Written by Leya Bedar
Anxiety – Panic Attack Disorder (episodic palpitations, SOB, dizziness, constant worrying, sources of stress)
Other differentials:
Hyperthyroidism (possible due to palpitations but less likely as lack of systemic features)
Atrial fibrillation (possible due to tachycardia, SOB, dizziness but less likely due to features associated with anxiety)
Mark scheme for history taking can be found below
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…
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…
Musculoskeletal history 5 Written by Leya Bedar Diagnosis: Psoriatic arthritis (stiffness, dactylitis, nail lesions, history of psoriasis) Differential diagnosis: Rheumatoid arthritis (morning stiffness, swelling, joint pain, age) Osteoarthritis (could be early osteoarthritis – could be Heberdens nodes at DIPs, stiffness, swelling, joint pain) Mark scheme for history taking can be found below
Mental health history 2 Written by Leya Bedar Diagnosis: 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…
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…
Neurological history 1 Written by Leya Bedar Diagnosis: Tension headache (band-like distribution of pain, tight and constricting, link to stress, responds to painkillers, stress) Differential diagnosis: Migraine (generalised pain, stress, responds to painkillers but less likely due to nature of pain and lack of aura, photophobia, or clear triggers) Dehydration (dull headache but unlikely due…
