A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information.[1][2][3]
Essential parts of a case presentation include:
- Identification
- Reason for consultation/admission
- Chief complaints (CC) - what made patients seek medical attention.
- History of present illness (HPI) - circumstances relating to chief complaints.
- Past medical history (PMHx)
- Past surgical history
- Current medications
- Allergies
- Family history (FHx)
- Social history (SocHx)
- Physical examination (PE)
- Laboratory results (Lab)
- Other investigations (imaging, biopsy etc.)
- Case summary and impression
- Management plans
- follow up in clinic or hospital
- Adherence of the patient to treatment
- success of the treatment or failure.
- causes of success or failure.
See also
editReferences
edit- ^ "Clinical Vignette: Deciding What to Present | ACP". www.acponline.org. 17 May 2016. Retrieved 2022-08-31.
- ^ Williams, Dustyn E.; Surakanti, Shravani (2016). "Developing Oral Case Presentation Skills: Peer and Self-Evaluations as Instructional Tools". The Ochsner Journal. 16 (1): 65–69. ISSN 1524-5012. PMC 4795506. PMID 27046408.
- ^ "Teaching tips: Twelve tips for making case presentations more interesting". Journal of Family & Community Medicine. 12 (2): 97–100. 2005. ISSN 1319-1683. PMC 3410129. PMID 23012083.
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