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> Descriptifs du motif de consultation médical
Descriptifs du motif de consultation médical
Patient Information
Patient name:* [Enter patient's full name]
Patient age:* [Enter patient's age]
Patient gender:* [Enter patient's gender]
Patient contact information:* [Enter patient's phone number and/or email address]
Medical History
Pre-existing medical conditions:* [List any known medical conditions the patient has]
Previous surgeries or hospitalizations:* [Provide details of any surgeries or hospitalizations the patient has undergone]
Current medications:* [List all medications the patient is currently taking]
Allergies:* [Specify any known allergies the patient has]
Presenting Complaint
Date of consultation:* [Enter the date of the medical consultation]
Chief complaint:* [Describe the main reason for the patient's visit]
Onset of symptoms:* [Indicate when the symptoms began]
Progression of symptoms:* [Note any changes or developments in the symptoms]
Associated symptoms:* [List any other symptoms that accompany the chief complaint]
Physical Examination
Vital signs:* [Record the patient's blood pressure, heart rate, respiratory rate, and temperature]
General appearance:* [Describe the patient's overall appearance and demeanor]
Specific examination findings:* [Detail any notable findings from the physical examination]
Investigations
Lab tests:* [Specify any laboratory tests that have been ordered]
Imaging studies:* [Indicate any imaging studies (e.g., X-rays, CT scans) that have been requested]
Other diagnostic procedures:* [Mention any additional diagnostic procedures planned]
Diagnosis and Plan
Provisional diagnosis:* [State the tentative diagnosis based on the information gathered]
Treatment plan:* [Outline the recommended treatment options and interventions]
Follow-up instructions:* [Provide any necessary post-consultation instructions or follow-up appointments]
Additional Notes
[Include any additional relevant notes or observations regarding the consultation or patient's condition]
Note: This is a general guideline for a medical consultation checklist and may vary depending on the specific requirements and practices of healthcare professionals or institutions.
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