tag:blogger.com,1999:blog-4078711896790515112.post6549151147151083153..comments2024-02-25T17:46:00.407-08:00Comments on Welcome to gpexamsupport.com.au: CASE 8 LONG CASE 19mins Ray Smith presenting with multiple symptomsPerpetual Healthhttp://www.blogger.com/profile/08370965026844641346noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4078711896790515112.post-89327106834053388762012-06-26T21:08:55.862-07:002012-06-26T21:08:55.862-07:00Dear Dr Anonymous,
That is a very thorough list.....Dear Dr Anonymous,<br /><br />That is a very thorough list.....<br /><br />However, is there another differential that you would like to consider as a possible explanation for the chest tightness in this particular case?Perpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-1657539093990924852012-06-26T10:42:11.045-07:002012-06-26T10:42:11.045-07:001].Pneumonia 2]COPD. 3] GORD 4]IHD 5]CCF 6]PE 7]mu...1].Pneumonia 2]COPD. 3] GORD 4]IHD 5]CCF 6]PE 7]musculoskeletal painAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-91339872855437052592012-04-07T02:11:04.772-07:002012-04-07T02:11:04.772-07:00Can you comment on your Ddx re lower back pain?
W...Can you comment on your Ddx re lower back pain?<br /><br />What other differentials should you consider regarding the chest tightness?Perpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-60943655747549666332012-04-04T22:55:13.250-07:002012-04-04T22:55:13.250-07:00DD,1. depression
2. hypothyroid
3. OSA
4. malignan...DD,1. depression<br />2. hypothyroid<br />3. OSA<br />4. malignancy<br />5.IHD<br />start systemic review <br />ask more about cardiovascular ,chest pain ,frequency associated SOB ,relieving and aggreviating factors<br />ask about respiratory symptomes any SOB on rest or exertion,smoking history,cough <br />digestive symptomes ask about bowel motion ,any Pr bleeding<br />locomtor system ,nature back pain ,day and night ,any stiffness,any other joints pain ,any trauma to back,any radiation to lower limbs,endocrine system ask about any symptomes hypothyroid,cold intolerance,dry skin,putting weight,hair loss,tiredness<br /><br />ask about snoring at night and sleep apnoea<br />ask about mental health and depression<br />ask about alcohol drinking <br />road safety if OSA<br />investigation<br />sleep study<br />blood tests<br />colonscopyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-2603158340732178802011-10-24T22:13:25.940-07:002011-10-24T22:13:25.940-07:001 With waking up unrefreshed in the history, what ...1 With waking up unrefreshed in the history, what other possible diagnosis would you include in the problem list?<br /><br />2 In your system review, what specific questions would you ask that might be relevant to your problem list?<br /><br />eg Have you have any loss of hair or thinning of your hair ???hypothyroidism<br /><br />3 With regards to chest tightness, what other differentials would you include as well?<br /><br /><br />Dr Vin Tran<br />MBBS FRACGP University of QldPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-35872292109196679822011-10-19T00:29:45.959-07:002011-10-19T00:29:45.959-07:00possible problem list:
1. Presenting complaint –...possible problem list:<br />1. Presenting complaint – Hypothyroidism, OSA, obesity, IHD/angina, back problem/OA/ /sciatica, ???malignancy particularly bowel and prostate cancers<br />2. Depression/anxiety<br />3. Alcohol/drugs<br />4. Relationship issue, relationship with children<br />5. Diet/exercise/smoking<br />6. Financial issue<br />7. Safety of driving<br />8. immunisation<br />how would you use your 3mins pre reading - plan the topics need to be covered<br /> <br />in long cases, you will have to do a "system review"...how would you approach this – pattern of symptoms, such as “do you have chest pain/SOB/palpitation?”Anonymousnoreply@blogger.com