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Report Writing: Difference between revisions
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Revision as of 15:12, 13 March 2022
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Report writing is the process by which the clinician summarises the salient features of the patient's condition.
The report generally includes
- Patient details
- Presenting symptoms
- History of the index condition
- Association symptoms
- General medical history
- Psychological and social history
- Physical examination findings
- Special investigation results
- Provisional diagnosis
- Management plan
