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Published byTrevor Stafford Modified over 9 years ago
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Introduction to Clinical Medicine By: Dr. Rupani
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History 1.Chief Complaint 2.History of Presenting Illness Duration, Onset, Character, Progression, Frequency, Associated symptoms 1.Past Medical History 2.Past Surgical History 3.Family History 4.Travel History 7. Social History Employer, EToH, Tobacco, Drugs 8. OB Hx. 9. Medications 10. Allergies
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Review Of Systems 1.General 2.Skin 3.Head 4.Eyes 5.Ears 6.Nose 7.Oral Cavity 8.Neck 9. Cardiac 10. Respiratory 11. GI 12. GU 13. Neurologic 14. Psych
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Physical Exam 1.General Exam 2.Vital Signs 3.Skin 4.Head 5.Eyes 6.Ears 7.Nose
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Physical Exam.. cont: 8. Throat 9. Neck 10. Chest/Breast 11. Heart 12. Lungs 13. Abdomen
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Physical Exam.. cont: 14. GU 15. Rectal 16. Musculoskeletal 17. Vascular 18. Lymphatic 19. Neurologic 20. Mental status exam
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Diagnostics 1.Basic 1.Specific
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Assessment - Differential Differential Diagnosis 1.Common conditions first 2.Rare
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Plan 1.Pulmonary 2.Cardiovascular 3.GU 4.Neurology 5.GI 6.Skin 7.Joint 8.Nephrology 9.Hematology 10. Oncology
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Questions
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