Written by Leya Bedar
Depression (lethargy, weight loss due to lack of appetite, thoughts of self-harm and suicide, hopelessness, worthlessness, early-morning wakening, stress)
Other differentials:
Hypothyroidism (lethargy, loss of appetite however less likely as no weight gain or systemic features)
Anxiety (due to stress but very unlikely as patient does not feel anxious)
Mark scheme for history taking can be found below
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…
Information giving lifestyle 4 Written by Leya Bedar Student brief Manjot is a 54 year old male who has been identified as high risk of cardiovascular disease. Please discuss his lifestyle factors with him. Patient brief Name: Manjot Kapoor DOB: 12/03/1968 = 54 years old BACKGROUND You recently attended for a health check up. You…
Anxiety Anxiety is a feeling of worry or fear. It is common reaction to life events like taking an important exam or giving a speech to a crowd. But some people find it hard to control. When the feeling of anxiety is more constant and affects your daily life. This is when it starts to…
Gastrointestinal history 2 Written by Leya Bedar Diagnosis: Biliary colic (due to intermittent colicky pain following meals exacerbated by eating junk food) Other differentials: Acute cholecystitis (systemic features would be present such as malaise and pyrexia) Ascending cholangitis (similar to acute cholecystitis but jaundice would also be present) Peptic ulcer disease (due to the pain…
Neurological history 7 Written by Leya Bedar Diagnosis: Trigeminal neuralgia (location of pain, neuropathic pain, episodes of intense pain, sudden onset, triggers) Other differentials: Giant cell arteritis (age, location of pain, but less likely due to neuropathic pain, clear triggers and lack of jaw claudication and visual disturbances) Migraine (intense pain, but less likely due…
