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OSCE AND LEARNING OBJECTIVES FOR PRE FINAL EXAMINATION

 A 75year old farmer presented with chief complaints of anuria since 3 days and generalized weakness since 15 days. Based on history:- 1. What triggered the back pain to relapse again after having no complaints since 5 years after treating it conservatively? 2. Was the anuria sudden or was it decreased urinary output which progressed to anuria? 3. History of chronic alcoholism is present but the patient says he was abstaining alcohol since 1 year are his findings correlating with his said history. 4. What investigations were done when he had back pain? 5. What was the treatment given to him 5 years back for back pain? Based on examination and investigation:- 1. What are the reasons for pallor and edema? 2. What are the reasons for elevated urea levels in renal function tests? 3. What are the reasons for elevated creatinine levels in renal function tests? 4. What is the reason for low hemoglobin and increased neutrophils, lymphocytes? 5. Ultrasonography findings point to which kidney pa
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Ascites secondary to chronic liver disease.

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  THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . This E blog also reflects my patient-centered online learning portfolio and your valuable input in the comment box are 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, and investigations, and coming up with diagnosis and treatment plan The patient/attender was informed of the purpose of the information being acquired. Informed consent was taken from the patient/attender and there is the omission of information that was r
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