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PRE FINAL OSCE

  1) Criteria for weaning patient off of ventilator?   -> Subjective assessment:      Adequate cough      No neuromuscular blocking agents       Absence of excessive trachea bronchial secretions       Reversal of underlying cause of respiratory failure         -> Objective assessment:      Stable cardiovascular status      Heart rate <140 beats/min      No active myocardial ischemia       Adequate heamoglobin level >8g/dL      Systolic blood pressure 90-160mmHg       -> Adequate oxygenation:       Tidal volume >5mL/kg       Vital capacity >10mL/kg       Proper Inspiratory effort        Respiratory rate <35/min       PaO2 >60mmHg, PCO2 <60mmHg       No significant respiratory acidosis  • Reference- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893753/ 2) CPAP for pneumonia treatment  • The Cpap does not treat pneumonia directly but can reduce the work of breathing often seen with pneumonia. In most cases rpneumonia is unilateral and can interfere with gas e
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83 year old male with shortness of breath

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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. 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. ——————————————————— ————— - > Chief complaints: • Cough since 16 days • Fever since 14 days • Shortness of breath since 12 days -> History of Presenting illness: Patient was admitted to ICU on 20/11/23
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45 year old male with generalised weakness and SOB

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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. 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. ——————————————————————— A 45 year old male from Miryalaguda, farmer by occupation came to the OPD with complaints of •generalised weakness  •mild shortness of breath since 5 months.  HOPI -  •Patient was ap
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First internal (8th sem)

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50 year old female with slurred speech and right lower limb weakness

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. 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. ————————————————————— ->  A 50 year old female patient brought to the casualty complaining of slurred speech and and weakness of Right lower limb since 1 day. -> HOPI Patient was apparently asymptomatic
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31 year old male with 20 episodes of loose stools

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This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent.  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 and investigations.  —————————————————— A 31 year old male, farmer by occupation, came to general medicine OPD with chief complaints of:  • loose stools since two days (20 episodes) HOPI :- •The patient was apparently asymptomatic two days back, then he developed episodes of loose stools after consuming outside food. He consumed fried rice the night before commencement of loose stools.  •He had 28 episodes of loose stools on the first day and 20 episodes on the second day. The stools were of large quantity, non foul smelling and loose.  It was associated with abdominal pain  •He has fever since 1 day, which is high grade and intermitte
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