74 Madam Sneha

 https://madamsneha74.blogspot.com/2023/12/a-55-year-old-female-resident-of.html OSCE QUESTIONS : - The patient was diagnosed hypertensive 1.5 years ago but was not compliant to the medication. What were the chances that her hypertension would have decreased if she takes medication?? as she has central obesity and sarcopenia - Was the post nasal surgery required 1.5 years ago with the complaints of patient ? - Her RFT is normal. What is the first marker to raise in Renal failure? - The clinical presentation of the patient was like metabolic syndrome, but Her RBS was normal, Is there any chance that her pre and post prandial glucose to raise? - The patient is obese what advice regarding the diet and daily routine is given . What is done to know whether she is following your advice or not? LEARNING POINTS : - I got to know that Cystatin - C is the first marker to be elevated in the patients with renal failure whose RFT is completely normal - The nasal decongestants like oxymetazoline, xy

 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 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.  A 55 year old female resident of Suryapet , Homemaker came to OPD with  Chief complaints of Left sided nasal blockage since 3 months Left sided nasal discharge since one month HOPI : - The patient was apparently asy