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. 2012 Mar 13;17:10.3402/meo.v17i0.15943. doi: 10.3402/meo.v17i0.15943

Table 1.

Case template

Case information Patient's name: Gender: Gender:
Clinical setting: Age: T:
Chief complaint: Height: HR:
Weight: RR:
CATEGORY: HPI
1 Chief complaint Description?
2 Pain scale?
3 Onset When did it begin?
4 How did it begin?
5 Progression Better, worse, same?
6 Mitigating factors What makes it better?
7 What makes it worse?
8 Associated symptoms?
9 History of previous occurrence (details)?
10 Pertinent other Allergies to medications?
Current medications?
12 Past medical history?
13 Family history?
14 Social history (smoking, alcohol, drugs)?
15 Other
CATEGORY: Physical exam
16 Neurologic
17 HEENT
18 Chest, heart & lungs
19 Abdominal
20 Female breast & GU (& rectal)
21 Male GU (& rectal)
22 Musculoskeletal General
23 Upper extremities
24 Lower extremities
25 Lab findings
26 Other diagnostics
27 Radiographic procedures
What is the best diagnosis/etiological agent for this pastient's disease?
Potential diagnoses Rule each In or Out Answer A
Answer B
Answer C
Answer D
Answer E