57 Vinila Bhavani Kanday

 http://vinilabhavani.blogspot.com/2023/12/k-vinila-bhavani-case-of-63-yr-old-male.html  OSCE QUESTIONS 1. The sensitivity of diagnosing BPH or prostatomegaly by ultrasound? BPH appears in TRUS as an echogenic and non-mobile mass. TRUS is mainly used to assess prostate volume, which is crucial for therapeutic strategies. Prostate volume can be estimated by serial planimetry, orthogonal plane, rotational body (single plane, ellipsoid) and three-dimensional methods. Staging sensitivities in studies using grey-scale TRUS varied between 30% and 50% with specificities between 77% and 96%. Three-dimensional TRUS aided in the assessment of extracapsular extension and seminal vesicle invasion. 2. How does hypothyroidism affect urine retention?   In hypothyroidism there is loss of medullary hypertonicity impairing urinary concentration ability of kidneys . In hypothyroidism there is a reversible increase in vasopresssin sensitivity causing increased water reabsorbption  3. What are the  causes

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 to solve 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 63 yr old male resident of Ramanpeta a retired accountant came to the OPD with CHIEF COMPLAINTS: decreased urine output since 1 day Shortness of breath since 1 day HISTORY OF PRESENTING ILLNESS: Patient was ap