Subjective Data Presentation of relevant data including: demographics, Chief complaint, HPI, pertinent PMH, PSH,
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FMH, social and ROS
Objective Data
Presentation of findings on P.E. Include pertinent negative and positive.
Diagnostics
What labs/diagnostics were ordered and give rationale. If not ordered, which are recommended (EBP).
Pathophysiology
Give a description of pathophysiology, prevalence and common sequelae of disease.
Differential Diagnosis
List
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