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OSCE Questions of 70 yr old with asymptomatic RA ,chronic heart failure

1) why was he labeled as asmyptomatic Rheumatoid arthritis?    2) Is his  bilateral knee joint involvement is due to osteoarthritis secondary to metabolic syndrome ?  3) how do we differentiate the knee joint involvement in his case whether it is due to oteoarthritis or Rheumatoid arthritis?  4) Can involvement of osteoarthritis be asymmetric in hands? 5)Is sea gull wing appearance in osteoarthritis restricted to base sparing carpals of hand?
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A CASE WITH ABDOMINAL DISTENSION PRESENTED IN NOVENBER

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The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio.           I have been given this case to solve in an attempt to understand the topic            of "Patient Clinical Data Analysis" to develop my competency in reading            and comprehending clinical data including history, clinical findings,                    investigations and come up with a diagnosis and providing treatment                best to our skills and wisdom.            The patient/ attender was informed the purpose of the information being            acquired. An informed consent was taken from patient/ attender and                  there
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