learning points and OSCE

Learning points 

I have gained understanding of how chronic liver disease due to chronic alcoholism made a way to complications like ascites ,portal hypertension 

& pedal edema 

i have learned how to check for apraxia which is a symptom indicating that patient is developed hepatic encephalopathy 

i have learnt how important it is to listen to patients complains carefully and doing a proper head to toe clinical examination before sending to  investigations to come to a diagnosis 

 

And i have learnt how essential it is to build communication with the patient and gain his confidence for treating the patient 

-i have learnt  that how important it is to take a brief history and know the daily routine of the patient to know exactly the root cause( i.e,deviation from the routine ) which lead into an acute episode 

- I have learnt how important it is to do a proper clinical examination before sending for investigations

I have learnt how to check for hepatic encephalopathy

-NUMBER CONNECTION TESTS

-SERIAL DOTTING 

-LINE TRACT TEST