General Medicine Answer Booklet

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OSCE and Learning points

OSCE : 1) How do differentiate between bronchial and vesicular breath sounds?  Bronchial sounds (also called tubular sounds) normally arise from the tracheobronchial tree. - They are heard as loud, harsh and high pitched sounds over the right apex. - Vesicular sounds normally arise from the finer lung parenchyma. - They are heard during expiration.  Vesicular breath sounds are soft, low pitched, predominantly inspiratory, and appreciated especially well at the posterior lung bases.  2) What is CT scan?  Computerized Tomography is an X ray scan which combines the series of X ray images taken from different angles around the body and uses computer processing to create cross sectional images of bone, blood vessel and soft tissues. - It provides more detailed information than a normal X ray.  3) Furosemide effects on AKI?  Furosemide is a loop diuretic commonly used to promote diuresis in ill patients with fluid overload. - It causes greater loss of water than ...
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GM case

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.   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 a diagnosis and treatment plan.                          CASE: 17 year female came with the complaints of vomitings and loose stools since 1week CHIEF COMPLAINTS: Vomitings since 10 days Loose stools since 10 days Fever since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic One week back, then  she developed loose stools and vomitings. Loose stools:- 4-5episodes, water in consistency, non foul smelling, no blood tinged. Vomitings:- 4-5 episodes, non projectile, non bilious,non foul smelling contents include food particles,Which subsided on ...
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