75 Sudarsan sai Mallarapu

OSCE  QUESTIONS: 1.) As the patient is having sarcopenia, but her blood glucose on random blood glucose test is negative for diabetes,Is there any chance her Diabetes can be diagnosed after doing postprandial blood glucose test after 2 hours of her meals? This may be helpful to diagnose her underlying metabolic syndrome. 2.)As the patient is diagnosed Hypertensive one and half year ago,and not on any medication till now,ther will be a chance of 8ncreased vascular resistance. How to find if her vascular resistance has severely increased or not? 3.)As her renal functions test looks negative to any renal involvement of hypertension,what are the markers for early detection for renal involvement? 4.)As the patient is obese,in order to reduce her obesity,what are the major dietary changes to be done? 5.)As of now she is also having signs of Hypertensive retinopathy,By treating her at what time after diagnosis would have prevented it? Learning points: 1.) I have seen people who are having und

   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 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 55 year old female resident of Suryapet , Homemaker came to OPD with  Chief complaints of Left sided nasal blockage since 3 months Left sided nasal discharge since one month HOPI  : - The patient was apparently a