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Secrets of OSPE/OSCE 3rd edition by Dr.Nadeem Joyia Breaking Bad News (Cancer lung) oe Fic Lhe le ibny ie APL bg Seta Hire Sept tinsc pbc nL Psorivseg RUZ bY Re ALE GI Te eg MeL lee HE TL Yd UAL editote ner bOliee whe dhi 1h ph SNE Seed RL Le eur abe Lhe seh 27 UM Lute Is L LEG Mh EWA Uy We yt L reid el erletoleg EWAN AI Sinking en Scope UF dled Mou Pri bea yh CN LA Utica eiiSbig {Ute whose Te Lupine Act BLat Pa renSeu 4 Ze re NSAIDS LCi ‘ fret ptnplew ttle Prive [La 2 Steroids Pah fbing INBORN ERROR OF METABOLISM "Weg -1 (chemeate wi hil AR nd nt eolEnzymes. tL 27% reactions) Wr rhentZi nt as Pic Jos riviiybhigaa Se tediLtutbiee 2 ke htt bei Wie Pug biedurLe trpbiace eile Ayrtnike de dent? te Die hedtea Any -3 Lie keting ath OATES Lin bbA LE echoL B12-16L YP ie Ou ouiety Tabu isien -4 itege pe LP eeutiet Site Aopd yen SAL cde Pobitomncbsuey edn few hore ee IS ENURES! NOCTURNAL “ie ropter) {To differentiate pamary ¥> secondary PI Questionsto be asked ene -6 tetdederd -7 reine drm -8 tpatie cetoutcuctot -9 ese bier lL Ory Nights SYe cue -1 gi 3 hig Sor ageir -3 -4 wrppanyer Lael CLeL Fags peiltersin wet Sogn tZit Wilmot terSE LW peut -5 aed EP oSrowihictspornLoviaveih .6 EE a SLANT JRA plied SeUeele 1 Shes e ben Sir SpE Pea Cd Soin Lbs ire V bie GFF TLLy Setyveuwn’ .2 wee rnsdet cE Suh wilcun secrets of OSPE/OSCE 3rd edition by Dr.Nadeem Joyia Breaking Bad News (Appendectomy) Fig Lining ge Single SPL SS tg fa Pibed Sitptled Cortese ee nf Shoring SHEL Fe NL SEITE SMe PLS IL pig Ev CANE AA LILLE MM hE on Ue Lain Mita PL Le tell (Appendix) ix fiber bank LU Uns eh Mlk PL Me SISO Ue qeubion SOO Ms Led Sle LU ne Arend etna WMS TELE NE Ug AS TVR eubnyh Unit he tirhe Ate uk Sunn hk poe touoTd te Bold heated sure nnd Sry sundeck LSU phe Lown ea R gain (aapuage § tye datroeluelian bo ataed Nay meckcal Ataben pevbery 8g bag cor te gn aneeges Gatrveluas baby | a Duta what Ug prnblens in my wa Shad dame eundey thin of hee Arica l e buetaal anemaber bye mal? nearing Gnd OKA anlcelen tale off @ < n og THY. oF VFL. og 7 7/ hong Ob Ce sepport the diag | anvetaated ¢ Gory 3 aa my Goby thy a Neth oo = Ro falc pw nthe Aeab. Fe st that Bina Ae oy tse Yeu Lf On mer eng é ns . * ¢ » > dh d : . . / e ') i Aclion » Letmntnisatie ¢ _ 2 = dul é / ‘ bn eanval ths. what © t ¥ f hy us C htt dy be Aasse axe naamal, ¢ =e thes & fesurey the be Me & Ncetl NG ak ! fp US abiuda OF foe eG yed 7 Vel es sda a3 thks dntermuifte wey low th, sunt: ax tuctrnl Oy (hat tele SiS A + Htemprenal nen be & - Lanrlecate Joba cavuang obey location a 4 . otha, weed Secrets of OSPE/OSCE 3rd edition by Dr.Nadeem Joyia OBESITY ——— AFTER INTERODUCTION “eh Lege te 4LEL EL ob Ang Fags LUPOL A-nL widage Beep AKbZ ef ontes 1% UL e ueIGL ben frst Ret iy Ele ay eat lee me siete eons a a lve (chet sae baat Se pthc ett SI FS 2! Soni Soren 1 SOE = ipo ae” _ os ee —aeeoS fi! baal Lele Eft BS isl pos eye ome BVeatancohi ~ Lpsbereetonny: Cth fi Soh, Myptinec tomy. Eh FES > eee en aero SRB tuanande bec. AEE: TCA Txin GuRat ~ Wound Cane Hetyerws 3-6 Svonthe An atogue x | Secrets of OSPE/OSCE 3rd edition by DrNadeem Joyia (c) HOPI: ( Most significant) (D) Detailed History onset, sudden tants ALi insdious Duration 5 Progression Spegred ell nk3 (Continuous! Intermitent) Re bentsfice 204 Aggravating/Relieving factors ge PL RL MAL IAS Associated features(fever with rigor/chill IF PAIN Character? OH dug Vets Site te eye Rediation Re thsitins Associated Symptoms Reflection my patient was In usual state of health 5 days ago when he developed fever, sudden onset, continuous, high grade, relieved by taking panadol not associated with chill/Rigor. IT Le Patient wil tl ent dle! PSL bd SVL raf ee Eee ay Metre Siig eae WK te? inition Se - MPL MES UMM, see L, Shin Ki Sink, — ENS NE htc hilunsyee - ; Uh Giedle. —~ tee Liberia - Fr FW toe anh eens Congenital Adrenal Hyperplasia P few © Adrenal Giana misfire Se dur Lh ele Luthtuhe oh tL hee EL ne hg nl teat ow Uy eestor Lia Me § fb -<-t#t/ progesterone oa Sop siiratnLy ape Ps eine | di hahwithr Gosh tysncgh = LLL fietiign ne OPHY OUCHENE MUSCULAR DYSTR' CW ieee nieh leh tow fo Pf (Rate 0 nent Pregrarcr) WAP ich Sie Carat WIA tere IL ISOS I Petre tur. ELASO% (Camerpoue ds Coune -5 Saat SeramP be iwie be Fe del Dist WPL LAL AL Brin fF 50 A Prone Wheel Chaser Adu l eZ wep En Le Lng Frog EPILEPSY Uf RoC le at Fp te te WEL edthpindcLuntseloit howard hicid fin eae ebb ee tuk RPS e teP ton 1 web Lhe Hifi Sp die Sat echilny = ~cbalinteusttdn — UnltSa Lin mdinsn LyX aan om eet Pedy ibis AEC LG LS rnig irae whit Secrets of OSPE/OSCE 3rd edition by Dr. Nadeem Joyia " History Taking Fis SP Pihed Siete beeen lived ot Bouin Se ei! Mestad A Kilt Vie ema ytobe, MirLaglonna Bann ys (A) Introduction Name ft AgelSex , married. GGT YL Occupation ULF Address OUST (DOA) LAr rtt Mode of admission ER/OPD ELT Reflection Mr. Ashgar 25Years old male, married, labourer by occupation resident of khan Garh has presented in hospital on 16 decembor through opd with following chief complaints . (8) Chief complaints Fever, et GET A Don't interpret, Let the patient Speak wees arpa pehe ble ASWELL? sa oP Pe Sg nh A Gedjcens welgtc Lbabpejisn 2 : webcast eSigh ES aia 2 Secrets of OSPE/OSCE 3rq edition by Dr.Nadeem Joyia patient comes to you with a gift after treatment Dr. should Refuse Pig PLA IBF LL nL hr iainty bg UntafersS tt € UP Linen SoU SOAK STL Foal vig 62185 MEPL Hy Micon bets E bone Dinctigee ¢ Wie EAP Sed Asif Guetta Ue ubolys Seep tunr/eh td bil (Gynaecology History) Subp Abit fe Wty. é FIC 4
ot E op fini eel REE whl Ugg os pe Se I june’ r }* 3 Vaid wth oar OS ley stb oye tO “ - Meletvondle = eee = Piteeveitone iH 1‘ opt. b 33 ot 3 (rr Cye Up cgsw) 2th t at bb Fatt ae gh be 5 (B5)_of ¢ SF at Cons Sb j- jie bo "sae Lee qias Zi rd a leit J rs gi “f= ali at POY Re Ct Cuastie Oi erie yg ele, bs lp GE 7 Rptos deka i amas a Se i 2 wh Si ee BELA eZ 5 oly sy con, si seed D> oy oti ht (See FOR CLG Feast cn Cf 227 ty A Cp Cfv2 me” ene 2 oy chotimic valtout coups cat pes wh gud -e ‘weal col Be ~ J iv cjlar 2sf. ay a ee ene aot (8x46 slet: rent ly Yop pus gna 9 we th US fF assler< fy fbiebe ll, : - Pr I . pg fs £f ww al ate eae secrets of OSPE/OSCE 3rd edition by Or.Nadeem Joyia greaking Bad News (Appendectomy) arly Lhe Mine Pa TFL SiS hte fated A Sepa tivz urine nL PSoriaunngg VE pe AL Hed Nd TYP L eS IL pig PLES ONE NIA L NEL WL Phd hI be Veerd Lapin fl hier Lag hg bel (Appendix) kgm Lito Wil Lungs ee Mh hon PLR ASTOR eno eA Pe MTS fe (KUL ng Send enc eT E Lyd tg hose TVG qe bonthy lunipthotirhan Pouig Susi EG regeat ord ZENS wry Eepiu sorted @ wn Stopb ihe Te CROHN'S DISEASE: AFTER INTRODUCTION zZ euafanLftormilesttyAt amet £i pe sg Veg £tfes, Ute VEU Endoscopy Medal ee PRL EL WLLL § -euiniyrt - VISIBLE pitied 6 Pre pSilecEu history Bude ute hibid PIEN rhe LL orwdurtine vaertvusiend AbL en ot ut Ppain killers/antibiotic,Antidiarrheal « Corticosteriod e ae LUE zy Pho pro LFTs, ee abc tte Chen nF, 7 annem i Palibo ge mbrr bel een hoahs wiper nese, See ergata Beale hon ‘ et LY MipBfaLbeSinhoragf Serie ie * s 4 : ape fn Les t eI Re iil ihe Fre eg lel ee dntet b : i, Tete A Lectin HI Set idied 7 : web Dg In untnditd wo in Pea ru ee itived ai wut a ten lithe fPap hy Ue funird tolenisrut ahrar oi Mee éfite in Moend we Og Ate ag Tig Se Np et ip ain sete iM tupebnisley A Laagayhate | ates pee! od pad News (Appendectomy) Aw 1 file hanya PL biog PaO Pispised - “Senb traeP orsierL pPOwrsh pre ytenL diedtry se sey PL KLIP pohoonender bol pez whechi le plier eg jit bile Lee tif (Appendix Eis ike LE Songs ger he eh pial deg tebe ce Me mbion gel’, pie Pile Lek athe Ub Yn ete sobul hawt S MEL Lg aU AS oe NE enh hunt heiirhea Tt ig Ture Sus 1g Sew ETg eB yetg Lect ong Mending ESF runtpieg ALSOP “GIO TR Ig

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