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

• 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

• Case report

• Case series

References