Outcome variables measured: what is the researcher trying to measure or investigate. The aim or objective of the study. Quality is very subjective: This is your opinion so you cannot get this wrong. Choose from the following: A: (High) Further research is very unlikely to change our confidence in the estimate of effect. B: (Moderate) […]

Part I: Comprehensive Health History Subjective Data Chief Complaint (CC): History of Present Illness (HPI): Past Medical History (PMH): Surgical History (PSH): Medications: Allergies: Preventive Health: Social History (social determinants of health): Review of Systems (ROS) General: Skin: HEENT: Cardiac: Respiratory: Gastrointestinal (GI): Genitourinary (GU): Musculoskeletal (MSK): Neurologic: Psychiatric: Endocrine: Hematologic/Lymphatic/Immune: Part II: Reflection (1 […]

Chief Complaint (CC) • State the patient’s main reason for visit — concise and focused. • Use the patient’s own words in quotes (1–2 words or one short sentence). • Example: “Sore throat for two days.” or “Shortness of breath.” History of Present Illness (HPI) – OLDCARTS + Pertinent History • Use OLDCARTS to gather […]

Age: 27 Sex: Male Race/Ethnicity: Hispanic Marital Status: Married Occupation: Construction worker Insurance: Private Living Situation: Lives with wife, mother, and 4-year-old son Chief Complaint (CC): Fever and body aches for three days. Patient Statement About three days ago I started feeling really run down, like I was coming down with something. The next day […]