Written by Leya Bedar
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
Respiratory history 1 Written by Olivia Nwosu Diagnosis: Tuberculosis (constitutional symptoms, recent travel history) Other differentials: Lung cancer (This is the main differential, but the travel history and low amount of cigarettes make this less likely) Sarcoidosis (can produce a cough and systemic features but less likely due to no SOB and other body systems…
Information giving lifestyle 2 Written by Leya Bedar Student brief Ms Sharma is a 58-year-old woman who has been diagnosed with COPD and her condition has worsened. Please discuss how you can improve her condition by managing lifestyle factors. Patient brief Name: Milaya Sharma DOB: 10/05/1963 = 59 years old BACKGROUND You were diagnosed with…
Osteoarthritis We have cartilage between our joints to cushion the joints. Over time, this cartilage breaks down and wears away. As a result, the bones begin to rub against each other, causing swelling and pain in that joint. Rheumatoid arthritis The body needs a way of protecting itself. We call this the immune system. The…
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)…
Neurological history 7 Written by Leya Bedar Diagnosis: Trigeminal neuralgia (location of pain, neuropathic pain, episodes of intense pain, sudden onset, triggers) Other differentials: Giant cell arteritis (age, location of pain, but less likely due to neuropathic pain, clear triggers and lack of jaw claudication and visual disturbances) Migraine (intense pain, but less likely due…
Respiratory history 2 Written by Leya Bedar Diagnosis: Asthma (episodic cough, SOB, wheeze, atopy, family history of atopy, recently got a pet – common trigger) Other differentials: Bronchiectasis (cough producing mucus, less likely due to atopic features and no identifiable risk factors) Interstitial lung disease (possible due to non-productive cough and link to triggers but…
