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[textarea name="field_name" default="CC:\nHPI:\nIn consultation today patient reports *** which began "][date name="field_name" default="07/09/2018"]
[textarea default="Clinically worsening / improving unchanged\nThe patient came to the clinic today seeking assessment, reassurance, treatment, follow up, referral, prescription renewal\n\nROS:\nTargeted questions/ predictions rules\n\nPertinent positives\n\nPertinent Negatives\n\nRed flags\n\nPHYSICAL EXAM\nI conducted a focused exam finding\n\nSignificant for (positives)\nWith description\nDidn't find ( negatives)\n\nASSESSMENT\nBased on the H&P my working diagnosis is \nThis assessment is support by\nI am very/ somewhat/ not completely confident in this dx based on the history and physical, labs, medical history, prediction rules, imaging, option of specialist, patients insight.\n\nDDX includes :\n\nPLAN\nDiagnostic goals are\n1. Confirm diagnosis and rule out DDX \n2. Investigate the cause\n\nTherapeutic goals \n1. Alleviate symptoms \n2. Address the cause \n3. Prevent recurrence/ relapse/ transmission\n4. Decrease the duration of illness\n\nPrognosis and Disposition\n1. Symptoms should begin to improve within and mostly resolve by\n2. Changed treatment by If ....\n3. Planned follow up in... for\n4. Call or Return to clinic before planned follow up if\n5. Go Emergency if"]

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