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  • Case Presentation Format

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    Bernamai Calam
    20 views26 pages
    This document presents a case for discussion and analysis. It begins with objectives of providing a thorough patient assessment based on history and examination. The document then includes sections for general data, review of systems, physical examination, salient features, initial impression, and planned case discussion covering epidemiology, pathophysiology, clinical manifestation, differential diagnosis, diagnostics, and treatment options. The case discussion will analyze the patient's presentation and management.

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    This document presents a case for discussion and analysis. It begins with objectives of providing a thorough patient assessment based on history and examination. The document then includes sections for general data, review of systems, physical examination, salient features, initial impression, and planned case discussion covering epidemiology, pathophysiology, clinical manifestation, differential diagnosis, diagnostics, and treatment options. The case discussion will analyze the patient's presentation and management.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views26 pages

    Case Presentation Format

    Uploaded by

    Bernamai Calam
    This document presents a case for discussion and analysis. It begins with objectives of providing a thorough patient assessment based on history and examination. The document then includes sections for general data, review of systems, physical examination, salient features, initial impression, and planned case discussion covering epidemiology, pathophysiology, clinical manifestation, differential diagnosis, diagnostics, and treatment options. The case discussion will analyze the patient's presentation and management.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 26

    Bernamieh O.

    Calam, MD
    Objectives
    ■ To present a thorough general assessment of the patient
    base on complete history and physical examination
    ■ To understand the etiology along with the
    pathophysiology and clinical manifestations of the case
    presented
    ■ To discuss the clinical management of the case being
    presented
    General Data
    Chief complaint
    History of Present Illness
    Past Medical History
    Family History
    Social History
    Review of Systems
    (-)chest pain, (-)palpitations, (-)orthopnea

    (-)fever, (-)weight loss, (-) loss of appetite, (-)


    night sweats
    (-)diarrhea, (-)constipation, (-)melena,
    (-)hematochezia, (-)abdominal pain
    (-)skin rash, (-) pruritus
    (-)polydipsia, (-)polyphagia, (-)heat/cold
    intolerance, (-)polyuria,
    (-)dizziness, (-)blurring of vision, (-)diplopia, (-)dysuria, (-)urinary incontinence, (-)urgency
    (-)hearing loss, (-)ear discharges, (-)tinnitus,
    (-)epistaxis, (-) hoarseness, (-)dysphagia, (-)joint pains, (-)myalgia, (-)limitation of
    (-)nasal discharge movement

    (-)cough, (-)dyspnea, (-)hemoptysis, (-)tremors, (-)sensorium change, (-)memory


    (-)pleurisy loss, (-)decrease in coordination,
    (-)headache, (-)body weakness, (-)loss of
    consciousness
    Physical Examination ℃

    kg cpm

    cm bpm

    mmHg
    kg/m²

    %
    Physical Examination
    Salient Features
    Initial Impression
    CASE DISCUSSION
    Epidemiology
    Incidence/ Prevalence
    Anatomy
    Pathophysiology
    Clinical Manifestation
    Differential Diagnosis
    *table
    Differential Diagnosis
    Diagnostics
    Treatment
    At the ER..

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