Jump to navigation Jump to search
This article has multiple issues. Please help improve it or discuss these issues on the talk page. (Learn how and when to remove these template messages)(Learn how and when to remove this template message)
A case presentation is a formal communication between health care professionals (doctors, pharmacists, nurses, therapists, nutritionist etc.) regarding a patient's clinical information. Essential parts of a case presentation include:
- 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
- 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.
|This medical treatment–related article is a stub. You can help Wikipedia by expanding it.|