,medical and immunization histories are provided. * Differential diagnosis for the conditions he's been in are given .  *classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points . *The possible scenarios that can be are described in brief . *Diagnostic approach is mentioned. *After final diagnosis , further plan of treatment is given clearly. SHORT CASE :  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers. *Present illness is described