Author declares no conflict of interest.

In addition to the presenter, following authors who may have helped with the content writing, review, or approval declare no conflict of interest.

Dr. Mobeen Syed
Dr. Pei Purdom (DNP)
Dr. Benish Zahra
Dr. Iqra Batool
Dr. Heba Alzawahri

Duration: 1:19:15

History of Presenting Illness

{{isShortDescriptionLonger && !showFullDescription ? shortDescription.slice(0, 250) : shortDescription }} ...

See {{showFullDescription? 'less' : 'more'}}

Write A New Comment

2 Comments

Nice presentation.

krish.dollar45@gmail.com

Dec 14th 2020, 12:21 am REPLY

Thank you very much Dr. Zaafran for a great presentation! I express my sincerest appreciation listening to your lecture and im very happy to review back the basics.

germitanomd@gmail.com

Apr 19th 2020, 2:39 am REPLY

Please Login to access this content

Start Your Free trial

In this foundational talk. Dr. Zaafran discusses the case presentation and the components of an effective clinical communication.

The following topics are discussed

Case Presentation

Timing
Reciting the case
Using the notes

Module Overview

Chief complaint
History of the present illness
Past medical history
Medications
Medication allergies
Social history
Family history
Review of systems (specify only pertinent positive and negative findings) • Physical Exam
Labs and Tests
Assessment and Plan

Physical Examination

Vitals (Be sure to write 24 hour ranges) • Blood Pressure
- Heart Rate
- Respiratory Rate
- O2 Saturation • Temperature • Pain (+/-)
Generalized
Focused
General- Normal Appearance vs. lethargic, disheveled
HEENT- PEERLA
Chest- nl d1, s2 RRR no m/r/g
Lungs- CTA B
Abdomen- soft, non distended, bowel sounds regular on ascultation • Extremties- no edema, lesions, breaks, etc.
Neuro- A & O x 4 (Person, place, time, situation) CN II-XII intact

Laboratory Results and Studies

Assessment and Plan

Cases

Create Flash Cards

Disclaimers

Disclaimers value is here default value

Course Objectives

Course Objectives value is here default value

Course Outcomes

Course Outcomes default value is here.

My Notes

Instructor

Ahmed Zaafran, MD

Ahmed Zaafran, M.D, is a practicing anesthesiologist at Santa Clara Valley Medical Center. He is also an adjunct clinical assistant professor of anesthesiology at Stanford University School of Medicine.

Back to Browse