Written by Leya Bedar
Giant cell arteritis (age, location of pain, jaw claudication, intense throbbing, visual disturbance)
Other differentials:
Trigeminal neuralgia (location of pain, worsens with certain actions but less likely due to visual disturbance)
Migraine (intense throbbing pain, visual changes could be aura, but less likely due to location of pain, jaw claudication)
Mark scheme for history taking can be found below
Neurological history 5 Written by Leya Bedar Diagnosis: Migraine with aura (throbbing intense pain, photophobia, bright zig zag patterns, possible family history) Differential diagnosis: Tension headache (intense pain worse with stress, location but less likely due to associated symptoms) Giant cell arteritis/ temporal arteritis (location of pain, throbbing, visual changes but as symptoms more suggestive…
Gastrointestinal history 1 Written by Leya Bedar Diagnosis: Appendicitis (due to generalised pain to right iliac fossa and progression from dull to sharp suggesting peritonitis, along with exacerbating and relieving factors, anorexia, fever, and nausea) Other differentials: Ruptured ectopic pregnancy (possible cause of peritonitis but very unlikely as patient has never had sex) Ovarian torsion…
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…
Neurological history 2 Written by Leya Bedar Diagnosis: Acute closed-angle glaucoma (eye pain, red eye, blurred vision, halos, age) Differential diagnosis: Orbital cellulitis (eye pain, red eye, vision affected, but ocular movements spared and would have been more relevant if recent cellulitis) Cluster headache (pain around the eye, but vision is affected and the pain…
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…
Cardiovascular history 1 Written by Olivia Nwosu Diagnosis: Left-sided heart failure (due to orthopnoea, PND (paroxysmal nocturnal dyspnoea), cough on exertion, cardiovascular risk factors) Other differentials: COPD (due to cough and smoking history) Idiopathic pulmonary fibrosis (due to cough) Mark scheme for history taking can be found below
