prefinal osce and learning points

OSCE AND LEARNING POINTS
PREFINAL PRACTICAL EXAMS

NAME : LEKHANA
ROLL NO: 64
DATE: 8 DECEMBER,2023
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1) AUTOIMMUNE HEPATITIS:
-Autoimmune hepatitis is when the body’s infection-fighting system (immune system) attacks your liver cells.
-It is a long-term chronic liver disease that causes inflammation and liver damage.
Experts don’t know what causes it, but it is more likely to appear in people living with other autoimmune conditions. Certain medications can also trigger autoimmune hepatitis.
-It affects more women than men.
-It can lead to scarring of the liver (cirrhosis) and liver failure

2)CIRRHOGENIC DOSE OF ALCOHOL:
- Time to develop Alcoholic liver disease is equal to amount of alcohol consumed
-Men:60-80gm /day for 10years
-Women:20-40gm /day for 10 years
- Alcoholic Cirrhosis,develops only in 10-20% of those who are chronically heavy drinkers.

3) VIRAL HEPATITIS LEADING TO LIVER CIRRHOSIS:
- Heaptitis A has low chances of leading to long term complications like Cirrhosis,because the infection lasts for a short period
-HBV and HBC has a high risk of causing liver cirrhosis, scarring and damage to liver  in long run compared to other viruses 
-Although acute HBV/HDV coinfections can resolve, HDV superinfection can lead to rapid progression of the already present HBV infection, resulting in liver cirrhosis and liver failure. These outcomes occur within 5–10 years in 70%–80% and within 1–2 years in 15% of people with chronic HBV/HDV infection .

LEARNING POINTS :

1) A proper Communication is the key to the doctor and patient relationship.

2)I have learnt about doing proper abdominal examination,importance of abdmoninal girth measurement and weight measurement

3)I understood the importance of taking Detailed Daily Routine and not only the regular  history part(which we regularly do)and  heamchromatosis,Viral hepatitis (Like having a Alcoholic history doesn't make sense confining only to the Alcoholic cause)

4) I have also learned a few New points like Cirrhogenic dose of Alcohol and how Cirrhogenic it is based on the Alcohol content in different beverages 

5) i learnt about apraxia charting too and its importance

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