Respiratory history 3

 Cardiovascular history 2 Written by Leya Bedar Diagnosis: Stable angina (due to cardiac nature of pain, onset with exertion, improvement with rest, cardiovascular risk factors, cardiac family history) Other differentials: Myocardial infarction (unlikely due to intermittent nature, lack of autonomic associated symptoms, likely more severe pain) Pulmonary embolism (due to shortness of breath and sudden…

 Cardiovascular history 3 Written by Olivia Nwosu Diagnosis: Myocardial infarction (due to cardiac nature of pain, intense, autonomic features, family history of cardiovascular disease, T2DM, cardiovascular risk factors) Other differentials: Unstable angina (due to cardiac features, but pain usually goes away) Oesophageal spasm (due to chest pain and previous heartburn, unlikely as factors point to…

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…

 Cardiovascular history 4 Written by Leya Bedar Diagnosis: Pericarditis (features of infection, pleuritic chest pain, improves when leaning forward, recent viral illness) Other differentials: Pulmonary embolism (shortness of breath, sudden onset, pleuritic chest pain, but less likely due to features of infection) Oesophagitis (features of infection but unlikely as no link to swallowing/eating and no…

 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…

 Gastrointestinal history 8 Written by Leya Bedar Diagnosis: Inflammatory bowel disease (diarrhoea, location of pain, fatigue, weight loss, blood in stools, extra-gastrointestinal manifestations) Other differentials: Chronic pancreatitis (possible due to weight loss, fatigue, abdominal pain but less likely due to location of pain, no other suggestive symptoms) Coeliac disease (possible due to abdominal pain and…