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VISUAL CASE HISTORY TEACHERS Observations Patient ID: Child's Name: Mast/Miss Date: (First Name)(Surname)School: Grade: Teacher: I request and grant permission for the release of this information
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How to fill out visual case history
How to fill out visual case history
01
Start by collecting all relevant medical records and history of the patient.
02
Begin by documenting the patient's personal details such as name, age, gender, and contact information.
03
Include a comprehensive medical history, including any past illnesses, surgeries, or chronic conditions.
04
Document the patient's current symptoms and complaints in detail.
05
Conduct a thorough physical examination and record all findings.
06
If applicable, include any relevant laboratory test results or imaging studies.
07
Document the patient's medical allergies and medication history.
08
Record the patient's family history, especially if there are any hereditary conditions or diseases.
09
Include information about the patient's lifestyle, including their occupation, dietary habits, and exercise routine.
10
Conclude the visual case history by summarizing the patient's condition and any recommended treatment or further investigations.
Who needs visual case history?
01
Visual case history is needed by healthcare professionals such as doctors, nurses, and specialists.
02
It is also useful for medical researchers, students, and educators.
03
Patients may also benefit from having their visual case history for personal record-keeping or when seeking second opinions.
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