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 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...

50 year old female, health care worker ( aayamma in orthopedic hospital ) resident of miryalguda presented with complaints of fever since 1 week, nausea and vomitings for 3 days, Rt shoulder pain since 1 week. She works in a orthopaedic hospital, does washing of patients clothes, OT gowns, other clothes with cleaning the hospital premises when ever it’s necessary. After reaching home she manages to do her work and take rest. In 2005 when her parents went to daily work ( daily waged labourers ) met with an road accident and expired, following which in there memory she tattooed there names on her right forearm. ( similar tattoos where present on her both knees, couldn’t give exact reason for them ). Since 10-11 year she had both knee joint pains for which she took analgesics with a frequency of 4-5 per month which did not effected her daily routine. Her son got married 10 years back, with daughter in law entering into her family, she got some rest and continues to work in hospital. Since...

  35 year old with pain abdomen Top of Form CHIEF COMPLAINTS :   35 year old female who is a wig maker and goes to part time work in paddy and cotton field’s presented to the Emergency department with acute history of pain abdomen & vomiting’s since 4 days     INTRODUCTION INTO BIOPSYCHOSOCIAL ASPECTS OF THE CASE:   Activities of daily leaving before illness:   Patient was apparently asymptomatic 7 years (2016) back where here daily routine before illness was waking up at 4 am after cleaning house and fresh-up herself, prepare food for the family. She used to have IDLI, DOSA, RAAGI JAVA as her breakfast and take rest for few minutes and enjoys working for family household needs like cooking, laundry, cleaning home etc. she prepare dinner and get to sleep by 10pm.   History of presenting illness:   Down the line 7 years back in 2016 while she was going in auto she was having conversation with driver (cousin) and ...