Case presentation

Case presentation

A case presentation is a formal communications between health care professionals (doctors, pharmacists, nurses, therapists, nutrientist etc.) regarding a patient's clinical information. Essential parts of a case presentation includes
* Identification
* Reason for consultation/admission
* Chief complaints (CC) - what made patients to seek medical attention.
* Past medical history (PMHx)
* Past surgical history
* Current medications
* Allergies
* Family history (FHx)
* Social history (SocHx)
* History of present illness (HPI) - circumstances relating to chief complaints.
* 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.


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