Primary Care of Adults Episodic Focus Note Template
A 25 y/o F presents with a large, firm, tender, painless nodule on the conjunctival surface of the eyelid. She has also noticed some redness associated with that eyelid. Primary Care of Adults Episodic Focus Note Template
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Use the Episodic/Focus Note Template
- Subjective: What details did the patient provide regarding her personal and medical history?
- Objective: What observations did you make during the physical assessment?
- Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
- Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
- Reflection notes: What would you do differently in a similar patient evaluation?
Primary Care of Adults Episodic Focus Note Template
