Wikipedia / Case presentation
Wikipedia / Case presentation
A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information.
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
Family history (FHx)
Social history (SocHx)
Physical examination (PE)
Laboratory results (Lab)
Case summary and impression
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
References