Download as PPSX, PPTX
Uploaded byAjay Agade
Os grp
This document contains information about various graphs, charts, and clinical tests that may be included in an OSCE (Objective Structured Clinical Examination) in pediatrics. It includes descriptions and examples of family trees, capnograms, scatter plots, box-and-whisker plots, pulse waveforms, growth charts, Berger's audiometry test, and more. The document is a study guide for the types of charts and diagrams that may be assessed in a pediatric OSCE.
Os grp
- 1. OSCE PEDIATRICS GRAPHS ANDCHARTS Dr Mandar Haval DCH DNB Pediatrics Fellow Neonatology www.dnbpediatrics.com
- 2. GENETICS • Atleast onequestion asked in OSCE on genetics • Most commonly Family tree, symbols used in genetics etc. www.dnbpediatrics.com
- 3.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
- 12.
- 13.
- 14.
- 15.
- 16.
- 17.
- 18.
- 19.
- 20.
- 21.
- 22.
- 23. A - Cheyne-Stokes:may follow diffuse cortical injury, but more often reflects bilateral thalamic injury. B - Central neurogenic hyperventilation: pontomesencephalic regi on C - Apneustic: lateral tegmentum of the lower half of the pons D - Ataxic (Biot’s): lower dorsomedial medulla www.dnbpediatrics.com
- 24.
- 25.
- 26.
- 27.
- 28.
- 29.
- 30.
- 31.
- 32.
- 33.
- 34.
- 35. Image of flow-volumecurves. www.dnbpediatrics.com
- 36.
- 37.
- 38.
- 39.
- 40.
- 41.
- 42.
- 43. • Forest plot(forest plot shows information from individual studies that went into meta-analysis at a glance. They show the amount of variation between the studies and an estimate of the overall result. • Each square symbol represents a study contributing to metanalysis and the area of square corresponds to the weight of the corresponding study to the metaanalysis. www.dnbpediatrics.com
- 44. • The horizontalline through the square shows the confidence interval. The solid vertical line represents no effect. • The diamond represents the overall estimate from the meta-analysis. • The centre of diamond represents the pooled point estimate and the horizontal tips represent the confidence interval. www.dnbpediatrics.com
- 45.
- 46.
- 47.
- 48. (a) 'shotgun' scatter,with low correlation, (b) strong positive correlation, (c) strong negative correlation, (d) and (e) low correlation, with very little change in one variable compared with the other, (f) this scatter would generate a spurious high correlation because of the effect of the five points enclosed by the shaded area www.dnbpediatrics.com
- 49.
- 50.
- 51. Cardiac pressure/volume loopcorners: A) Mitral valve closes B) Aortic valve opens C) Aortic valve closes D) Mitral valve openswww.dnbpediatrics.com
- 52.
- 53.
- 54.
- 55.
- 56.
- 57.
- 58.
- 59.
- 60.
- 61.
- 62. 1. Cochlear nerves- waves I and II 2. Cochlear nucleus - wave III 3. Superior olivary complex - wave IV 4. Nulclei of lateral lemniscus - wave V 5. Inferior colliculus - waves VI and VII www.dnbpediatrics.com
- 63.
- 64.
- 65.
- 66. TABLE I :CRITERIA FOR PASSING APPETITE TEST Body weight Minimum amount of RUTF (kg) to be consumed for passing the Appetite Test (mL or grams) >4 15 4 –6.9 25 7 –9.9 35 10 –14.9 50 SEVERE ACUTE MALNUTRITION www.dnbpediatrics.com
- 67. Calculation of TargetHeight and Target Height Centile. Measure the parent’s heights and make a note of their heights on the chart. Calculate the child’s target height (TH) and plot it at 18 years and mark it with an arrow on the growth chart. This represents the child’s projected height and the target range is produced by plotting two points 7.5 cms above and below for a boy and 6 cm above and below for a girl (representing the 10th and the 90th centile for that child) . In the example shown above, the 50th percentile for the general population is the 90th centile for the child measured and the 10th centile for the child is below the 10th centile for the population. Source: Cowell CT. Short Stature. In: Clinical Pediatric Endocrinology, 3rd edn. Ed. Brook CGD. London, Blackwell Science, 1995; pp 136-172. www.dnbpediatrics.com
- 68. Principles of Development Cephalo→ Caudal Proximal → Distal Simple → Complex General → Specific Involuntary → Voluntary Continuous Sequence same, Rate varies Maturation AND Environment www.dnbpediatrics.com
- 69.
- 70.
- 71. OSCE Pediatrics: Graphsand Charts Dr Mandar Haval DCH DNB Pediatrics, Fellow Neonatology http://www.dnbpediatrics.com www.dnbpediatrics.com