Dr Saicharan Kulkarni MD

CASE - 1 .https://aniganikavya06.blogspot.com/ What is the reason for giving thiamine in this patient?  I agree that thiamine should be given to the patient, as he is a chronic alcoholic, there is deficiency of thiamine due to reduced absorption at the level of intestine, as thiamine has many functions regarding the metabolism, lack of it creates imbalance and some neurological disturbances. So, in order to prevent this thiamine should be given to the patient CASE - 2 https://blendedasessmentmadhukumar.blogspot.com/  Why haven't we done pericardiocentesis in this patient?     I agree to the answer given, as there is less pericardial effusion and it is resolving on its own. In this case pericardiocentesis cannot be done, as it requires a large quantity of pericardial effusion. As there no cardiac tampanode in this patient which is an another reason we are not considering pericardiocentesis.  CASE - 3 .https://amitsharma1996.blogspot.com/ What is the probabl...

5/7)2021 -  6/7/2021 - learnt usg airway anatomy 7/7/2021 - leant usg brachial plexes  8/7/2021 - learn USG lung from CCD 9/7/2021 - presented seminar on syncope. 10/7/2021

34F presented to EMD with c/o occipital headache radiating to neck  6 episodes of vomitingsb becamedrowsy but arousable and  irrelavant talk since yesterday Patient was apparently normal till yesterday then she developed occipital headache Bp 180/100mmhg Pr 86 RR 20 Spo2 96 Grbs 180 GCS E4V5M6 moving all limbs Pupils reactive. No other deficits. Diagnosis :  Acute IVH with B/l ICA stenosis ? moya Moya patient was monitored in view of uncontrolled hypertension and after stabilisation shifted to ward. thrombophilia profile shows intermediate mutations in FGF beta. next day patient developed weakness of U/L upperlimb and lower limb developed ischemic stroke. patient gained power in 5-6 days after physiotherepy then was discharged in view of neurosurgical intervention.

Question 1 https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Questions: 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Evolution of symptomatology and Event timeline- 20 Years ago - SOB Grade1 for a week , occurred every year for the same duration 18 Years ago- Polyuria and was diagnosed with DM 12 Years ago - SOB Grade 1 for a month 1 Month ago - Weakness was given iv fluids 30 Days ago - SOB ( latest episode) gradually progressive 20 Days ago - HRCT showed Bronchiectasis 15 Days ago - Pedal edema and facial puffiness 2 Days ago - SOB Grade 4 , drowsiness and decreased urine output.  Anatomical location of the problem is BRONCHIOLES,RIGHT heart failure(Cor pulmonale) Primary etiology is rice dust exposure as patient is a farmer working in paddy fields,home chulla usage 2) What...

50 year old,male patient with history of dysphagia and altered sensorium. M.Rambai,8 th semester Roll number:78 I've 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 a diagnosis and treatment plan.  Following is the view of my case(admitted on 28/5/2021. CASE:              50 year old,male patient,farmer by occupation,came with chief complaints of Dysphagia ( both solids and liquids) since 2 days .Altered sensorium since 2 days . irrelevant speech and not oriented to commands since 2 days . decreased urine output since 2 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back, following which he had throat pain, which slowly progressed to difficulty in swallowing to both solids and liquids since 2 days No hoarseness of voice Patient...