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