Cardiovascular history 3

 Gastrointestinal history 7 Written by Moriom Begum Diagnosis: Anal fissure (fresh blood, pain during bowel movement, previous constipation) Other differentials: Haemorrhoids (fresh blood, previous constipation but less likely due to sharp pain during bowel movement and no lumps or pruritus) Inflammatory bowel disease (possible due to family history, may present with perianal disease, blood in…

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…

 Respiratory history 5 Written by Leya Bedar Diagnosis: Lung cancer (haemoptysis, cough, constitutional symptoms, family history of lung cancer, smoking history) Other differentials: Tuberculosis (ethnic, haemoptysis, constitutional symptoms but lack of travel history, infectious contacts, night sweats, make less likely) COPD (cough, SOB and smoking history but less likely due to haemoptysis and constitutional symptoms)…

 Gastrointestinal history 3 Written by Leya Bedar Diagnosis: Irritable bowel syndrome (flatulence, generalised abdominal pain, fluctuating between diarrhoea and constipation, link to anxiety) Other differentials: Inflammatory bowel disease – Crohn’s disease/ Ulcerative colitis (possible due to change in bowel habit but less likely due to lack of extra-gastrointestinal manifestations and no blood or mucus in…

 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…