RT Book, Section
A1 Tierney, Lawrence M.
A2 Henderson, Mark C.
A2 Tierney, Lawrence M.
A2 Smetana, Gerald W.
SR Print(0)
ID 56857489
T1 Chapter 65. The Case Presentation
T2 The Patient History: An Evidence-Based Approach to Differential Diagnosis, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162494-7
LK accessmedicine.mhmedical.com/content.aspx?aid=56857489
RD 2024/04/25
AB The  spoken  case  presentation  is  a  concise  summary  of  the  history  and  physical  examination.  Unlike  the  written  version  in  a  patient's  chart,  the  oral  presentation  is  dynamic  and  ranges  from  a  brief  summary  given  by  phone  to  a  consultant  to  a  more  formal  presentation  to  a  large  medical  audience  at  an  academic  session.  Succinctness  and  organization  are  especially  important,  as  the  presenter  has  neither  the  luxury  of  omitting  important  details  nor  time  for  repetition.  Brevity  is  of  paramount  importance;  simply  reading  from  a  chart  defeats  the  purpose  of  the  exercise.  Highlighted  in  this  chapter  are  the  essential  components  of  the  presentation:  the  chief  complaint,  the  history  of  present  illness  (HPI),  the  past  medical  history,  the  family  and  social  history,  the  review  of  systems,  and  finally,  the  physical  examination  findings.