Written by Leya Bedar
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)
Mark scheme for history taking can be found below
Gastrointestinal history 8 Written by Leya Bedar Diagnosis: Inflammatory bowel disease (diarrhoea, location of pain, fatigue, weight loss, blood in stools, extra-gastrointestinal manifestations) Other differentials: Chronic pancreatitis (possible due to weight loss, fatigue, abdominal pain but less likely due to location of pain, no other suggestive symptoms) Coeliac disease (possible due to abdominal pain and…
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…
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 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…
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
Musculoskeletal history 1 Written by Leya Bedar Diagnosis: 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
