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History*
Describe the history you just obtained from this patient. Include only information (pertinent positives and negatives) relevant to this patient's problem(s).
Physical Examination*
Describe any positive and negative findings relevant to this patient's problem(s). Be careful to include only those parts of examination you performed in this encounter.
Data Interpretation
Based on what you have learned from the history and the physical examination, list up to 3 diagnoses that might explain this patient's complaint(s). List your diagnoses from most to least likely. For some cases, fewer than 3 diagnoses will be appropriate. Then, enter the positive or negative findings from the history and the physical examination (if present) that support each diagnosis. Lastly, list initial diagnostic studies (if any) you would order for each listed diagnosis (e.g. restricted physical exam maneuvers, laboratory tests, imaging, ECG, etc.)
Diagnosis #1*
History Finding(s)
Please write one history finding per line
Physical Exam Finding(s)
Please write one physical exam finding per line
Diagnosis #2*
History Finding(s)
Please write one history finding per line
Physical Exam Finding(s)
Please write one physical exam finding per line
Diagnosis #3
History Finding(s)
Please write one history finding per line
Physical Exam Finding(s)
Please write one physical exam finding per line
Diagnostic Study/Studies*
Enter one diagnostic study per line if entering multiple studies
Name
First Last
Your Email Address
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Your Preceptor or Attending's Email
Enter Email Confirm Email

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Data Interpretation

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Data Interpretation

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