prefinal practical osce and learning points

Blog link :

https://149akketirithvika.blogspot.com/2023/12/bronchial-asthma-with-type-2diabetes.html

OSCE:

1. how do you differentiate between bronchial asthma and COPD clinically ?

For asthma 

Variation in symptoms over hours ,days , minutes .

Symptoms worse during the night and early morning,during cold

Symptoms triggered by excercise,emotions induced by laughter, exposure to dust or allergens 

Disease course is stable with exacerbations

For COPD

Persistence of symptoms despite  treatment 

Good and bad days but always daily symptoms and exertional dyspnea 

Chronic cough with sputum unrelated to triggergens.

Disease course progressive worsening .

    

2.What are the complications of diabetes?

Acute complications 

1.diabetic ketoacidosis

2.hypoglycemia

3.lactic acidosis

Chronic complications

1.microvascular

  Diabetic retinopathy

  Diabetic neuropathy

  Diabetic nephropathy

2.macrivascular

   Coronary artery disease

   Peripheral vascular disease

   Cerebrovascular disease

Others 

Dermatological ,cataract,glaucoma,infections.

Learning points :

 1.learnt about how to differentiate asthma and COPD clinically

2.learnt about treatment of diabetes

3.learnt about complications of diabetes

4.learnt how to suspect  heart problems phenotypically

5.learnt about how the disease effects her daily routine