Credits:
Vanessa Rodwell (Co-ordinator)
Leya Bedar (Patient)
Olivia Nwosu (Companion)
Emma Westwood (Medical student)
Thinn Aung (Examiner 1)
Pavan Landa (Examiner 2)
Click here to for help with how to watch VR videos
You may want to adjust the quality setting on the video
The mark scheme for triadic consultations 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…
Mental health history 1 Written by Leya Bedar Diagnosis: Anxiety (insomnia, racing thoughts, change in appetite, stress) Other differentials: Hyperthyroidism (possible due to racing thoughts but less likely as lack of systemic features) Depression (possible due to sleep disturbance and change in mood, but less likely due to lack of helplessness, typical depression features, and…
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…
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…
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)…
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
