Credits:
Vanessa Rodwell (Co-ordinator)
Leya Bedar (Medical student)
Emma Westwood (Patient)
Olivia Nwosu (Examiner)
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The mark scheme for history-taking can be found below:
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…
Musculoskeletal history 5 Written by Leya Bedar Diagnosis: Psoriatic arthritis (stiffness, dactylitis, nail lesions, history of psoriasis) Differential diagnosis: Rheumatoid arthritis (morning stiffness, swelling, joint pain, age) Osteoarthritis (could be early osteoarthritis – could be Heberdens nodes at DIPs, stiffness, swelling, joint pain) Mark scheme for history taking can be found below
Gastrointestinal history 5 Written by Leya Bedar Diagnosis: Peptic ulcer disease (nature of pain, epigastric, worse after eating but delayed onset, exacerbated by spicy food, NSAID use, smoking history) Other differentials: Gastric cancer (weight loss, abdominal pain, haematemesis) Pancreatitis (abdominal pain, delayed onset after eating, weight loss) Mark scheme for history taking can be found…
Neurological history 1 Written by Leya Bedar Diagnosis: Tension headache (band-like distribution of pain, tight and constricting, link to stress, responds to painkillers, stress) Differential diagnosis: Migraine (generalised pain, stress, responds to painkillers but less likely due to nature of pain and lack of aura, photophobia, or clear triggers) Dehydration (dull headache but unlikely due…
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…
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)…
