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Prefinal OSCE

1.RR in tachypnea?  -The normal respiratory rate (RR) for adults at rest is typically in the range of 12 to 20 breaths per minute. Tachypnea is generally defined as a respiratory rate that exceeds this normal range,  that is respiratory rate higher than 20 breaths per minute in adults considered tachypneic. 2.why there is tachypnea in community acquired pneumonia (CAP)despite a normal SpO2 reading of 99% ?  Reasons for tachypnea in CAP: Ventilation-Perfusion Mismatch: Pneumonia can lead to a mismatch between ventilation (airflow) and perfusion (blood flow) in the lungs. Even with adequate oxygen levels in the inhaled air, the exchange of gases in the affected areas of the lungs may be compromised, triggering a respiratory response. Increased Work of Breathing: The body's effort to overcome the decreased lung function and maintain sufficient oxygen supply to the bloodstream can result in tachypnea, despite the overall oxygen saturation appearing normal. 3.Respiratory findings in Com
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65 Yr old male with DKA with community acquired pneumonia and prerenal AKI

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Hello all this is J. Mounika, a nineth semester student.This E Log depicts the patient centered approach to learning 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. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references   A 65 year old male was brought to casualty with CHIEF COMPLAINTS Fever since 4 days Breathlessness since 1 day HISTORY OF PRESENTING ILLNESS   Patient was apparently asymptomatic 10 da
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pyrexia

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Hello all this is J. Mounika, a eighth semester student.This E Log depicts the patient centered approach to learning 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 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. 68 yr old male came to opd with chief complaints of difficulty in breathing and  fever and since 1
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lung collapse

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Hello all this is J. Mounika, a eighth semester student.This E Log depicts the patient centered approach to learning 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 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. 80 year old male with  cough and difficulty in breathing since 2 years  An 80 year old male patien
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