Dr Saicharan Kulkarni MD

POSTMORTEM LIVER ASPIRATION & BIOPSY :  pathological autopsy of liver in suspected Acute Heavy metal toxicity ( arsenic ) Case report link :  click here FUNDOSCOPY :  RENAL BIOPSIES : 1.  47F with milky ascites Case report link :  click here 2.  30F with suspected Lupus nephritis Case report link :  click here 3.  13F with nephrotic range proteinuria Case report link :  click here 4.  20F with skin lesions and proteinuria Case report link :  click here PAPER PRESENTATION AT STATE CONFERENCE TSAPICON 2022 :  ECG CHANGES IN STROKE (TSAPICON 2022 WARANGAL ) Other procedures :  Ascitic tap Click here Pleural tap Click here Central line insertions Click here Intubations  Poster presentation : 

20F with fever, SOB and multiple system involvement. previous case report link Thanks Dr. Pavan for previous case report link. Patient presented with flare up of SLE with Libmann Sachs endocarditis and vasculitic stroke discharged with Tab. Prednisolone 20mg BD, Tab. Azathioprine 50mg BD, Tab. HCQ 200mg OD, Tab. Warfarin 5 mg BD.  On 01/12/22 patient presented to OPD with complaints of Headache, vomitings and neck pains since 2-3 days.  Patient was apparently improved after discharge ( oct 2022 ) and was alright till 3 days back, Then she developed Headache diffuse associated with neck pains which worsened next day following which she developed, vomiting of 3-4 episodes, non bilious and food particles as contents, she told it was not associated with pain abdomen or abdominal discomfort.  No fever, no altered sensorium, No blurring of vision, No diplopia, No photophobia or phonophobia.  No history of trauma. Vitals at admission :  Bp 170/110mmhg Pr : 84 Spo2 : 99 on RA RR : 18 cpm Temp