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Published byTeresa Craig Modified over 8 years ago
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Disease “X” Case Presentation Template
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Chief Complaint (CC) state 1 main reason seeking medical attention
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Differential Dx after CC?
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History of Present Illness (HPI) 1 or 2 explanations why individual is seeking medical help
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HPI: What do you want to know regarding the Hx.?
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HPI give rest of story (history) of why patient seeking medical attention, i.e. answer all of the history questions
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Differential Dx after HPI?
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Physical Exam (PE): What part of Physical Exam should be done?
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Physical Exam list actual physical exam that should be done with the results photos of PE findings
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Differential Dx after PE?
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Labs & Tests: Which should be done?
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Lab & Test Results (Show Results of tests that should be done) lab test levels & radiologic images
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Differential Dx after Labs/Tests:
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Impression ?
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Final Diagnosis State the Final Diagnosis
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Treatment State what treatment is needed Photos of treatments & surgeries
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Followup list the appropriate follow up for your diagnosis
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