My OSCE learning points
My case for the prefinal dated on 01/12/2023, is a 60 year old woman with chief complaints of shortness of breath and cough since 10 days. E-log link : https://89aishwaryamuttamsetty.blogspot.com/2023/11/a-75-yo-female-with-sob-and-cough.html OSCE learning points : 1) I have learnt the differential diagnosis between bronchial and cardiac asthma. (Cardiac asthma - wheezing and sudden SOB associated with pink sputum, can never be able to do heavy work as before, associated with rales on auscultation. Occurs mainly due to left heart failure.) (Bronchial asthma shows only white mucus on coughing, SOB and only acute exacerbations occasionally, with associated wheezing. Occurs due to bronchospasm, inflammation of the airways and excessive mucus production. Easily resolvable.) 2) I have learnt how metabolic syndrome, diabetes mellitus and obesity can invariably cause bronchial asthma. 3) I have also learnt the various biomechanisms related to adipokines causing reduced insulin sensitivity in