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' 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. previous admission Patient brought to casuality with complaints of SOB at rest and pedal edema.  Bp at the time of admission 230/100mmhg Pr 110 bpm RR 34 cpm Spo2 - 55% on RA. Patient was given inj. NTG and Diuretics.  Post NTG BP 170/90. ABG : metabolic acidosis  Post CPR ecg Inspite of high flow oxygen patient spo2 is 65%. Patient is planned for intubation. Pre intubation patient suddenly became unresponsive with no central pulses. Immediate CPR was done and Patient revived. Post CPR & intubation Patient was s...

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' 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. 60y old male patient farmer by occupation presented with cheif complaints of  Bilateral lower limbs swelling since 5 days Decrease urine output since 5 days Fever during dialysis since 2 days. Patient was apparently alright 1 year back following which he developed bilateral lower limb swelling associated with shortness of breath and decreased urine output and fever then he visited local physcian where he was diagnosed with chronic renal failure and referred to nephrologist near by and started medical management for CKD. Since then patient is on conservative management for CKD for 6 months.  6 months b...

Authors : Dr. Amisha Previous admission link : may 2022 Patient came on day care basis after AV fistula closure due to anurysm at fistula site This AV fistula is closed. And Rt IJV is placed on 22/6/22.  23/6/22 : pedal edema increased. Lasix dose escalated to 60mg and 40mg. Patient went on day care basis. 24/6/22 :  Patient came with high grade fever and SOB at rest.  Temp 102 Pr 150 Bp 160/80 RR 40 Cvs - heart sounds heard, no murmurs Rs - BAE CNS - NAD Blood cultures sent again.  

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' 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. A 64 year old male daily waged labourer by occupation presented to casuality with cheif complaints of :  1. Decrease urine output since 1 month 2. Loss of appetite since 1 month. 3. Abdominal discomfort and constipation on and off since 1 month. Patient was apparently alright 10years back then he had a episode of giddiness followed by fall when he was coming out from washroom, following which he visited nearest RMP who referred him for higher center for further evaluation and management. Then he went to a private hospital in Hyderabad where he was told to have both renal failure and low hemoglobin and...

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' 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. A 54 years old male, farmer by occupation resident of kattangur presented with complaints of :  Decreased urine output since 3 days,  B/L lower limb swelling since 3 days. Patient was apparently alright 10 years back then he had decreased urine output associated with pedal edema, And loss of appetite, then he went to local RMP and treated symptomatically for 1 month. Inspite of which his symptoms recurred, so he went to a private hospital in Nalgonda there he was told to have renal failure and referred to Kim's NKP and he was evaluated and  conservative treatment was done for 1 week and discharged...