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OSCE QUESTIONS

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 60 year old female who came with complaints of shortness of breath which were intermittent and increased since the last 2 months after clinical examination was diagnosed with acute exacerbation of bronchial asthma  1. Cardiac Asthma :  In a case which may present as intermittent shortness of breath can also be a case of cardiac asthma and clinical examination should be done to differentiate cardiac asthma from bronchial asthma Cardiac asthma is not a true form of asthma; it is a manifestation of congestive heart failure. It results from the accumulation of fluid in the lungs due to impaired cardiac function. The differentiating factor of bronchial asthma is it's intermittent nature.  2. Action of Biguanides:  3. Role of adipokines in Insulin resistance:  Adipose tissue acts as an endocrine organ to secrete 'adipokines' and works with the liver and brain to maintain an energy hemostasis.  These adipokines have varying effects—some exhibit anti-inflammatory properties, while
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60 F with SOB since 2 months

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 ---------------- NOTE:  The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio. 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 a diagnosis and providing treatment best to our skills and wisdom.  ------------------ Patient is a 60 year old housewife, resident of narketpally  Chief complaint:  Shortness of breath since 2 months Chest pain 10 bays back HOPI :  Patient was apparently asymptomatic 2 months ago when she
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2nd Internal 14/07

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43 year old male with Alcoholic liver disease

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---------------- NOTE:  The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio. 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 a diagnosis and providing treatment best to our skills and wisdom.  ------------------ Patient is a 43 year old male, petrol pump operator by profession resident of narketpally.  Chief complaint:  Shortness of breath since 15 days  Abdominal distention since 15 days  5-6 episodes of vomiting
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