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OSCE and LEARNING POINTS

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 OSCE Questions:  From psychiatric illness of patient First rank symptoms of schizophrenia  A = Auditary hallucinations second or third person B = Broadcasting, insertion/withdrawal of thoughts C = Controlled feelings , impulses or acts  D = Delusional perception • Symptoms of chronic schizophrenia Blunted effect Apathy and loss of drive Poverty of speech Poor self care    Differentiation between schizophrenia and substance misuse(alcohol)  running commentary voices i.e auditory hallucinations suggests schizophrenia Visual hallucinations are more common in alcohol misuse.   ( Reference: Davidson's Medicine ) Amount of alcohol  in an average drink LEARNING POINTS I have learnt causes of gastritis which include Helicobacter pylori (initial infection) Drugs : Aspirin, NSAIDS , Iron preparations Severe physiological stress such as burns, multi organ failure,  Bile reflux following gastric surgery Viral infections eg . CMV , Herpes simplex ##How alcohol causes vomiting ?? Throwing up or
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A 31 year old male with chief complaints of vomiting

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 This is an an 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 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. 
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GENERAL MEDICINE

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 INTERNAL ASSESSMENT  M.LAXMI SOWMYA ROLL NO. 71                   
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GENERAL MEDICINE : MY EXPERIENCE WITH NEURONAL AND GENERAL CELLULAR PATHOLOGIES WITH CBBLE AND PAJR

  Iam M.Laxmi Sowmya of 8th semester sharing my experiences with CBBLE and PAJR My first experience with patient : My first patient that I started as a student during my 2nd year of course was a  35 year old female with  chief compliants of  bilateral Pedal Edema  and decreased urine output with this history I thought it was may be related to kidneys.  Her diagnosis is AKI on CKD I was very nervous as  for the first  time Iam communicating with the patient but during the course I felt comfortable. She is very cooperative despite of her suffering and pain she patiently told every thing about her issues. After taking the case during clinical postings I told that I will visit her again in the evening but I went back to her next day and she questioned me why didn't you come? That surprised me a lot!!!  This experience thought me how history taking of patient plays a crucial role in coming to diagnosis and  a good communication  helps to maintain a good doctor patient relationship. My s
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A 57 year old male with complaints of generalised body weakness,pain over epigastrium......

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians  verbal 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 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. CHEIF COMPLAINTS Since 5 days :  Generalized body weakness         Pain over upper abdomen         Bilateral pedal edema         Burning sensation of both soles - SOB at rest since 3 days HISTORY OF PRESENT ILLNESS  - Patient
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