OSCE & OSPE
By
Dr.M.Raja Sudharsana
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1.
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• What is the phenomenon depicted in this picture? (2 marks)
• Explain the picture. (2 marks)
• List one preventive strategy for the primary prevention of the related
disease. (1 mark)
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1.The whole community
2.Normotensive subject
3.Hypertensive subject
4.Undiagnosed hypertension
5.Diagnosed hypertension
6.Diagnosed but untreated
7.Diagnosed and treated
8.Inadequately treated
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9.Adequately treated
Rule of halves :
• Hypertension – Iceberg disease
• Only half of the HTN subjects in general population of most
developed countries were aware of the condition
• Only half of those aware of the problem were being treated
• Only half of those treated were considered adequately treated
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Prevention :
1.Non modifiable risk factors
2.Modifiable risk factors
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2.
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• What is the clinical diagnosis? (1 mark)
• List two parameters used in epidemiological assessment of this disease
(2 marks)
• List the activities under National control program (1 mark)
• Write the level of iodization that is fixed under the prevention of food
adulteration act at the consumer level (1 mark)
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• Endemic goiter – replaced by the name Iodine Deficiency Disorder
• Epidemiological assessment:
1.Prevalence of goiter
2.Prevalence of cretinism
3.Urinary iodie excretion
4.Measurement of thyroid function by determination of serum levels of
thyroxine (T4) and pituitary thyrotropic hormone (TSH)
5.Prevalence of neonatal hypothyroidism 9
• Level of iodization fixed
1.Not less than 30 ppm – at the production point
2.Not less than 15 ppm – at the consumer level
• Iodized oil
• National control program – National Iodine Deficiency Disorder
Control Program (NIDDCP)
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3. 10 days old baby was brought to the pediatric OPD with complaints of not
taking feeds. The baby was delivered at home by untrained dais O/E baby is
restless, dyspneic HR 120/mt. wound on umbilical region present.
1.What is the diagnosis?
2.What is the common cause of infection?
3.What are the environmental factor responsible for the disease?
4.Name the toxin responsible for the infection
5.Write the immunization schedule.
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• Clostridium tetani
• Acquired by contamination of wound with tetanus spores
Tetanus neonatorum:
• Common cause – Umbilical stump after birth
• First symptom being seen about the 7th day
• Known as 8th day disease in Punjab
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Immunization and Prevention:
• Immunization with tetanus toxoid
• Antibiotics – 1.2 mega units of long acting penicillin (benzathine
penicillin
• Provides sustained concentration of drug for 3 to 4 weeks sufficient to
kill vegetative form
• Patients sensitive to penicillin – 7 day course of erythromycin estolate
500mg 6th hourly
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Five cleans:
1.Clean hands
2.Clean delivery surface
3.Clean cord care
4.Clean blade for cutting the cord
5.Clean tie for the cord and no application on the cord
• Along with these trained birth attendants also can reduce tetanus 14
Thank you
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