Case presentation explained
A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information.[1] [2] [3]
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
Notes and References
- Web site: Clinical Vignette: Deciding What to Present ACP . 2022-08-31 . www.acponline.org. 17 May 2016 .
- Williams . Dustyn E. . Surakanti . Shravani . 2016 . Developing Oral Case Presentation Skills: Peer and Self-Evaluations as Instructional Tools . The Ochsner Journal . 16 . 1 . 65–69 . 1524-5012 . 4795506 . 27046408.
- 2005 . Journal of Family & Community Medicine . 12 . 2 . 97–100 . 1319-1683 . 3410129 . 23012083. Teaching tips: Twelve tips for making case presentations more interesting .