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OSCE Pre final examination

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What is the pathway of metabolic syndrome Metabolic Syndrome  Metabolic Syndrome represent a cluster of metabolic abnormalities that include hypertension,central obesity , insulin resistance and dyslipidemia and is strongly associated with increased risk of developing diabetes and atherosclerotic and non atherosclerotic cardiovascular disease . The pathogenesis of metabolic Syndrome involves both genetic and acquired factors that contribute to the final pathway of inflammation.  Difference between seizure and pseudo seizure 1) During an attack findings such as asynchronous or side to side movement, crying, eye closure suggest pseudo seizure whereas occurance during night suggest true seizure. 2) lack of any symptoms and memory of the attack  suggest pseudo seizure whereas confusion , stertorous breathing suggest true seizure. Learning points  1)Importance of proper history taking and prior treatment taken . 2)Importance of early diagnosis and prevention of compl
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65 year old female patient with seizure

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This is an 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. 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. A 65yr old female resident of lingotum with history of seizures  Chief complaints:- The patient was brought to casuality with chief complaints of Active involuntary movements ,since 30 minutes, history of frothing , mouth deviation to left  uprolling eyeball ,no h/o of tongue bite, urinary incontinence, fever, head injury, vomitings, lo
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2nd internal

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CLD

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Welcome and greetings to every one who are visiting this blog. I am M.Anjali student of 8th sem.This is an online E log platform to discuss our patients de- indentified health data shared after taking his / her guardians informed consent. Introduction A 67 yr old male who have abdominal distension brought to the OPD. Patient has chief complaints of shortness of breath and raise in temperature since 10 days HISTORY OF PRESENT ILLNESS •H/O breathlessness of grade 2 since a month gradually progressing Disturbed sleep •No H/O of chest pain/ cough/ cold. B •He then came here and got admitted for treatment  HISTORY OF PAST ILLNESS  •NO H/O  previous abdominal surgeries. Pt had breathless ness for which bought for consultation and diagnosed with HTN and DM 6 yrs back  He is on medication  1 t amlodipine 5 mg po/od at 8 am  2. T glimipiride 2 mg + met formin 1000 mg po/ od at 8 am  He is known case of CVA hemiplegia on rt side with deviation of mouth to left side 15 yrs ago  Got treatment for
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gm blog

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A 42 Year old male with Altered Sensorium Chief Complain : A 42 year old male was brought to casuality in a state of altered sensorium with history of fever since 10 days , vomiting since 10 days , generalised weakness and drowsiness since 10 days. HOPI : Patient was asymptomatic 1.5 years ago and then developed involuntary movements of upper limb and lower limb associated with uprollong of eyes and for which he was taken to alocal hospital and was diagnosed to be having alcoholic encephalopathy and dyseloctrolytemia for which he was treated conservatively and was discharged in a hemodynamically stable condition.  From then he was asymptomatic until 10 days ago , when he developed fever which is of low grade and relieved on medication and developed generalised weakness and vomiting 4-5 episodes in a day and the content are food particles and non- bilious and also associated with nausea. C/O generalised weakness and drowsiness since 10 days. With above complains patient visited multiple
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BPPV

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  DEIDENTIFICATION -  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 60 year old female homemaker by occupation came to the casualty with C/o giddiness since last 4 hrs.  HOPI - Patient was apparently asymptomatic till 12:00 a.m. today, then she had sudden onset of vertigo with vomiting episodes Vomitings- 2 episodes, non projectile, non bilious, contain food particles as content.  No H/o tinnitus, nystagmus, diplopia No H/o trauma Fever -nt Cough -nt Cold -nt Palpitations -nt Headache -nt SOB - nt Past History - K/c/o Hypertension- On medication(Atenolol 25mg) Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy. H/o Rt. Open simple nephrectomy done under GA 2 months back i/v/o Right Non Functional Kidney with Right Gross Hydronephrosis. Hysterecto
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