Clinical IM

• History Taking & Examination

• CNS Hx & Exam

• CVS Hx & Exam

• RESP Hx & Exam

• GIT Hx & Exam

• URIN Hx & Exam

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CCTD OSCE IM

• CCTD1

• CCTD2

• CCTD3

Other IM Cases

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Hx - Exam - Discussion

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                                                     CAUSES OF SPLENOMEGALY

1)       Infections (malaria, leptospirosis) 2)       Leukemias 3)       Lymphomas 4)       Portal HTN 5)       Thallassemia 6)       Brucellosis

                                                    CAUSES OF HEPATOMEGALY 1)       Acute hepatitis 2)       Leukemias 3)       Fatty liver 4)       Heart Failure 5)       Metastases from cancers

                                                   CAUSES OF LYMPHADENOPATHY 1)       Lymph node infection ( adenitis) 2)       Infection in the area from where the lymph is being drained 3)       Lymphomas 4)       Leukemias 5)       Cat scratch disease 6)       Brucellosis

IN A PATIENT WITH CHRONIC RENAL FAILURE, WHAT ARE THE THINGS YOU WILL LOOK IN GENERAL EXAMINATION AND OTHER SYSTEMS? 1)       Look for anemia in eyes, nails 2)       Look for pedal edema 3)       Look for palpable kidneys 4)       Look for scratch marks on skin ( itching) 5)       Examine nails for leukonychia 6)       Auscultate for pericardial rub (uremic pericarditis) 7)       Auscultate for pulmonary edema ( Fluid overload) 8)       Look for any neuropathy