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Discuss the possible diagnoses and potential underlying pathologies

Possible diagnoses and potential underlying pathologies for the following case

Discuss the possible diagnoses and potential underlying pathologies for the following case. These should be related to symptoms (both presenting symptoms and other symptoms the patient may have). Based on their given presentation, what further information would you obtain from the patient and what other signs would you look for? Explain your choice of differential diagnoses, outline the management
and referral options for all your possible diagnoses, and discuss the best examinations and clinical investigations needed to establish a diagnosis, based on the current evidence.

Scenario: Mr.Cooper

Mr Cooper, a 55 year-old banker, presents to your clinic with central low back pain of 2-weeks onset. On further questioning, he reports an associated ‘deep’ pain in the central abdomen but he finds it difficult to localise. His wife is present and tells you that she thinks his eyes appear to have had a yellowish pigmentation for the past week or so. He also complains of progressively increasing itchiness
of his skin. He has always been fit and well but has smoked 15 cigarettes a day for the past 30 years and
drinks in excess of 20 units of alcohol a week.

Rationale for assessment design:
The essay is designed to test your ability to recognise signs and symptoms and to relate them to possible pathologies. Once a differential diagnosis list is established, it aims to challenge your knowledge of the possible pathological processes and their management options including referral.

Assessment information:
The Essay must be handed in by the submission guideline via the requested channels as described in the next section 7.0.
It is recommended that you refer back to the core textbook and your lecture notes whilst writing the essay. You are also strongly encouraged to make the most of the learning resources outlined in 9.0 below, particularly with regards scientific referencing methodologies.

Assignment Presentation Guidelines
Written submissions must follow a standard format:

Margins: standard (default setting), but not less than 2cm
Font: Arial 11
Spacing: 1.5 lines
ID: use the ‘view’ ‘header & footer’ options to insert your ARU candidate number at the top of each page. Insert the page number, and module title, at the bottom. NEVER INCLUDE YOUR NAME or any means by which someone can identify you.
Cover page: a template will be issued which MUST be used; it will be on Google Drive.

Word limit: 2000 words maximum

Paper copy: on 80gsm white paper, single sided, stapled ONCE in the top left corner.
Electronic copy: a single PDF or word file must be uploaded through TURNITIN, with the title of the file as your STUDENT NUMBER followed by the name of the module. If you do not achieve this, we may not log the work as yours. Do NOT include the Cover Page.

Word Limits
A written assignment must not exceed the maximum word limit set for that assignment. Students are required to enter an accurate word count on the Cover Sheet. Any Cover Sheet which does not contain an accurate word count is not accepted.
Any assignment exceeding the word limit is penalised.
In determining the text to be included within the maximum word limit, the following items are excluded:
 Abstracts
 Indented quotations (of more than 50 words)
 Tables
 Figures
 Diagrams
 Footnotes/endnotes used for reference purposes and kept within reasonable limits
 List of references and/ or bibliography
 Appendices