4)Case based OSCE along with BLOOM’S learning levels Achieved It all started when I was asked to send for the investigations of a 35 year old female who was taken over from the department of Dermatoloy on my OP day. I reluctantly went up as I was already on a roll with the 36hr shifts I had to take. But then as I went to the patient I was filled with compassion for that Thin and undernourished patient who was going through a lot!! A 35 year old female presented with C/o painful skin lesions over arms, legs, back since 2 months -C/o Fever and Burning Micturition since 4 days HOPI- Patient was apparently asymptomatic 2 months back then she developed painful skin lesions over arms, legs, back. The lesions were sudden in onset, gradually progressive, with no aggravating and relieving factors. H/o vesicles associated with pus discharge + H/o fever since 4 days, not associated with chills and rigors, no diurnal variation, relieves with medication. H/o burning micturition since ...
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A 25 year old male who is a resident of Choutuppal and a driver by occupation came with CC of Pain and Redspots on the tips, pulp and nailbed of fingers (Rt hand) since 4 days ✓HOPI- The patient was apparently asymptomatic one and a half month back then he had burning sensation in the epigastric region aggravated on having heavy and spicy food. Associated with bloating after intake of food and abdominal tightness. For which he got treated by a local doctor ( Pantop-D for 6 days) Then 4 days back he had dragging type of pain which was sudden in onset and aggravated on doing work and relieved on rest. No H/o trauma. There are Redspots on the tips,pulp,nailbed of fingers of Right UL. ✓Past History - N/k/c/o DM, HTN, TB, Asthma, Epilepsy ✓Personal History- Appetite - Reduced Diet- Mixed Bowel and Bladder-Regular Sleep- Adequate Addictions - Nil ✓Family History - Not Significant ✓On Examination- Patient is conscious and coherent. Thin built and well nourished. Vitals Temp- Afebri...
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