Gastrointestinal history 4

Information giving lifestyle 2 Written by Leya Bedar Student brief Ms Sharma is a 58-year-old woman who has been diagnosed with COPD and her condition has worsened. Please discuss how you can improve her condition by managing lifestyle factors. Patient brief Name: Milaya Sharma DOB: 10/05/1963 = 59 years old BACKGROUND You were diagnosed with…

Osteoarthritis We have cartilage between our joints to cushion the joints. Over time, this cartilage breaks down and wears away. As a result, the bones begin to rub against each other, causing swelling and pain in that joint. Rheumatoid arthritis The body needs a way of protecting itself. We call this the immune system. The…

 Respiratory history 2 Written by Leya Bedar Diagnosis: Asthma (episodic cough, SOB, wheeze, atopy, family history of atopy, recently got a pet – common trigger) Other differentials: Bronchiectasis (cough producing mucus, less likely due to atopic features and no identifiable risk factors) Interstitial lung disease (possible due to non-productive cough and link to triggers but…

 Cardiovascular history 4 Written by Leya Bedar Diagnosis: Pericarditis (features of infection, pleuritic chest pain, improves when leaning forward, recent viral illness) Other differentials: Pulmonary embolism (shortness of breath, sudden onset, pleuritic chest pain, but less likely due to features of infection) Oesophagitis (features of infection but unlikely as no link to swallowing/eating and no…

 Gastrointestinal history 7 Written by Moriom Begum Diagnosis: Anal fissure (fresh blood, pain during bowel movement, previous constipation) Other differentials: Haemorrhoids (fresh blood, previous constipation but less likely due to sharp pain during bowel movement and no lumps or pruritus) Inflammatory bowel disease (possible due to family history, may present with perianal disease, blood in…

Mental health history 1 Written by Leya Bedar Diagnosis: Anxiety (insomnia, racing thoughts, change in appetite, stress) Other differentials: Hyperthyroidism (possible due to racing thoughts but less likely as lack of systemic features) Depression (possible due to sleep disturbance and change in mood, but less likely due to lack of helplessness, typical depression features, and…