Written by Leya Bedar
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 no self-harm or suicidal thoughts)
Mark scheme for history taking can be found below
Cardiovascular history 5 Written by Leya Bedar Diagnosis: Anaemia (age, menorrhagia, SOB, lethargy, palpitations, pallor, dizziness) Other differentials: Anxiety (episodic shortness of breath and palpitations but less likely due to other physical manifestations and lack of anxiousness) Thyroid disease (SOB, lethargy, palpitations, but less likely due to menorrhagia in history and lack of other physical…
Epilepsy Your brain cells send electrical signals to your body to tell you to do things, like move. Normally, the brain fires electrical signals in a controlled way. In epilepsy, the brain fires electrical signals in a random and uncontrolled way. When a fit happens, the brain cells are a bit like people at a…
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)…
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…
Neurological history 4 Written by Leya Bedar Diagnosis: Meningitis (typical symptoms, infectious contacts) Differential diagnosis: Tension headache associated with a viral illness (possible due to features of infection, but less likely due to location of pain, photophobia) Migraine with aura (generalised headache with photophobia and family history, but less likely due to infectious symptoms and…
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…
