OSCE learning points - 200 P sai Kiran
200 - P sai Kiran
OSCE -learning points
Pre final examination :-
Dystonia
dystonia is a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both.
What Types of dystonia ?
General dystonia
Hemi dystonia
segment dystonia
Focal dystonia -blephrospasam,cervical,oromandibular , crank-cervical ,axial and limbs
What is drug induced dystonia?
Cervical dystonia is condition that causes your neck muscles to contraction involuntarily.
Cervical Dystonia caused from abnormal functioning of the basal ganglia which are collection of sub cortical nuclei which are used for modulation and return function of cortex.
Drug induced Dystonia resulted from imbalance between Anticholinergics and dopaminergic receptors I.e blockage of dopamine receptors
What are the Symptoms in cervical dystonia?
Spams :muscle tighten, hard and unable to relax ,sometimes muscle may twitch and jerk
Roaring of head
Tilting of head towards sides , forward , backward - angular movements
Bending- sides , forward , backwards
These symptoms may lead to pain and headaches
What Drugs causing drug induced dystonia?
Anti psychotic drugs
Anti emetics drugs
Anti depressant
What duration and description for acute DID ?
rapid /within hours
Description:sustained muscle contraction
What is Acute treatment for dystonia?
Benzatropine
Trihexyphenidyl
LEARNING POINTS:
👉My learning points around the patient are the Importance of detailed history taking.
👉I’ve learned how Detailed treatment history would help in diagnosis of patient.
👉I’ve learn how to rule out possible differential diagnosis based proper history and clinical examination.
👉Mostly my case is diagnosed by history taking I’ve what medication may lead this condition.
👉I’ve learn how to approach drug induced dystonia in terms of management and treatment .
