Written by Leya Bedar
Septic arthritis (local and systemic inflammatory features, recent knee surgery)
Differential diagnosis:
Haematoma post-operation (recent knee surgery but does not explain local and systemic inflammatory features)
Problem with prosthesis placement (same as above)
Mark scheme for history taking can be found below
Neurological history 3 Written by Leya Bedar Diagnosis: Cluster headache (pain around eye, autonomic symptoms, periods of remission) Differential diagnosis: Temporal arteritis (pain around eye, but no visual disturbances, jaw claudication, or other suggestive features) Migraine with aura (intense headaches, but less likely due to autonomic features, triggers associated with cluster headache as well as…
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 2 Written by Leya Bedar Diagnosis: Acute closed-angle glaucoma (eye pain, red eye, blurred vision, halos, age) Differential diagnosis: Orbital cellulitis (eye pain, red eye, vision affected, but ocular movements spared and would have been more relevant if recent cellulitis) Cluster headache (pain around the eye, but vision is affected and the pain…
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…
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…
Acute Kidney Injury We have two kidneys in our body. The kidney is like a filter, removing waste and toxins from the blood. This waste and toxins come out in your pee. Acute kidney injury, or AKI, is when your kidneys are damaged, and the kidneys suddenly stops working properly. If the kidneys don’t do…
