Neurological history 5

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 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…

 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…

 Musculoskeletal history 4 Written by Leya Bedar Diagnosis: Septic arthritis (local and systemic inflammatory features, recent knee surgery) Differential diagnosis: Haematoma post-operation (recent knee surgery but does not explain local and systemic inflammatory features) Problem with prosthesis placement (same as above) Mark scheme for history taking can be found below    

 Musculoskeletal history 3 Written by Leya Bedar Diagnosis: Gout (attacks of pain, inflammatory features, alcohol use, dietary risk factors) Differential diagnosis: Pseudogout (similar features but unlikely to affect the big toe) Septic arthritis (inflammatory features, but not episodic or associated with these risk factors) Corns/callus on plantar surface of foot (possible to explain pain but…