Neurological history 7

Mental health history 3 Written by Leya Bedar Diagnosis: Depression (lethargy, weight loss, episodes of self-harm and thoughts of suicide, triggers, early-morning wakening, isolation) Other differentials: Hypothyroidism (lethargy, however less likely as no weight gain or systemic features) Anxiety (due to stress but very unlikely as patient does not feel anxious) Mark scheme for history…

 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    

 Neurological history 3 Written by Leya Bedar Diagnosis: Cluster headache (pain around eye, autonomic symptoms, periods of remission) Differential diagnosis: Temporal arteritis (pain around eye, but no visual disturbances, jaw claudication, or other suggestive features) Migraine with aura (intense headaches, but less likely due to autonomic features, triggers associated with cluster headache as well as…

 Neurological history 1 Written by Leya Bedar Diagnosis: Tension headache (band-like distribution of pain, tight and constricting, link to stress, responds to painkillers, stress) Differential diagnosis: Migraine (generalised pain, stress, responds to painkillers but less likely due to nature of pain and lack of aura, photophobia, or clear triggers) Dehydration (dull headache but unlikely due…

 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    

 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…