OSCE and learning points
General Medicine OSCE 1) Metabolic syndrome and cardiometabolic phenotype Metabolic syndrome is a cluster of conditions that occur together , increasing the risk of heart disease, stroke and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. They typically have apple-shaped bodies, they have larger waists and carry a lot of weight around their abdomens (truncal obesity). 2) Hb1AC testing and biochemical reaction for Hb1AC formation Gly cated haemoglobin is formed when a ketoamine reaction occurs between glucose and the N-terminal aminoacid of the β chain of hemoglobin. The amount of glycohemoglobin generated is proportional to the mean blood glucose during the 8–10 weeks before the test. Thus, the glycohemoglobin level is a useful indicator of long-term blood glucose. 3) Insensible loss of fluid It termed insensible as we are not aware of this fluid loss. It occurs
