Jump to content

Case presentation

From Wikipedia, the free encyclopedia
This is an old revision of this page, as edited by 131.181.251.66 (talk) at 05:24, 29 January 2006. The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

A formal communications between health care professionals (doctors, nurses, therapists, nutrientist etc.) regarding a patient's clinical information. Essential parts of a case presentation includes

  • Identification
  • Reason for consultation/admission
  • Chief complaints (CC) - what made patients to seek medical attention.
  • Past medical history (PMHx)
  • Past surgical history
  • Current medications
  • Allergies
  • Family history (FHx)
  • Social history (SocHx)
  • History of present illness (HPI) - circumstances relating to chief complaints.
  • Physical examination (PE)
  • Laboratory results (Lab)
  • Other investigations (imaging, biopsy etc.)
  • Case summary and impression
  • Management plans


Stub icon

This medical article is a stub. You can help Wikipedia by expanding it.

Retrieved from "https://en.wikipedia.org/w/index.php?title=Case_presentation&oldid=37174713"