Written by Leya Bedar
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
Gastrointestinal history 2 Written by Leya Bedar Diagnosis: Biliary colic (due to intermittent colicky pain following meals exacerbated by eating junk food) Other differentials: Acute cholecystitis (systemic features would be present such as malaise and pyrexia) Ascending cholangitis (similar to acute cholecystitis but jaundice would also be present) Peptic ulcer disease (due to the pain…
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 2 Written by Leya Bedar Diagnosis: Depression (lethargy, weight loss due to lack of appetite, thoughts of self-harm and suicide, hopelessness, worthlessness, early-morning wakening, stress) Other differentials: Hypothyroidism (lethargy, loss of appetite however less likely as no weight gain or systemic features) Anxiety (due to stress but very unlikely as patient does…
Information giving lifestyle 3 Written by Moriom Begum Student brief Olivia is a 40 year old female who has been identified as being at risk of malnourishment. Please discuss Olivia’s lifestyle factors with her. Patient brief Name: Olivia Gardino DOB: 26/04/1982 = 40 years old BACKGROUND You recently attended for a health check up. You…
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…
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)…
