OSCE- Learning Points Diabetic Ketoacidosis 1. How is DKA causing Pre- Renal AKI? Diabetic Ketoacidosis | Nocturnal Diuresis | Dehydration | Hypovolemia | Acute Kidney Injury 2. Can it be Renal Etiology? Yes it can be due to Renal Etiology, existing diabetes cause release of free radicals causing PCT atrophy and damage causing Diabetic Tubulopathy 3. Causes and treatment of Tachypnea? Tachypnea is a condition that refers to rapid breathing. The normal breathing rate for an average adult is 12 to 20 breaths per minute . Tachypnea does not necessarily have a pathological cause. For example, exercise can cause tachypnea. Some pathological causes of tachypnea are sepsis, diabetic ketoacidosis, respiratory issues such as pneumonia, carbon monoxide poisoning, pulmonary embolism, pleural effusion, asthma, or chronic obstructive pulmonary disease (COPD). Other medical issues such as allergic reactions, anxiety
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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 a diagnosis and treatment plan. A 65 year old male patient, resident of Thurkapallem, shop keeper by occupation came to the OPD with chief complaints of Chief Complaints: Fever since 6 days Breathlessness since 3 days History of Presenting Illness: Patient was apparently asymptomatic 6 days back, then he developed cold and cough with expectorant (green, mucoid) which has now subsided. He developed fever since 6 days, high grade, continuous and not associated with chills and rigour. Relieved on taking medications prescribed by local RMP. Complaints of decreased appetite since 4 days. Shortness of breath since 3 days - Grade 2 No history of hemoptysis No history of tightness in chest No history of decreased urine output, pedal edem