Musculoskeletal history 3

Mental health history 4 Written by Leya Bedar Diagnosis: 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)…

 Cardiovascular history 1 Written by Olivia Nwosu Diagnosis: Left-sided heart failure (due to orthopnoea, PND (paroxysmal nocturnal dyspnoea), cough on exertion, cardiovascular risk factors) Other differentials: COPD (due to cough and smoking history) Idiopathic pulmonary fibrosis (due to cough) Mark scheme for history taking can be found below      

 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    

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…

 Gastrointestinal history 3 Written by Leya Bedar Diagnosis: Irritable bowel syndrome (flatulence, generalised abdominal pain, fluctuating between diarrhoea and constipation, link to anxiety) Other differentials: Inflammatory bowel disease – Crohn’s disease/ Ulcerative colitis (possible due to change in bowel habit but less likely due to lack of extra-gastrointestinal manifestations and no blood or mucus in…