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OSCE on seizures

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1. Differnce between seizures and epilepsy : Seizures are sudden, uncontrolled electrical disturbances in the brain that can lead to changes in behavior, consciousness, or movements. Epilepsy, on the other hand, is a neurological disorder characterized by recurrent and unprovoked seizures. In simpler terms, seizures are the individual events, while epilepsy refers to the condition of having multiple recurrent seizures over time 2.Status epileptic treatment   Status epilepticus is a medical emergency characterized by prolonged, continuous seizures or multiple seizures without regaining consciousness in between. It requires immediate intervention. Treatment typically involves administering medications like benzodiazepines (such as diazepam or lorazepam) to stop the seizures, followed by antiepileptic drugs to prevent their recurrence. In severe cases, hospitalization and intensive care may be needed. If you suspect someone is experiencing status epilepticus, seek medical help
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20 yr old male with involuntary upper and lower limb (seizures)

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is 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, investigations and come up with diagnosis and treatment plan.  Chief complaints : A 20 year old male came to casualty with chief complaints of 4-5 episodes of involuntary movements of upper and lower limbs from 4am in the morning today (19-07-23). Today's
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seizures under evaluation

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18yr old female with abdominal pain since 4 days This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is 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, investigations and come up with diagnosis and treatment plan.   Pt presented to the casualty with complaints of  Vomitings and loose stools since 10 days Abdominal pain since 4 days Generalised weakness and giddiness since
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40Y M with b/l upper and lower limb weakness

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A 40 year old male patient with slurred speech and weakness of B/l upper and lower limbs  This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is 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, investigations and come up with diagnosis and treatment plan. CASE: A 40 year old male patient came to the casualty complaining of slurred speech and and weakness of bilateral uppe
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Left sided weakness under evaluation (upper limb and lower limb

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Date 12/7/23 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is 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, investigations and come up with diagnosis and treatment plan.  Chief compliants:  Chief compliants of difficulty in walking since 5 to 6months  c/o Left sided Pain and weakness since 4 to 5 months both upper and lower limbs  HOPI:Patient was apparently asympt
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acute epigastric pain

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Chief compliants: came with c/o pain since 1pm (5/7/23) in epigastric region(around last 4 hours) HOPI: pt was apparently asymptomatic till 1pm then developed epigastric pain which is insidious in onset gradually in progression  No compliants of vomiting  ,loose stools,fever , sob, pnd ,orthopnea chest pain. History of similar compliants in the past:1yr ago K/C/O HTN and DM since 1yr(telma 40mg,metformin 500 mg) General examination  On examination: Patient is c/c/c  Temp: 98.7F PR- 79 bpm RR-20cpm  BP-160/90 mm of Hg Spo2 -98%  GRBS:200mg/dl RS-B/L air entry present, NVBS CVS- S1S2present, no murmurs heard PA- tenderness present in epigastrium CNS- HMF + No FND Differential diagnosis: ? Acute on Chronic pancreatitis  ? Alcoholic gastritis  with K/c/o HTN and DM Type 2 since 2 years Investigations: chest x ray PA view  hemogram: electrolytes serum creatinine  LFT Blood urea RBS serum amylase
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CKD

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A 65yr old male patient who is a resident of nakrekal and farmer by occupation came to the OPD with the chief complaints of   Urinary retention since 2 days Abdominal distention since 2 days Fever since 3 days HISTORY OF PRESENT ILLNESS: PAST HISTORY He had right sided indirect inguinal hernia for which hernioraphy was done 13 years back. He is known case hypertension since 4 years and he is on medication since 4 years No history of diabetes,asthma,tb,cad,stroke  PERSONAL HISTORY married Diet:mixed Appetite:normal Sleep:adequate Bowel and bladder:urinary retention Addictions:regular alcoholic FAMILY HISTORY: family member has hypertension  No history of diabetes,asthma,tb,cad,stroke. GENERAL EXAMINATION Patient is concious,coherent,cooperative,moderately built and moderately nourished VITALS: Temperature:98.7°F Pulse rate:82b/m Respiratory rate:22c/m BP:140/70mmhg Spo2:99 Grbs:134mg% Pallor: present Icterus:no Clubbing:no Cyanosis:no Lymphadenopathy:no Edema:pre
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