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OSCE

  PREFINAL OSCE Pathophysiology An uninjured healthy lung contains an intact respiratory epithelial layer and alveolar space patrolled by resident alveolar macrophages. Type I and type II pneumocytes contribute to regulation of alveolar contents, including surfactant, and maintain the integrity of the alveolar-capillary barrier.  Following infection or inj ury, an influx of innate immune cells such as neutrophils and monocytes migrate from the circulation into the interstitial and alveolar spaces,  • During respiratory distress, damage to the epithelial and endothelial layers results in breakdown of the alveolar-capillary barrier and accumulation of edematous fluid and debris in the alveolar spaces. Pro-inflammatory and destructive functions of alveolar macrophages, monocytes, and neutrophils co ntribute to disease pathology.  • The consequence is the loss of alveolar-capillary barrier function. This disruption permits the accumulation of proteinaceous fluid in the alveolar space coupl
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Pre final

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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. 83yr old male came with complaints of  shortness of breath since 10 days. chief  complaints:  cough since 14 days Fever since 12 days shortness of breath since 10 days History of Presenting illness: Patient was admitted to ICU 16 days back with  breathlessness. It was insidious in onset and
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Fever and productive cough

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  32yr old male with fever since 10days and productive cough since 5days August 03,2023 This is 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. 32 year old male who is a village revenue assistant by occupation came to opd with c/o  Fever since 10 days Productive cough since 5 days HOPI: Patient was apparently asymptomatic 10 days ago then he developed fever which is low grade , intermittent type, Mainly during night time and relived temporarily with medication , associated with chills and rigors. C/o productive cough with mucoid sputum, intermittent type, which is mainly during night time. -Generalised weakness present -Not associated with burning micturition ,cold,rash ,body
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19 yr old boy with Pyrexia

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 Agust 2,2023 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 patients 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 comment box is welcome.  A 19year old male came to the opd with complains of fever since 30 days.C/O SOB since 15 to 20 days HOPI:   Patient was apparently asymptomatic 1 month ago then he developed lowgrade intermittent  type of fever which aggravated since 15 days, mainly during the night time,temporarily relieved on medication.It was associated with bodypains and headache, low backache.Not associated with cold and cough, burning micturition and rash on  body.He complains of SOB  since 15
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DKA and HHS

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August 1,2023 57 M ALTERED SENSORIUM DKA 2 DAYS , CKD 1 YEAR , PANCREATITIS 1 YAER , DIABETES 1 YAER . 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 . CASE : A 57 year old male patient who is a resident of nalgonda and farmer by occupation came to the casualty with altered sensorium since 2 day and Generalised weakness and uncontrolled blood  sugar levels  since 2 day. HISTORY OF PRESENT ILLNESS :   Patient was apparently asymptomatic 1 year back . In Feb 2022 he started to talk irrelevantly and unable to recognize his family members so they went to a local Rmp who inform
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