OSCE- PREFINALS DEC 2023: Case report : I have tried to answer some of the questions regarding case discussion of our patient 1. How to clinically differentiate between coarse and fine crepitations ? Ans- well, crepitations or crackles are adventitious respiratory sounds which occur when an obstructed airway due to accumulated secretions opens in inspiratory phase. The sudden opening of an obstructed airway causes an immediate re-equilibration of the pressures on both sides creating vibrations in the airway walls. Fine crackles -- A). having a short duration and a higher pitch, Often, fine crackles are repetitive, originate in the basal part of the lung, and not altered by coughing. B) Coarse crackles appear to be a longer duration and a lower pitch. There is no specific location from where coarse crackles primarily originate. They are often altered by coughing. https://www.ncbi.nlm.nih.gov/pmc
Hi , I'am Pranathi , a medical student. This is an E-Log , that depicts the patient centered approach for learning medicine. This has been done after taking consent from patient and their relatives. Here , we discuss our individual patient's problems through online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.