Written by Olivia Nwosu
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
Information giving lifestyle 4 Written by Leya Bedar Student brief Manjot is a 54 year old male who has been identified as high risk of cardiovascular disease. Please discuss his lifestyle factors with him. Patient brief Name: Manjot Kapoor DOB: 12/03/1968 = 54 years old BACKGROUND You recently attended for a health check up. You…
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…
Respiratory history 6 Written by Leya Bedar Diagnosis: Community acquired pneumonia (recent infectious contact, green/yellow sputum, fever, dyspnoea, tachycardia, chills and sweating) Other differentials: Acute bronchitis (similar in presentation but sweating and fever more associated with pneumonia, no wheeze or chest tightness) Influenza (less likely due to chills, productive cough, tachycardia, sweating, and no improvement…
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…
