Written by Leya Bedar
Meningitis (typical symptoms, infectious contacts)
Differential diagnosis:
Tension headache associated with a viral illness (possible due to features of infection, but less likely due to location of pain, photophobia)
Migraine with aura (generalised headache with photophobia and family history, but less likely due to infectious symptoms and acute onset)
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…
Musculoskeletal history 1 Written by Leya Bedar Diagnosis: 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
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…
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 4 Written by Leya Bedar Diagnosis: Gastroenteritis: food poisoning (diarrhoea following eating unusual food, features of infection) Other differentials: IBS: Irritable bowel syndrome (possible due to busy life, change in bowel habit and abdominal discomfort, but unlikely due to lack of anxiety, sudden onset and infectious features) Bowel cancer (possible due to family…
Acute Kidney Injury We have two kidneys in our body. The kidney is like a filter, removing waste and toxins from the blood. This waste and toxins come out in your pee. Acute kidney injury, or AKI, is when your kidneys are damaged, and the kidneys suddenly stops working properly. If the kidneys don’t do…
