CASES IN GENERAL MEDICINE

OSCE DISCUSSION OSCE CASE LINK:  https://127soumyadeepbiswas.blogspot.com/2023/12/a-65-year-old-male-with-dka-with.html OSCE question and answers 1. What is diabetic ketoacidosis (DKA) ? Ans. Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes characterized by hyperglycemia, ketoacidosis, and ketonuria. It occurs when absolute or relative insulin deficiency inhibits the ability of glucose to enter cells for utilization as metabolic fuel, the result being that the liver rapidly breaks down fat into ketones to employ as a fuel source. The overproduction of ketones ensues, causing them to accumulate in the blood and urine and turn the blood acidic. DKA occurs mainly in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. Laboratory studies for DKA include glucose blood tests, serum electrolyte determinations, blood urea nitrogen (BUN) evaluation, and arterial blood gas (ABG) measurements. Treatment includes corr

Hi, I am Soumyadeep Biswas a medical student . This is an E-Log, that depicts the patient centered approach for learning medicine .This E-Log has been created after taking consent from the patient and their relatives. The links that were used by me for understanding the available data on the particular disease have been mentioned below in each post . Hope you learn valuable information after giving it a good read ! OSCE CASE QUESTIONS:  https://127soumyadeepbiswas.blogspot.com/2023/12/osce.html A 65 year old male was brought to casualty with CHIEF COMPLAINTS Fever since 4 days Breathlessness since 1 day HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 10 days back when he developed cold and cough with expectoration which is greenish and mucoid no aggravating or relieving factors. Now the expectoration has decreased.  Then developed fever 4 days back which is insidious in onset gradually progressive high grade, continuous and not associated with chills and rigor for wh