# PROGRESS NOTE SKELETON

ID 24 HOUR EVENTS TELE SUBJECTIVE PROBLEM LIST OBJECTIVE VITALS PHYSICAL EXAM I/O MEDICATIONS LABS CULTURES IMAGING EKG/ ECHO PROCEDURES PATHOLOGY ASSESSMENT AND PLAN PRINCIPAL DX SECONDARY DXs ACTIVE COMORBIDITIES OTHER COMORBIDITIES COMPLICATIONS Incorporate meddical equations, algorithms, scores, guidelines, and decision making criteria for every medical problem and address every problem in the assessmebt and plan ADDRESS ALL PROBLEMS EVEN THOSE NOT PREVIOUSLY INCLUDED IN ASSESSMENT AND PLAN BUT ARE ACTIVE ABNORMALITIES Bayes in a Nutshell The Scientific Method Diagnostic Protocol Initial probability theory is Do experiment Result either tends to confirm or refute theory Update: New probability theory 4 is valid depends on initial probability, experimental result and strength of experiment New probability becomes the initial probability for next cycle iterative approach Doctor's estimate of probability of distone based in tist, Etc. Perform diagnostic test Test comes back positive or negative Update: New estimate of probability of disease based on prior estimate, test result and test strength New estimate is starting point for next tesT, if necessary

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