1 / 19

Generic Case Review

Generic Case Review. www.drzaid.com. Chief Complaint. What questions do we want to ask this patient?. History of Present Illness. CC HPI PMHx MEDS Allergies SocHx FMHx ROS Physical Exam Differential LABS Radiological Differential Diagnosis Treatment. CC HPI PMHx MEDS

saburo
Download Presentation

Generic Case Review

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Generic Case Review www.drzaid.com

  2. Chief Complaint

  3. What questions do we want to ask this patient?

  4. History of Present Illness • CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment

  5. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Past Medical History

  6. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Medications

  7. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Allergies NKDA 3rd year medical students that ask too many questions

  8. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Social History

  9. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Family Medical History Mother- Father-

  10. Review of systems General:weight change, fever, chills, weak Head:headache, nasuea, vomitting Respiratory:SOB, wheeze, cough Cardiac:HTN, murmurs, angina, palpitations GI:appetite, n/v, incont., const/diarrhea GU:frequency, hesitancy, urgency, dysuria hematuria, incont., stones, no dyspareunia, no discharge MSK:muscle weakness, flank pain Neuro:parasthesias, loss of sensation Psychiatric- Pt is not depressed • CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment

  11. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Physical Exam VS- BP- 140/87 T-98.2 R-16 P-82 General- Pt is well nourished and AxOx3 Heent- EOMI, PERRLA, no vision changes CV- RRR w/o murmurs or rubs, clicks or gallops RESP- Clear to auscultation bilaterally, no wheezes Abdomen- Soft, NT, ND, no masses, BS, no bruits GU- No discharge, bleeding, nodules or masses Positive lloyd’s test MSK- No weakness, mild tenderness in R flank TTA T11-L-1 EXT- No edema, negative moses, pulses b/l

  12. Differential • CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment

  13. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment What do we want to order?

  14. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Labs

  15. CBC • CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment 14 g/dl 10 300 40 Chemistry 8.0 140 100 100 4.2 24 1.1 Pregnancy Test Negative

  16. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment

  17. Differential • CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment

  18. CC • HPI • PMHx • MEDS • Allergies • SocHx • FMHx • ROS • Physical Exam • Differential • LABS • Radiological • Differential • Diagnosis • Treatment Diagnosis

  19. Thank you! • Questions, comments, concerns?

More Related