Pre final OSCE and learning points

OSCE questions :


What is pathogenesis of acute pancreatitis ?
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).

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42 yr old male