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CASE # Res./Attending CC: XXXX HPI: Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, ROS: As per HPI. Abbreviate the HPI to only include relevant info (much shorter than dictation HPI). YOUR NAME HERE CONFERENCE DATE HERE
CASE # Res./Attending PHYSICAL EXAM Vitals: HEENT: Neck: CV: Pulm: GI: GU: Derm: Neuro: Add / delete systems as needed. Highlight important findings in bright color. YOUR NAME HERE CONFERENCE DATE HERE
CASE # Res./Attending EMERGENCY DEPARTMENT COURSE 1130: 1215: 1225: 1315: 1330: ED course with times as best can be determined YOUR NAME HERE CONFERENCE DATE HERE
CASE # Res./Attending HOSPITAL COURSE Day 1: Day 3: Day 5: Day 7: Disposition: Hospital course with relevant procedures / changes in status / complications and final disposition (DC to LTAC, DC home, expired, etc.) with functional status. YOUR NAME HERE CONFERENCE DATE HERE
CASE # Res./Attending Hgb Na Cl BUN WBC Plt GLUC Hct K HCO Cr T.P. Alb AST ALT PT T.B. D.B. Ca Mg INR PTT ALK PO4 OTHER: Delete irrelevant text boxes. Highlight abnormals in bright color. YOUR NAME HERE CONFERENCE DATE HERE
YOUR NAME HERE CONFERENCE DATE HERE One evidence-based teaching pearl relevant to the case. YOUR NAME HERE CONFERENCE DATE HERE
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