OSCE towards optimizing clinical complexity

 Introduction: This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book.

Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family.


Case history:

A 30 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning 

Patient was apparently asymptomatic 20 days back then he developed fever insidious in onset, gradually progressive, low grade , intermittent not associated with chills and rigors and relieved by medication

He has a history of 4-5 episodes of vomitings 5 days back. Watery, non bilious ,non projectile, with food particles as contents.

Relieved by medication (unknown)

No c/o pain abdomen, loose stools  

c/o burning micturition 2 days back, relieved now

H/o similar complaints in the past(7 years back) (hypokalemiac periodic paresis)

No h/o DM,HTN, asthma, epilepsy,cad, thyroid disorders 

He used to take alcohol occasionally for the past 10 years and stopped taking 1 month back

He takes betel leaf(pan) once in 2 days for the past 10 years 


1)List all the complaints of the patient related to hypokalemia


2)Why did the patient develop all the symptoms listed above 20 days back 

Can we relate the potassium levels to the patient symptoms? 

3)

What level of  hypokalemia cause tingling and numbness ?

Comments

Post a Comment

Popular posts from this blog

30 year old female with SOB

Image
  This is an elog documenting the patients that I witness during my Clinical Postings to enforce a greater patient centered learning and  I  shall be presenting this case for my Prefinal Practical Examintation. ( 30th March 2022 )    DEIDENTIFICATION :  # The privacy of the patient is being entirely conserved. No identifiers shall be revealed  through out the piece of work whatsoever. 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.  INTRODUCTION  :   Here we shall discuss about a patient who is a 30 year old lady hailing from  a village in the Southern part of India  . TIMELINE OF EVENTS  :  PRESENT COMPLAINTS:  March 15,2022 30 years old female homemaker by occupation was admitted to the General Medicine department with the  CHIEF COMPLAINTS OF :           Cough , dyspnea since the past 4 days , got aggravated the night before. High gra
Read more

MEDICINE CASE BASED LEARNING

Image
  I have been given the following cases to solve in an attmept 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 diagnosis and coem up with a treatment plan. This is the link of the questions asked regarding the cases: http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 1) Pulmonology  A) Link to patient details: https:// soumyanadella128eloggm. blogspot.com/2021/05/a-55- year-old-female-with- shortness-of.html Questions: 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem?   Answer:  The following is the event timeline of symptom occurrences in the patient:  1st episode of SOB 20 years ago was of Grade 2. Lasted one week. Relieved on medication  Ne
Read more

34 year old male with hypertension

Image
 This is an 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 patient's 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 the 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 a diagnosis and treatment plan.  CASE HISTORY: A 34 year old male ,mason by occupation came with the chief complaints of: 1.Blurring of vision Right eye more than left eye since 3 years and episodes of giddiness
Read more