Histories

Question 1

6 day hx diarrhoea for 6 months. constant. no blood, weak. no dodgy food, no n&v, no one in fam has it, no recent travfel, 18m weight loss, angular stomatitis, UTI 18m ago, fevers x 2 over past yr, 3 yr ago hospital admission with temp, dry scally thing on arm on and off 2 month, no SOB, purple bump on tummy 6 month, yeast infecftions

Answer 1

HIV
(purple thing is kaposi sarcoma)

• test for HIV in anyone with chronic diarrhoea that doesn’t have another cause

Question 2

arthralgia, fatigue, grey skin, chronic liver disease, osteoporosis

Answer 2

haemochromatosis

Question 3

tremor, dysarthria, dyskinesia, dystonia, mood distrubance, memory deficit

Answer 3

wilson’s

Question 4

emphysema, sob, cough, wheeze, LRTI

jaundic, cirrhsis

Answer 4

alpha 1 antitrypsin deficiency

causes lung problems and also has increased risk of HCC

Question 5

ruq pain + fever

Answer 5

lung abscess

Question 6

20 yo female
fainted this morning, 2 more faints in past week
dizzy after
T1DM few hypos before
LOC 2 mins
browner skin
nauseous
no chest pain, palp, sob, headache
past month: weight loss, appetite decreased, fatigue

Answer 6

addison’s (v– cortisol) autoimmune bc T1DM.

Question 7

56 yo female
pain on passing urine, increased frequency, cloudy urine, suprapubic abdo pain, no hesitancy
sweats chils
overweight, no weight loss
no change in bowels
no n+v
general malaise
thirsty

Answer 7

UTI secondary to diabetes