History and Examination
(1) From your research of the history and examination (not the investigation results), produce a differential diagnosis (list of possible causes) of at least two common diseases. Explain how you reached your differential diagnosis. Name six other symptoms (not listed in the history) that the patient might experience? (200 words, 15 marks) (2) Complete the tables of the biochemistry and haematology results (100 words, 17 marks) Give the normal ranges for the biochemistry results. Indicate whether the results were high (), normal (®) or low (¯). Do not add cells to the table. Provide explanations for these results in a short paragraph. (3) Choose and describe ONE pathology test which has been performed (400 words, 20 marks) Make clear reference to the pre-analytical, analytical and post-analytical stages of processing. Make sure that this is a PATHOLOGY test i.e. would be performed by one of the clinical disciplines in the pathology service. You cannot describe the chest X-ray in this section. (4) Interpretation of data (400 words, 22 marks) Identify and explain the diagnosis of the patient with reference to the results of all of the investigations provided. (5) Answer the following questions (400 words, 21 marks) (a) Describe the abnormality in the chest X-ray. (b) List five classes of antibiotics that might be used as treatments; give one example of a drug from each class. (c) Describe the following issues regarding antibiotic treatment of the patient: route; combination therapy; and drug resistance. (d) Name three other organs that can be infected by the cause of this illness (e) Name one disease that this opportunist infection often complicates. Hence, name one further investigation that you would ask to be performed for this patient. (6) Provide a list of references (not included in the word count, 5 marks) Format according to the Harvard system. CASE STUDY TOTAL: 1500 words, 100 marks Your mark out of 100 will be scaled down to a mark out of 75 because the case study is worth 75% of the element mark. Your Epigeum course is worth 25% of the element mark. You must pass the course; then the % mark on your certificate will be divided by 4 to give your mark out of 25%.