Case presentation

A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information.[1][2][3]

Essential parts of a case presentation include:

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

References

"Clinical Vignette: Deciding What to Present | ACP". www.acponline.org. Retrieved 2022-08-31.
Williams, Dustyn E.; Surakanti, Shravani (2016). "Developing Oral Case Presentation Skills: Peer and Self-Evaluations as Instructional Tools". The Ochsner Journal. 16 (1): 65–69. ISSN 1524-5012. PMC 4795506. PMID 27046408.
"TEACHING TIPS: TWELVE TIPS FOR MAKING CASE PRESENTATIONS MORE INTERESTING". Journal of Family & Community Medicine. 12 (2): 97–100. 2005. ISSN 1319-1683. PMC 3410129. PMID 23012083.

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[1] "Clinical Vignette: Deciding What to Present | ACP". www.acponline.org. Retrieved 2022-08-31.

[2] Williams, Dustyn E.; Surakanti, Shravani (2016). "Developing Oral Case Presentation Skills: Peer and Self-Evaluations as Instructional Tools". The Ochsner Journal. 16 (1): 65–69. ISSN 1524-5012. PMC 4795506. PMID 27046408.

[3] "TEACHING TIPS: TWELVE TIPS FOR MAKING CASE PRESENTATIONS MORE INTERESTING". Journal of Family & Community Medicine. 12 (2): 97–100. 2005. ISSN 1319-1683. PMC 3410129. PMID 23012083.