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 

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