Written by Leya Bedar
Septic arthritis (local and systemic inflammatory features, recent knee surgery)
Differential diagnosis:
Haematoma post-operation (recent knee surgery but does not explain local and systemic inflammatory features)
Problem with prosthesis placement (same as above)
Mark scheme for history taking can be found below
Respiratory history 3 Written by Leya Bedar Diagnosis: Pulmonary embolism (pleuritic chest pain, SOB, cough, recent surgery, signs of DVT, recent long journey) Other differentials: Acute coronary syndrome e.g. stable angina (possible due to chest pain but unlikely due to cough, pleuritic chest pain and lack of cardiovascular risk factors, past medical history and family…
Gastrointestinal history 7 Written by Moriom Begum Diagnosis: Anal fissure (fresh blood, pain during bowel movement, previous constipation) Other differentials: Haemorrhoids (fresh blood, previous constipation but less likely due to sharp pain during bowel movement and no lumps or pruritus) Inflammatory bowel disease (possible due to family history, may present with perianal disease, blood in…
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…
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…
Gastrointestinal history 6 Written by Moriom Begum Diagnosis: Haemorrhoids (fresh blood, pruritus, recent constipation, lumps) Other differentials: Anal fissure (fresh blood, recent constipation but lumps indicate haemorrhoids) Anal cancer (unlikely due to acute history and age but may be considered if not responding to treatment) Mark scheme for history taking can be found below …
Respiratory history 1 Written by Olivia Nwosu Diagnosis: Tuberculosis (constitutional symptoms, recent travel history) Other differentials: Lung cancer (This is the main differential, but the travel history and low amount of cigarettes make this less likely) Sarcoidosis (can produce a cough and systemic features but less likely due to no SOB and other body systems…
