Clinical Case Presentation: Understanding Diagnosis and Treatment
Explore a comprehensive case presentation covering review, disease pathogenesis, differential diagnosis, diagnostic criteria, treatment, and patient updates. Dive into the history of present illness, medical history, social history, and physical examination for a thorough understanding of the patient's condition.
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Presentation Transcript
Case Title Subtitle (if applicable Conference Name Date of presentation 1
Outline 1. Review Case 2. Discuss Disease Pathogenesis 3. Discuss Differential Diagnosis 4. Discuss Diagnostic Criteria 5. Discuss Treatment 6. Patient Update 2
History of Present Illness Bullet points Keep text minimal and discuss key points It can be helpful to highlight key points of the case in a different color so that you remember what to mention Feel free to use more slides if necessary. Objective measures are further in the presentation (labs, PE) 4
Past Medical History List pertinent positives (and negatives if needed) 6
Past Surgical History List pertinent positives (and negatives if needed) 7
Family History List pertinent positives (and negatives if needed) 8
Social history Smoking Alcohol Illicits Living situation Occupation 9
Review of Systems 10 point review of systems negative except for: o Can also list pertinent positives and negatives Can go by organ system 11
Physical exam Vitals: Temp XX.X F, HR XX, RR XX, SpO2 XX% XX, BP XXX/XX(X) HEENT: Neck: CV: Thorax: Abdomen: Extremities: Neuro: Integument Any other exam pertinent to your case Add in any pictures pertinent to your case from Media file in EPIC Use second slide if needed 13
Labs, Imaging, and Biopsies (put which are pertinent to your case) 14
Labs (you can utilize fishbones or charts- highlight abnormal labs in a different color- Place labs not in fishbones in columns) 100 MCV: 77.5 RDW: 15.1 ANC: 9.8 143 8 11.5 109 12.8 271 29 0.74 3.5 36.6 143 Troponin: < 0.015 S. Pneumo Ag: negative 3.0 7.8 hCG: negative Legionella Ag: negative 0.2 HIV: negative Influenza: negative 11 28 ANCAs: negative Mono: negative 104 GAS: negative RPR: negative Pertussis: negative + allergen testing to mold and some trees ESR: 64 15
Second column narrow with example of table Lab Value Reference Range Lab Value Reference Range Pertinent labs not in table listed here 16
Imaging 17
Imaging 18
Imaging 19
Biopsy results (if CPC or pertinent to case presentation) 21
40X 22
100X 23
Disease Can describe discovery Epidemiology Bird s eye view of what it is and what makes your case rare/interesting 25
Differential 26
Pathogenesis 27
Pathology 28
Treatment 33
Treatment 34
References 37
Questions? 38
Thank you 39
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