Pre final OSCE and learning points
OSCE questions :
Causes : - Gallstones
- Alcohol
- Idiopathic
- post-ERCP
- Trauma
- Drugs(azothioprine,thiazide diuretics,sodium valproate)
- sphincter of oddi dysfunction
- scropion string
- infections (mumps,coxsackie virus)
- Renal failure
- Organ transplantation
- metabolic( hypocalcaemia,hypertriglyceridaemia)
- sever hypothermia.
Pathogenesis :
What happens if not treated?
2.Learning points :
1) Importance of taking daily routine of the patient.
Daily routine of 42 yr male patient :
1) He wake ups at 5:00am in the morning and takes khaini(one pack per 2 days).
2) 5:00- 6:00am = He does brushing, takes bath and chit chats with his neighbours.
3) 6:00-7:30 am- He goes to his 2 acres of land to irrigate.
4) 7:30am = he returns to his house and takes tea.
5) 7:30- 1:30 pm = he goes for labour work in his village.
6) 1:30 - 2:00 pm = launch- rice with one curry at his work place.
7) 1:30- 5:00pm = he continues to do his work.
8) He returns to his house at 5:30 pm and again takes khaini.
9)5:30-8:30 pm= he chit chats with his friends and takes 90 ml of whisky( oc brand ) every day.
10) 8:30 pm = he takes his dinner with rice and curry.
11) at 9:00 pm he goes to bed
From past 15 days he was taking alcohol continuously( 3 times a day one bottle) due to state elections which caused him to land up in hospital with acute pancreatitis.
2) how to Come to diagnosis based on complete history taking ( taking history completely and correctly plays major role in diagnosis).
