General medicine

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 sodium loss, leading to produ

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: A 65year old male who is a resident of thurkapallem, shop keeper by occupation came to opd with Chief complaints:  Fever since 6days. Breathlessness since 3days. History of present illness: Patient was apparently asymptomatic 10days back then he developed cold and cough with expectoration which is greenish and mucoid, no aggaravating and relieving factors. Now the expectoration has subsided. No h/o hemoptysis. Then developed fever 6 days back which is high grade, continuous and not associated with chills and rigor.and took medication from local RMP and got subsided. Complaints of decreased appetite si