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PRE FINAL LEARNING OSCE QUESTION

Mini mental scoring examination ? Score Score-5:what is the year ?season?date?day ? Score-5:where are we now? State?country?city?hospital? Score-3 name three unrelated objects clearly and ask the patient to repeat them the examiner should repeat until the patient clearly understand them ? Score -5 Spell the words backwards? Score -3 earlier I have told you three things can u tell me what those were? Score -2 show the patient simple things like watch and ask him to name them ? Score -1 Repeat the phrase no,and ,if Score -3 take a paper in right hand hold it and put it on the floor Score-1 please read the sentence and do what it says like "close your eyes" Score -1 make up and write a  sentence about anything  Score -1 draw any diagram and ask the patient to draw it again  Total score is 30 A score of 25 or above is considered normal ,a score of 24 or below considered abnormal 

60 YEAR OLD MALE CKD ON MAINTENANCE HEMODIALYSIS WITH ANEMIA OF CHRONIC DISEASE WITH HYPERTENSION

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This is an a 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. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted A 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with   Chief complaints: -Pedal edema since 3 months -shortness of breath since 20 days - decreased  urine output since 15 days History of presenting illness: The patient was apparently asymptomatic 3 months back when

80YEARS OLD MALE WITH C/O FEVER

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80YEARS OLD MALE WITH C/O FEVER SINCE 1DAY October 28, 2023 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 patient's clinical problems with collective current best evidence based inputs". This E log book also reflects my patient-centred online learning portfolio and your valuable comments on comment box is welcome.  I've 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 a diagnosis and treatment plan.   Chief complaints : Patient came with chief complaints of fever since 1 day HOPI Patient was apparently asymptomatic 1

60F Diabetes 10 days, fever, weakness since 1 day

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment .  I am presemting a case of 60 year old female, house wife resident of addaguduru, came to opd with Chief complaints: High grade fever since  6 days, not associated with chills and rigor, complaints of weekness since 2 days.  History of present illness: Patient was apparently asymptomatic 5 days back and then she developed fever  high grade , continuous not associated with chills and rigor  C/o generalized weakness since one day, urinary incontinence,  So they went to local hospital a

60 year old male with Uncontrolled blood sugars with right lower limb cellulitis

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment .  C/o swelling of right lower limb since 8 days. HOPI Patient was appalently asymptomatic 5-6 days back, then he developed a small swelling over right lower limb near ankle  joint which he scratched and later swelling gradually increased.Associated with pain.On checking GRBS at presentation blood sugar levels found to be 542 mg/dl. No H/o fever,Nausea ,vomiting,Burning micturation. Past history : Known case of DM type 2 since 9 years on GLIMI M2 N/K/C/O HTN,CVA,CAD,TB,Epilept,Thyroid

77Y M with swelling on the left leg

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A patient named aged 77 years came to opd Chief complaint :  swelling on left leg since 15 days, low grade fever since 15 days History of present illness  :  patient was apparently asymptomatic 15 days ago, then he developed swelling in his left leg           -which is insidious in onset,           - gradually progressive           -no relieving or aggravating factors Low grade fever since 15 days          - not associated with chills and rigors          -no cough and cold          - relieved on medication No shortness of breath No palpitations, chest pain History of trauma is present Past history :           Known case of hypertension since 8 years Not a known case of diabetes mellitus , epilepsy, thyroid Had cellulitis,necrotizing infection 6 years ago on left leg Had a accident with car 9 years ago,had a tibia implant 9 years ago, it was removed 5 years ago Personal history :            -mixed diet            -regular bowel and bladder movements            - adequate sleep