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PREFINAL OSCE

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  Osce questions What is the criteria for weaning off patient from ventilator? Subjective assessment:      Adequate cough      No neuromuscular blocking agents       Absence of excessive trachea bronchial secretions       Reversal of underlying cause of respiratory failure       No continuous infusion of sedatives Objective assessment:      Stable cardiovascular status      Heart rate <140 beats/min      No active myocardial ischemia       Adequate heamoglobin level >8g/dL      Systolic blood pressure 90-160mmHg     Temperature-afebrile   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        Peep (positive end respiratory acidosis) < 8 cmh2O       O2 saturation >90% on FIO2 <0.4 How to differentiate between bronchial breath sounds and normal vesicular breath sounds? Normal vesicular breat
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Prefinal case- 83 yr old male with shortness of breath with pneumonia

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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 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 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 83yr old male came with complaints of  shortness of breath since 17 days. chief  complaints:  cough since 20 days Fever since 19 days shortness of breath since 17 days History of Presenting illness: Patient was adm
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A 60years old male with complaints of fever and cough

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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. 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." I’ve 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: Fever since 1 day  Cough since 1 day  Vomiting since today morning  HOPI   pt was apparently asymptomatic then he developed fever which is of high grade intermittent a/w chills and ri
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2nd internal examination

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 Sri chakra   Roll no 72 
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A 19years old female with complaints of cough with sputum

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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 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 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 19 year old girl studying 12th grade from devarakonda came to the GM OPD with CHIEF COMPLAINTS -  Cough with sputum from 5 days. HOPI :  Patient was apparently asymptomatic 5 days ago. Then she developed cough whic
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