Clinical History and Case Presentations

Preserve onset, symptom source, and uncertainty when summarizing a case.

What to know

A case presentation usually starts with a concise opening sentence. Keep the reason for the encounter and time course, then describe key history and findings. Say who reported a detail if that affects how it should be understood.

LESSONQuestion 1 of 5

Clinical scenario

A fictional history says “three days of exertional dyspnea, per patient.” Which opening preserves the source and time course?

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