Case

Presentati
on

Student:

Department:

Demographics
Name:
Age:

Sex:

Occupation:
Address:
Marital status:
Religion:

Date of admission:
Date of examination:

Chief complaint
History of present
illness

Review of systems

General:
Gastrointestinal:
Respiratory:
Cardiovascular:
Urinary:
Genital:
Neurological:
Musculoskeletal:
Skin:

Past history
Past Medical Hx.
Past Surgical Hx.
Hx. of Drug & Allergy
Vaccination Hx.:

 Family history

Social history

Physical examination
Vital signs
Heart rate:

bpm

Respiratory rate:

Blood pressure:
mmHg
Temperature:
SpO2:
%

cycle/min

/
o

C ( site )

General Examination:

Proper Examination:

Conclusion:

Thank
you