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General Medicine Internship Real Patient OSCEs Towards Optimizing Clinical Complexity

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Introduction:   This  online  E-log Entry Blog  is an  objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and  to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book. Note:   The  cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family .   CASE REPORT 1: A 30-year-male, pharmacist by occupation, presented with the chief complaint of  Fever  since 1 week  and difficulty in swallowing since 1 week.  Patient was apparently asymptomatic 6 years back when he met with an accident (R
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62Y Male with PEDAL EDEMA since 6 Months & DECREASED URINE OUTPUT since 1 Month

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Introduction:   This is an online  E-log Entry Blog to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs.  Note:   The  cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family . Consent:   An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references.  A 62 -year-old male, saree weaver by occupation  presented with the, CHIEF COMPLAINTS: 1. Pedal Edema  since 6-7 months. 2. Decreased urine output since 1 month. 3. Vomiting since 10-12 days.  4. Shortness of breath and facial puffiness since 2 days.  HISTORY OF PRESENTING ILLNESS:   Patient was apparently asymptomatic 8-9 months back , when he st
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