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:- Abductor Hallucis belongs to the superficial layer of the plantar foot muscles, alongside the Flexor Digitorum Brevis and Abductor Digiti Minimi.

Adduction:-Adductor hallucis muscle



LEARNING POINTS:-
1.How to correlate history with the cause of disease?
2.what is the importantance of daily routine approach?
3.Causes of decreased urine output
4. Causes of muscle atrophy
5.The importance of taking a detailed history 




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