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



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