Written by Leya Bedar
Rheumatoid arthritis (morning stiffness >1hr, features of inflammation, improves with ibuprofen and with use, quicker onset, age, autoimmune history)
Other differentials:
Osteoarthritis (stiffness, joint pain, swelling)
Repetitive strain injury (pain, stiffness, throbbing, occupation)
Mark scheme for history taking can be found below
Epilepsy Your brain cells send electrical signals to your body to tell you to do things, like move. Normally, the brain fires electrical signals in a controlled way. In epilepsy, the brain fires electrical signals in a random and uncontrolled way. When a fit happens, the brain cells are a bit like people at a…
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…
Gastrointestinal history 1 Written by Leya Bedar Diagnosis: Appendicitis (due to generalised pain to right iliac fossa and progression from dull to sharp suggesting peritonitis, along with exacerbating and relieving factors, anorexia, fever, and nausea) Other differentials: Ruptured ectopic pregnancy (possible cause of peritonitis but very unlikely as patient has never had sex) Ovarian torsion…
Musculoskeletal history 2 Written by Leya Bedar Diagnosis: Osteoarthritis (pain, gradual onset, worse with use, improves with rest, stiffness, age, history of heavy use of joint) Differential diagnosis: Crystalline arthropathies (ie, gout and pseudogout) (joint pain, stiffness, swelling) Inflammatory arthritis (eg, rheumatoid arthritis) (joint pain, stiffness, swelling) Mark scheme for history taking can be found…
Information giving lifestyle 1 Written by Leya Bedar Student brief You have been asked to see Parth, who has a BMI of 38. He has been identified as pre-diabetic. Please discuss how you can manage this through lifestyle changes. Patient brief Name: Parth Marmana DOB: 05/05/1990 = 32 years old BACKGROUND You went to see…
