Prefinal practical Osce and learning points

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Blog:https://146venkatameghanabadam.blogspot.com/2023/12/this-is-online-e-logbook-to-discuss-our.html


 OSCE:

1.How do you differentiate between bronchial asthma and COPD?

For Asthma:

Variation in symptoms over hours ,days , minutes .
Symptoms worse during the night and early morning,during cold
Symptoms triggered by excercise,emotions induced by laughter, exposure to dust or allergens 
Disease course is stable with exacerbations

For COPD:

Persistence of symptoms despite  treatment 
Good and bad days but always daily symptoms and exertional dyspnea 
Chronic cough with sputum unrelated to triggergens.
Disease course progressive worsening .
    
2.What are the complications of diabetes?

Acute complications 

1.diabetic ketoacidosis
2.hypoglycemia
3.lactic acidosis

Chronic complications

1.microvascular
  Diabetic retinopathy
  Diabetic neuropathy
  Diabetic nephropathy
2.macrivascular
   Coronary artery disease
   Peripheral vascular disease
   Cerebrovascular disease

Others 
Dermatological ,cataract,glaucoma,infections.


Learning points:

1.learnt about how to differentiate asthma and COPD clinically

2.learnt about treatment and complications of diabetes

3.how to suspect heart problems phenotypically

4.how the disease effects her daily routine 

5.How to differentiate the coarse crepitations vs fine crepitations  

6.I have learnt about the importance of detailed history taking to rule out the factors that exacerbate her symptoms.






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