OSCE pre final

OSCE

 

1.Death of patients due to bleeding in dengue fever.

Link- https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3642057/&ved=2ahUKEwjChuq0g_aCAxWZ8zgGHS5YCAMQFnoECBgQAQ&usg=AOvVaw2FwLuJ3VjRMvxmIYsKWR27


  • This is a retrospective study conducted in Malaysia to examine dengue deaths due bleeding  from June 2006 to October 2007.
  • There were ten fatal dengue cases between the periods of June 2006 to October 2007. 
  • Nine cases were female.
  •  The age range was between 11 to 59 years with a median age of 32 years. Adults over 18 years old comprised 80% of all the fatal cases.

2. Studies done on IV vs oral paracetamol

https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://pubmed.ncbi.nlm.nih.gov/24124372/&ved=2ahUKEwiT2-2HhfaCAxXWwjgGHbCUAgAQFnoECBgQAQ&usg=AOvVaw35HJWCPg95qdO8U8TKXzxl

  • This is a Randomized controlled study of the antipyretic efficacy of oral paracetamol and intravenous paracetamol in patients presenting with fever.
  • intravenous paracetamol showed superior antipyretic activity than oral paracetamol in this study.
3. IV fluid management in dengue fever.

https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.ivteam.com/intravenous-literature/intravenous-fluid-replacement-therapy-in-the-management-of-dengue/&ved=2ahUKEwjNjPzAivaCAxWzcWwGHRPZD-s4FBAWegQIDRAB&usg=AOvVaw1ljYENIR1bOukCh7ss60tH

  • Clinical management of dengue relies on careful monitoring of fluid balance combined with judicious intravenous (IV) fluid therapy. However, in patients with significant vascular leakage IV fluids may aggravate serosal fluid accumulation and result in respiratory distress.

Comments

Post a Comment

Popular posts from this blog

32 year old male with fever and productive cough.

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT. 32y male fever since 10 days ,productive cough since 5 days August 03, 2023  A 32 year old male who is a village revenue assistant by occupation came to opd with c/o  Fever since 10 days Productive cough since 5 days HOPI: Patient was apparently asymptomatic 10 days ago then he developed fever which is low grade , intermittent type, Mainly during night time and relived temporarily with medication , associated with chills and rigors. C/o productive cough with mucoid sputum, intermittent type, which is mainly during night time. -Generalised weakness present -Not associated with burning micturition ,cold,rash ,bod
Read more

A 25 year old female with Dengue.

Image
 GM PRE FINAL PRACTICAL.  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 clinical problems with collective current best evidence based inputs. 25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever and giddiness since 7 days. History of presenting illness: Patient was apparently asymptomatic 7 days back the she developed fever  which was sudden in onset, continuous ,high grade fever, associated with chills and rigors which was relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains and joint pains. History of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive)
Read more