Written by Leya Bedar
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
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…
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 2 Written by Leya Bedar Diagnosis: Stable angina (due to cardiac nature of pain, onset with exertion, improvement with rest, cardiovascular risk factors, cardiac family history) Other differentials: Myocardial infarction (unlikely due to intermittent nature, lack of autonomic associated symptoms, likely more severe pain) Pulmonary embolism (due to shortness of breath and sudden…
Respiratory history 5 Written by Leya Bedar Diagnosis: Lung cancer (haemoptysis, cough, constitutional symptoms, family history of lung cancer, smoking history) Other differentials: Tuberculosis (ethnic, haemoptysis, constitutional symptoms but lack of travel history, infectious contacts, night sweats, make less likely) COPD (cough, SOB and smoking history but less likely due to haemoptysis and constitutional symptoms)…
Neurological history 5 Written by Leya Bedar Diagnosis: Migraine with aura (throbbing intense pain, photophobia, bright zig zag patterns, possible family history) Differential diagnosis: Tension headache (intense pain worse with stress, location but less likely due to associated symptoms) Giant cell arteritis/ temporal arteritis (location of pain, throbbing, visual changes but as symptoms more suggestive…
