Chief Complaint (CC) • state 1 main reason seeking medical attention
Differential Dx after CC? (ask audience)
History of Present Illness (HPI) • 1 or 2 explanations why individual is seeking medical help
HPI: What do you want to know regarding the Hx. ? (ask audience)
HPI give rest of story (history) of why patient seeking medical attention, i. e. answer all of the history questions that should have been asked • Give PMH /SH/Meds/Allergies, etc. •
Differential Dx after HPI? (ask audience)
Physical Exam (PE): What part of Physical Exam should be done? (ask audience)
Physical Exam • list actual physical exam that should be done with the results • photos of PE findings
Differential Dx after PE? (ask audience)
Labs & Tests: Which should be done? (ask audience)
Lab & Test Results (Show Results of tests that should be done) • lab test levels & radiologic images • do not list normal values of lab tests • do not show images with arrows, labels etc.
Differential Dx after Labs/Tests: (ask audience)
Impression ? (ask audience)
Final Diagnosis State the Final Diagnosis
Treatment • State what treatment is needed • Photos of treatments & surgeries
Followup • list the appropriate follow up for your diagnosis