Neurological history 5

 Cardiovascular history 5 Written by Leya Bedar Diagnosis: Anaemia (age, menorrhagia, SOB, lethargy, palpitations, pallor, dizziness) Other differentials: Anxiety (episodic shortness of breath and palpitations but less likely due to other physical manifestations and lack of anxiousness) Thyroid disease (SOB, lethargy, palpitations, but less likely due to menorrhagia in history and lack of other physical…

 Respiratory history 6 Written by Leya Bedar Diagnosis: Community acquired pneumonia (recent infectious contact, green/yellow sputum, fever, dyspnoea, tachycardia, chills and sweating) Other differentials: Acute bronchitis (similar in presentation but sweating and fever more associated with pneumonia, no wheeze or chest tightness) Influenza (less likely due to chills, productive cough, tachycardia, sweating, and no improvement…

 Neurological history 7 Written by Leya Bedar Diagnosis: Trigeminal neuralgia (location of pain, neuropathic pain, episodes of intense pain, sudden onset, triggers) Other differentials: Giant cell arteritis (age, location of pain, but less likely due to neuropathic pain, clear triggers and lack of jaw claudication and visual disturbances) Migraine (intense pain, but less likely due…

 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 2 Written by Leya Bedar Student brief Ms Sharma is a 58-year-old woman who has been diagnosed with COPD and her condition has worsened. Please discuss how you can improve her condition by managing lifestyle factors. Patient brief Name: Milaya Sharma DOB: 10/05/1963 = 59 years old BACKGROUND You were diagnosed with…