Hi..👋 i am Dr. Sai charan kulkarni a dedicated General Medicine Doctor committed to enhance patient well-being through a holistic approach. With expertise in preventive and therapeutic medicine, precision healthcare, and the integration of artificial intelligence into clinical practice, To empower individuals to take charge of their health, one personalized step at a time. 🌿💙
CASE OF AN 82 YEAR OLD FEMALE WITH PAINFUL SWELLING OF THE LEFT KNEE JOINT
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Icterus - absent
Cyanosis - Absent
Clubbing - Absent
Koilonychia - absent
Lymphadenopathy - Absent
Oedema -present
Peripheral pulsations were felt in the dorsalis pedis, anterior and posterior tibial arteries, and radial arteries.
Examination of the Musculoskeletal System
Inspection findings -
Bilateral swelling of the lower limbs, at and below the level of the knee joint. More prominent on the right than the left.
Right, Limb Fixed flexion deformity seen at the knee joint.
Left lower limb, ability to flex knee present.
No scars, sinus, erythema or rashes
Palpatory Findings
Local rise of temperature present bilaterally on the knee joint
Palpable swelling is present on the right and left knee, and ankle with mild oedema in her lower limbs , associated with tenderness, in the suprapatellar bursa
This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE: A 65 year old man who used be farmer resident of anantharam came to the opd with chief complaints of decreased urine output since 15 days and puffiness of face , abdominal distension and pedal edema si
This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE : A 80 year old male patient who is a resident of chadda came to the opd with chief complaints of fever since 10 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10days back sinc
This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE : A 37year old women, housewife who is a resident of Kolkata came with the chief complaints of pain in the back of the neck and lower back since 1year and chest pain 2 weeks back. HISTORY OF PRESENTING
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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 39 year old male presented with chief complaints of shortness of breath since since 6 months Generalised body swelling since 6 months Decreased urine output since 6 months. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 3 and half years back , then the patient had an episode of giddiness ?due to shock (from the death of his brother in law) ,for which he went to a local hospital and got diagnosed with hypertension. Since then the patient was started on increasing doses of Telma and later Telma -H, but the patient was not compliant to the medication. He used to take the medication only w
Dr.Saicharan Kulkarni MBBS, MD General Medicine General Medicine Specialist | Precision Medicine Advocate | AI Healthcare Enthusiast | Health Influencer & Coach Contact Hyderabad 9154575937 Twitter Threads Instagram Email Hi..👋 i am Dr. Sai charan kulkarni a dedicated General Medicine Doctor committed to enhance patient well-being through a holistic approach. With expertise in preventive and therapeutic medicine , precision healthcare , and the integration of artificial intelligence into clinical practice, To empower individuals to take charge of their health, one personalized step at a time. 🌿💙 Objective As a dedicated General Medicine Doctor , I am committed to enhancing patient well-being through a holistic approach. My expertise spans preventive and therapeutic medicine , precision healthcare , and the integration of artificial intelligence into clinical practice. Professional Highlights: Preventive Medicine Champion : Educate patients on heal
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
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