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78y-came with loss of speech

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 This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardian's signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in the comment box is welcome. med case: Who came c/o loss of speech for one month. the patient was apparently asymptomatic till one month ago, then she was found in an unconscious state on the roadside then she was noticed by the attendees and was taken to the local hospital and treated by a local doctor for 3 days and then taken to an outside hospital, where CT brain was done=>Ischemic stroke was diagnosed, weakness and loss of speech => after 3-4 days they were transferred to other hospital (fi
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4) Case based OSCE along with Bloom's learning levels acheived .

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  4) Case-based OSCE along with Bloom's learning levels achieved. TODAYS OSCE:-  Firstly it was in OP where I was assigned a case to be seen on an OP basis  A young male patient was sitting outside opd waiting. He had a history of falls from a bike 3 days ago and  Had developed pain in the right side of chest and bilateral tmj joint There was no history of loss of consciousness; seizures; ENT bleeding; bowel incontinence or bladder incontinence  Not a known case of HTN; CAD;    DM ; CVA ; TB ; EPILEPSY  ON EXAMINATION:-  Respiratory rate:- 14 CPM  RESPIRATORY EXAMINATION:-  Inspection:- no scars ; sinuses ; engorged veins  Palpation:- equivocal movement of all parts of the chest  Percussion:- resonant note is heard all over  Auscultation:- bilateral air entry present ; NORMAL VESICULAR BREATH SOUNDS ;  DIAGNOSIS:- MUSCULOSKELETAL INJURY SECONDARY TO TRAUMA  ( no signs of pneumothorax)  Plan:-  reassurance  TAB DOLO 650 mg Po /bd  Review sos  LEARNING POINTS:-  Examination of the re
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