SlideShare a Scribd company logo
1 of 10
slides
Prepared by Mai
1- the ECG is showing lead( I)
* What are the abnormal finding s?
*what The diagnosis?
* What is the clinical presentation of this
condition ?
2-
Anti convulsant of choice
• Partial epilepsy
• Myoclonis jerks
• 3 spikes /sec in EEG
3
*What is the most probable diagnosis?
*Neurologic defect(s)?
*Other system affection ?
(4) 10 years old boy had a Lumber puncture & the csf
showed the following:
appearance : colorless
glucose : 60 mg/dl
s.glucose : 96 mg/dl
wcc : 4 mm3
protein : 100 mg/ dl
gram stain : neg
• Abnormalities
• Diagnosis
• Management
5&6
Neurologic manifestation in systemic
disease
1. Fallot tetrology
2. Hemophilia
3. Adrenal crisis
4. Rapid correction of hypernatremia
5. DkA
6. Renal failure
7. Extreme pre-term baby less than one kg
7
Abnormalities
Differential diagnosis
8)
• Abnormalities
• Diagnosis
• Complication
9) A five years of girl with known sickle cell disease who has had a recent
upper air way tract treated with amoxicillin presented with headache &
vomiting the lumber puncture results showed the following:
Appreance: turbid
RBC:2/mm3
WCC: 3589/mm3( lymphocytes 62%)
CSF glucose:2.8 mmol/l
Blood glucose:7.4 mmol/l
Gram stain :no organism seen
• Abnormalities
• Diagnosis
• Management
*10)
Describe abnormalities
*Diagnosis
*Anticipated finding in ( light &accomodation) reflex

More Related Content

What's hot

Ald (x linked adrenoleukodystrophy)
Ald (x linked adrenoleukodystrophy)Ald (x linked adrenoleukodystrophy)
Ald (x linked adrenoleukodystrophy)bushraqadir2
 
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatment
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and TreatmentKearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatment
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatmentvipul srivastava
 
Emerging therapies in Lennox-Gastaut Syndrome
Emerging therapies in Lennox-Gastaut SyndromeEmerging therapies in Lennox-Gastaut Syndrome
Emerging therapies in Lennox-Gastaut SyndromeLGS Foundation
 
Kearns Sayre Syndrome
Kearns Sayre SyndromeKearns Sayre Syndrome
Kearns Sayre Syndromesasukekakashi
 
Common genetic variants that alter the risk of developing epilepsy
Common genetic variants that alter the risk of developing epilepsyCommon genetic variants that alter the risk of developing epilepsy
Common genetic variants that alter the risk of developing epilepsyLarry Baum
 
Adrenoleukodystrophy
AdrenoleukodystrophyAdrenoleukodystrophy
Adrenoleukodystrophypfoschi
 
Collagen disorders in neurology
Collagen disorders in neurologyCollagen disorders in neurology
Collagen disorders in neurologyNeurologyKota
 
Excerpt NIA Alzheimer's
Excerpt NIA Alzheimer'sExcerpt NIA Alzheimer's
Excerpt NIA Alzheimer'sbayardl
 

What's hot (10)

Adenoleukodystrophy
AdenoleukodystrophyAdenoleukodystrophy
Adenoleukodystrophy
 
Ald (x linked adrenoleukodystrophy)
Ald (x linked adrenoleukodystrophy)Ald (x linked adrenoleukodystrophy)
Ald (x linked adrenoleukodystrophy)
 
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatment
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and TreatmentKearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatment
Kearns–Sayre Syndrome: Symptoms, Causes, Diagnosis, and Treatment
 
LGS and Sleep
LGS and SleepLGS and Sleep
LGS and Sleep
 
Emerging therapies in Lennox-Gastaut Syndrome
Emerging therapies in Lennox-Gastaut SyndromeEmerging therapies in Lennox-Gastaut Syndrome
Emerging therapies in Lennox-Gastaut Syndrome
 
Kearns Sayre Syndrome
Kearns Sayre SyndromeKearns Sayre Syndrome
Kearns Sayre Syndrome
 
Common genetic variants that alter the risk of developing epilepsy
Common genetic variants that alter the risk of developing epilepsyCommon genetic variants that alter the risk of developing epilepsy
Common genetic variants that alter the risk of developing epilepsy
 
Adrenoleukodystrophy
AdrenoleukodystrophyAdrenoleukodystrophy
Adrenoleukodystrophy
 
Collagen disorders in neurology
Collagen disorders in neurologyCollagen disorders in neurology
Collagen disorders in neurology
 
Excerpt NIA Alzheimer's
Excerpt NIA Alzheimer'sExcerpt NIA Alzheimer's
Excerpt NIA Alzheimer's
 

Similar to Osce

Pediatric Neurology OSCE (PG CME -Wadia)
Pediatric Neurology OSCE (PG CME -Wadia)Pediatric Neurology OSCE (PG CME -Wadia)
Pediatric Neurology OSCE (PG CME -Wadia)Dr Padmesh Vadakepat
 
Pediatric endocrinology review part 2
Pediatric endocrinology review  part 2 Pediatric endocrinology review  part 2
Pediatric endocrinology review part 2 Abdulmoein AlAgha
 
Differential diagnosis in a relapse clinic
Differential diagnosis in a relapse clinicDifferential diagnosis in a relapse clinic
Differential diagnosis in a relapse clinicMS Trust
 
OSCE MAY 2022-PART-4 -PAED.pptx
OSCE MAY 2022-PART-4 -PAED.pptxOSCE MAY 2022-PART-4 -PAED.pptx
OSCE MAY 2022-PART-4 -PAED.pptxGururajaRamaiah1
 
Acute encephalitis syndrome
Acute encephalitis syndromeAcute encephalitis syndrome
Acute encephalitis syndromeManoj Prabhakar
 
Case presentation neurology
Case presentation neurologyCase presentation neurology
Case presentation neurologyDr. Armaan Singh
 
Stem cells and he cure of major diseases by Stem cells.
Stem cells and he cure of major diseases by Stem cells.Stem cells and he cure of major diseases by Stem cells.
Stem cells and he cure of major diseases by Stem cells.Zeeshan Awan
 
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...scottyandjim
 
Acute encephalitis syndrome
Acute encephalitis syndromeAcute encephalitis syndrome
Acute encephalitis syndromeDr. Yogiraj Ray
 
Cephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusCephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusRahul Kumar
 
Niemann Pick Disease
Niemann Pick DiseaseNiemann Pick Disease
Niemann Pick DiseaseYashmeet Kaur
 
Approach to evaluation of a child with upper motor neuron disorder
Approach to evaluation of a child with upper motor neuron disorderApproach to evaluation of a child with upper motor neuron disorder
Approach to evaluation of a child with upper motor neuron disorderAleya Remtullah
 
HEMOLYTIC ANEMIASs.pptx
HEMOLYTIC ANEMIASs.pptxHEMOLYTIC ANEMIASs.pptx
HEMOLYTIC ANEMIASs.pptxManishaVarma19
 

Similar to Osce (20)

Ospe
OspeOspe
Ospe
 
Pediatric Neurology OSCE (PG CME -Wadia)
Pediatric Neurology OSCE (PG CME -Wadia)Pediatric Neurology OSCE (PG CME -Wadia)
Pediatric Neurology OSCE (PG CME -Wadia)
 
Lab
LabLab
Lab
 
Pediatric endocrinology review part 2
Pediatric endocrinology review  part 2 Pediatric endocrinology review  part 2
Pediatric endocrinology review part 2
 
Differential diagnosis in a relapse clinic
Differential diagnosis in a relapse clinicDifferential diagnosis in a relapse clinic
Differential diagnosis in a relapse clinic
 
OSCE MAY 2022-PART-4 -PAED.pptx
OSCE MAY 2022-PART-4 -PAED.pptxOSCE MAY 2022-PART-4 -PAED.pptx
OSCE MAY 2022-PART-4 -PAED.pptx
 
Acute encephalitis syndrome
Acute encephalitis syndromeAcute encephalitis syndrome
Acute encephalitis syndrome
 
Case presentation neurology
Case presentation neurologyCase presentation neurology
Case presentation neurology
 
Stem cells and he cure of major diseases by Stem cells.
Stem cells and he cure of major diseases by Stem cells.Stem cells and he cure of major diseases by Stem cells.
Stem cells and he cure of major diseases by Stem cells.
 
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...
Dr. john millichap kcnq2 Cure summit professional track learn more at kcnq2cu...
 
Pediatrics OSCE
Pediatrics OSCEPediatrics OSCE
Pediatrics OSCE
 
tuberus sclerosis
tuberus sclerosistuberus sclerosis
tuberus sclerosis
 
Acute encephalitis syndrome
Acute encephalitis syndromeAcute encephalitis syndrome
Acute encephalitis syndrome
 
Cephalosporin Induced Myoclonus
Cephalosporin Induced MyoclonusCephalosporin Induced Myoclonus
Cephalosporin Induced Myoclonus
 
Niemann Pick Disease
Niemann Pick DiseaseNiemann Pick Disease
Niemann Pick Disease
 
Approach to evaluation of a child with upper motor neuron disorder
Approach to evaluation of a child with upper motor neuron disorderApproach to evaluation of a child with upper motor neuron disorder
Approach to evaluation of a child with upper motor neuron disorder
 
DNB Pediatrics OSCE June 2013
DNB Pediatrics OSCE June 2013DNB Pediatrics OSCE June 2013
DNB Pediatrics OSCE June 2013
 
HEMOLYTIC ANEMIASs.pptx
HEMOLYTIC ANEMIASs.pptxHEMOLYTIC ANEMIASs.pptx
HEMOLYTIC ANEMIASs.pptx
 
Up.pptx
Up.pptxUp.pptx
Up.pptx
 
Coma appr nancy
Coma appr nancyComa appr nancy
Coma appr nancy
 

Osce

  • 2. 1- the ECG is showing lead( I) * What are the abnormal finding s? *what The diagnosis? * What is the clinical presentation of this condition ?
  • 3. 2- Anti convulsant of choice • Partial epilepsy • Myoclonis jerks • 3 spikes /sec in EEG
  • 4. 3 *What is the most probable diagnosis? *Neurologic defect(s)? *Other system affection ?
  • 5. (4) 10 years old boy had a Lumber puncture & the csf showed the following: appearance : colorless glucose : 60 mg/dl s.glucose : 96 mg/dl wcc : 4 mm3 protein : 100 mg/ dl gram stain : neg • Abnormalities • Diagnosis • Management
  • 6. 5&6 Neurologic manifestation in systemic disease 1. Fallot tetrology 2. Hemophilia 3. Adrenal crisis 4. Rapid correction of hypernatremia 5. DkA 6. Renal failure 7. Extreme pre-term baby less than one kg
  • 9. 9) A five years of girl with known sickle cell disease who has had a recent upper air way tract treated with amoxicillin presented with headache & vomiting the lumber puncture results showed the following: Appreance: turbid RBC:2/mm3 WCC: 3589/mm3( lymphocytes 62%) CSF glucose:2.8 mmol/l Blood glucose:7.4 mmol/l Gram stain :no organism seen • Abnormalities • Diagnosis • Management