PRE FINAL OSCE AND LEARNING POINTS

OSCE
1. Schizophrenia diagnosis:
It is diagnosed primarily on clinical basis but investigations may be required to rule out organic brain diseases

SYMPTOMS
1.FIRST RANK SYMPTOMS OF ACUTE SCHIZOPHRENIA
-AUDITORY HALLUCINATIONS
-Broadcasting, insertion orwithdrawal of thoughts
-Controlled feelings impulses or acts
-Delusional perception

2. SYMPTOMS OF CHRONIC SCHIZOPHRENIA
-FLATTENED EFFECT 
- LOSS OF DRIVE 
-SOCIAL WITHDRAWAL
- POVERTY OF SPEECH
- POORSELF CARE



2AMOUNT OF ALCOHOL IN AN AVERAGE DRINK 
-BEER - 4%
-WINE-13
-ALCOPOPS-6%
-SHERRY-17.5%
- VODKA/RUM/GIN-37.5%
- WHISKU/BRANDY -40%







LEARNING POINTS:
- I learnt difference between Black eye and and bruise 
- learnt how to build up communication skills with the patient and get detailed history 
- learnt about diagnosis of schizophrenia
-  leanrt 
-how to rule out the differential diagnosis
- understood role of empathy in medical field



Comments

Post a Comment

Popular posts from this blog

Image
A 31 year old male with chief complaints of vomiting 6th dec 2023  This is an 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and th
Read more

Case of acute pancreatitis

Image
 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 patients clinical problems with collective current based inputs. Chief complaints  Patient came to the casuality with complaints of    pain abdomen since 7hrs Diffuse pain all over abdomen  Sudden in onset,non progressive  Patient was aymptomatic 7hrs ago when he had pain abdomen which was diffuse ,sudden in onset,non progressive,dull achivy type ass/c 1 episode of lose srools on the same day  No c/o vomitings,fever,SOB History of presenting illness Last alochol intake:2dyas ago-90ml Occasional drinker  Pt  had alcohol intake daily  No other addictions History of past illness Had similar complaints in the past in 2019 N/K/C/O DM,HTN,TB,thyroid disorders,epilepsy Personal History Ma
Read more

PARAPERESIS

Image
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 patients clinical problems with collective current based inputs. Chief complaints Patient fell down when tried to stand up and hit her head to the ground  Lack of appetite Vomiting  History of presenting illnesses  Patient was apparently asymptomatic 5days back  MONDAY  she felt weakness and tremors She was unable to grasp the water glass when tried to drink water TUESDAY she was unable to walk due to increased pain in legs She fell down as soon as she tried to walk History of past illness Not a known case of diabetes, hypertension, thyroid, seizures She underwent hysterectomy 2 months back No blood transfusion recently Personal History Sleep - inadequate Appetite - normal but causes
Read more