SECOND INTERNAL EXAMINATION SEPT 2023

 




















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OSCE and key learning points (prefinal examination)

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 A 55 year old male came to the OPD due to weakness and inability to walk History of Present Illness Patient was asymptomatic a few days ago. He was brought to the OP due to extreme weakness and inability to walk. He was facing shortness of breath. On X-Ray examination, fibrotic lesions were more prominent in the left lung. Serum creatinine levels were high.  Past History He is a known case of diabetes (detected 2 years ago) and HTN (since 10 years). He is taking regular medication for these conditions.  X Ray findings indicate the possibility of Tuberculosis. H/O arthritis, gout and nephritis. High uric acid levels associated with pains were recorded during his previous hospital visits.  A month ago, he indulged in heavy alcohol consumption and reduced food intake which may have led to the current complaints. The first time he was hospitalized, it was about 10 years ago due to seizures that were not associated with any brain disease.  The second time, the patie...
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