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OSCE AND LEARNING POINTS

https://saiharshithak.blogspot.com/2023/12/a-case-of-63-yr-old-male-with-decreased.html OSCE QUESTIONS 1. The sensitivity of diagnosing BPH or prostatomegaly by ultrasound? BPH appears in TRUS as an echogenic and non-mobile mass. TRUS is mainly used to assess prostate volume, which is crucial for therapeutic strategies. Prostate volume can be estimated by serial planimetry, orthogonal plane, rotational body (single plane, ellipsoid) and three-dimensional methods. Staging sensitivities in studies using grey-scale TRUS varied between 30% and 50% with specificities between 77% and 96%. Three-dimensional TRUS aided in the assessment of extracapsular extension and seminal vesicle invasion. 2. Causes of muscle atrophy in the leg since childhood ? remaining immobile for long periods due to illness or injury age malnutrition genetics neurological problems certain medical conditions, such as arthritis, myositis, ALS, and MS 3. Muscles responsible for abduction and adduction of foot? Abduction:-
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A case of a 63 yr old male with decreased urine output and sob

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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. 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. A 63 yr old male resident of Ramanpeta a retired accountant came to the OPD with CHIEF COMPLAINTS: decreased urine output since 1 day Shortness of breath since 1 day HISTORY OF PRESENTING ILLNESS: Patient was ap
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2nd internal assessment

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Gm blog series -(26/4/23)

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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  CHIEF COMPLAINTS AND HOPI: A 56 year old male patient who is a resident of koilagudem (nalgonda district)who is a daily wage labourer by occupation brought to the casualty in unresponsive state at 1:30 Am .patient was found drowsy from 1 pm on 25/04/2023 And suddenly developed seizure like activity associated with slurring of speech,uprolling of eyeballs,stiffness of all four limbs, Associated with involuntary defecation and micturition and found unresponsive.  No h/o fever ,cough. No h/o neck stiffness and projectile vomitings.  No h/o generalised weakness ,tingling,numbness. No h/o head trauma. Cheif complaints of swellings with discharge not associated with pain on the l
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A 65 yr old man..

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This is online E book to discuss our patients health data shared after taking his guardians informed consent form I have been  given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings investigations and come with a diagnosis and treatment plan. Case scenario: A 65 yr old man came to OPD with chief complaints of backache and pain in knees while climbing stairs CHIEF COMPLAINTS  Chronic back pain Pain in knee joints Bilateral pedal edema Burning micturition and pus in urine  Constipation  HISTORY OF PRESENTING ILLNESS    Patient was apparently asymptomatic 1yr ago and developed chronic back pain  and pain in knee joints since 1yr. Bilateral pedal edema since 1yr(non pitting type) Constipation since 4 months. Stool passage is once in 4 to 5 days. Burning micturition and pus in urine since 2 months History of past illness    He was not a kn
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