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)…

Mental health history 3 Written by Leya Bedar Diagnosis: Depression (lethargy, weight loss, episodes of self-harm and thoughts of suicide, triggers, early-morning wakening, isolation) Other differentials: Hypothyroidism (lethargy, however less likely as no weight gain or systemic features) Anxiety (due to stress but very unlikely as patient does not feel anxious) Mark scheme for history…

Mental health history 2 Written by Leya Bedar Diagnosis: Depression (lethargy, weight loss due to lack of appetite, thoughts of self-harm and suicide, hopelessness, worthlessness, early-morning wakening, stress) Other differentials: Hypothyroidism (lethargy, loss of appetite however less likely as no weight gain or systemic features) Anxiety (due to stress but very unlikely as patient does…

Mental health history 1 Written by Leya Bedar Diagnosis: Anxiety (insomnia, racing thoughts, change in appetite, stress) Other differentials: Hyperthyroidism (possible due to racing thoughts but less likely as lack of systemic features) Depression (possible due to sleep disturbance and change in mood, but less likely due to lack of helplessness, typical depression features, and…

 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…

 Neurological history 6 Written by Leya Bedar Diagnosis: Giant cell arteritis (age, location of pain, jaw claudication, intense throbbing, visual disturbance) Other differentials: Trigeminal neuralgia (location of pain, worsens with certain actions but less likely due to visual disturbance) Migraine (intense throbbing pain, visual changes could be aura, but less likely due to location of…

 Neurological history 5 Written by Leya Bedar Diagnosis: Migraine with aura (throbbing intense pain, photophobia, bright zig zag patterns, possible family history) Differential diagnosis: Tension headache (intense pain worse with stress, location but less likely due to associated symptoms) Giant cell arteritis/ temporal arteritis (location of pain, throbbing, visual changes but as symptoms more suggestive…

 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…

 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…