Written by Leya Bedar
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 is in the eye rather than around it)
Mark scheme for history taking can be found below
Gastrointestinal history 4 Written by Leya Bedar Diagnosis: Gastroenteritis: food poisoning (diarrhoea following eating unusual food, features of infection) Other differentials: IBS: Irritable bowel syndrome (possible due to busy life, change in bowel habit and abdominal discomfort, but unlikely due to lack of anxiety, sudden onset and infectious features) Bowel cancer (possible due to family…
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…
Gastrointestinal history 2 Written by Leya Bedar Diagnosis: Biliary colic (due to intermittent colicky pain following meals exacerbated by eating junk food) Other differentials: Acute cholecystitis (systemic features would be present such as malaise and pyrexia) Ascending cholangitis (similar to acute cholecystitis but jaundice would also be present) Peptic ulcer disease (due to the pain…
Anxiety Anxiety is a feeling of worry or fear. It is common reaction to life events like taking an important exam or giving a speech to a crowd. But some people find it hard to control. When the feeling of anxiety is more constant and affects your daily life. This is when it starts to…
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)…
Respiratory history 3 Written by Leya Bedar Diagnosis: Pulmonary embolism (pleuritic chest pain, SOB, cough, recent surgery, signs of DVT, recent long journey) Other differentials: Acute coronary syndrome e.g. stable angina (possible due to chest pain but unlikely due to cough, pleuritic chest pain and lack of cardiovascular risk factors, past medical history and family…
