Written by Leya Bedar
Peptic ulcer disease (nature of pain, epigastric, worse after eating but delayed onset, exacerbated by spicy food, NSAID use, smoking history)
Other differentials:
Gastric cancer (weight loss, abdominal pain, haematemesis)
Pancreatitis (abdominal pain, delayed onset after eating, weight loss)
Mark scheme for history taking can be found below
Information giving lifestyle 3 Written by Moriom Begum Student brief Olivia is a 40 year old female who has been identified as being at risk of malnourishment. Please discuss Olivia’s lifestyle factors with her. Patient brief Name: Olivia Gardino DOB: 26/04/1982 = 40 years old BACKGROUND You recently attended for a health check up. You…
Neurological history 2 Written by Leya Bedar Diagnosis: Acute closed-angle glaucoma (eye pain, red eye, blurred vision, halos, age) Differential diagnosis: Orbital cellulitis (eye pain, red eye, vision affected, but ocular movements spared and would have been more relevant if recent cellulitis) Cluster headache (pain around the eye, but vision is affected and the pain…
Cardiovascular history 3 Written by Olivia Nwosu Diagnosis: Myocardial infarction (due to cardiac nature of pain, intense, autonomic features, family history of cardiovascular disease, T2DM, cardiovascular risk factors) Other differentials: Unstable angina (due to cardiac features, but pain usually goes away) Oesophageal spasm (due to chest pain and previous heartburn, unlikely as factors point to…
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…
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…
