Neurological history 1

 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…

 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…

Information giving lifestyle 1 Written by Leya Bedar Student brief You have been asked to see Parth, who has a BMI of 38. He has been identified as pre-diabetic. Please discuss how you can manage this through lifestyle changes. Patient brief Name: Parth Marmana DOB: 05/05/1990 = 32 years old BACKGROUND You went to see…

 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…

 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…

Mental health history 4 Written by Leya Bedar Diagnosis: 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)…