present patient report to attending

Give the patient’s name, age, date of admission, briefly review the present illness, physical examination and admitting diagnosis. Then report any new finding, laboratory tests, diagnostic procedures and changes in medications. Bedside The attending physician will ask the patient’s permission to have the medical student present their case.

Full Answer

How do you present a patient in a patient presentation?

How to Present a Patient. You should include: • A brief 1-2 line summary of the patient, the reason for admission, and your likely diagnosis. This should also include information regarding the patient’s clinical stability. While it can be similar to your opener, it should be not identical. An example could be: “Ms.

How to present patients in medical school?

S tep-By-Step Approach To Presenting Patients in Medical School Master the One-Liner. Your one-liner will tell the resident if they should take your presentation seriously or not. The same way a great singer grabs your attention with their first note, you have to impress with a solid one-liner.

Should you present in front of attendings?

Presenting in front of attendings often makes medical students tense up. It’s very uncomfortable to attempt to sound competent, concise, and thoughtful to a likely evaluator. But what if I told you that the whole process could be stress-free and easy?

What is the importance of presenting patient cases?

This article contains... Presenting patient cases is a key part of everyday clinical practice. A well delivered presentation has the potential to facilitate patient care and improve efficiency on ward rounds, as well as a means of teaching and assessing clinical competence. 1

How do you present a patient to an attending?

1:3518:48How to Present a Patient to Attendings - YouTubeYouTubeStart of suggested clipEnd of suggested clipYou always start with the vitals. Then the labs. And then your physical exam if this is the firstMoreYou always start with the vitals. Then the labs. And then your physical exam if this is the first time that the patient is being presented to your attending.

How do you present a patient case report?

Case Presentation. The case report should be chronological and detail the history, physical findings, and investigations followed by the patient's course. At this point, you may wish to include more details than you might have time to present, prioritizing the content later.

How do you present a medical presentation?

Critical Elements of an Excellent PresentationDo Some Research. Your audience will consider you an expert on the information you deliver. ... Know Your Audience. ... Tell a Story. ... Practice. ... Q&A Session. ... Lecture. ... Research Presentation. ... Patient Presentation.

How do you write a case presentation?

SUMMARYSET THE STAGE.PROVIDE ONLY INITIAL CUES AT FIRST.ASK FOR HYPOTHESES AND WRITE THEM UP ON THE BLACKBOARD.ALLOW THE AUDIENCE TO ASK FOR INFORMATION.HAVE THE AUDIENCE RE-FORMULATE THEIR LIST OF HYPOTHESES.FACILITATE A DISCUSSION ABOUT REASONING.ALLOW ANOTHER ROUND OF INFORMATION SEEKING.More items...

What does patient presentation mean?

In medicine, a presentation is the appearance in a patient of illness or disease—or signs or symptoms thereof—before a medical professional. In practice, one usually speaks of a patient as presenting with this or that.

How do you introduce a patient in a case study?

First, we describe the complaint that brought the patient to us. It is often useful to use the patient's own words. Next, we introduce the important information that we obtained from our history-taking. We don't need to include every detail – just the information that helped us to settle on our diagnosis.

How do you write a medical case study presentation?

You should include: A brief summary (1-2 lines) of the patient, the reason for admission, and your likely diagnosis. This should also include information regarding the patient's clinical stability. While it can be similar to your opener, it should not be identical.

How do you present a patient in ICU?

2:4922:53How to Present a case in the Medical ICU (Quick Guides for Critical Care)YouTubeStart of suggested clipEnd of suggested clipAn image and to give us a sense of what has been done so far active issues and the initialMoreAn image and to give us a sense of what has been done so far active issues and the initial assessment or whoever admitted the patient. Then. We go on to do our hour-long systemic assessment.

How do you present Grand Rounds?

Grand round presentationsChoose your topic carefully—your case presentation need not necessarily be weird or wonderful but needs to be useful for those attending.Include facts and figures from your literature review. ... Give yourself adequate preparation time and improve your presentation skills.More items...•

How do you present a case study in nursing?

How to Write a Case Study Paper for NursingThe status of the patient. Demographic data. Medical History. ... The nursing assessment of the patient. Vital signs and test results. ... Current Care Plan and Recommendations. Details of the nursing care plan (including nursing goals and interventions)

How do you write a nursing case presentation?

Essential parts of a case presentation include:Identification.Reason for consultation/admission.Chief complaints (CC) - what made patients seek medical attention.History of present illness (HPI) - circumstances relating to chief complaints.Past medical history (PMHx)Past surgical history.Current medications.More items...

What are the components of patient case presentation?

Highlighted in this chapter are the essential components of the presentation: the chief complaint, the history of present illness (HPI), the past medical history, the family and social history, the review of systems, and finally, the physical examination findings.

How do you write a nursing case presentation?

Essential parts of a case presentation include:Identification.Reason for consultation/admission.Chief complaints (CC) - what made patients seek medical attention.History of present illness (HPI) - circumstances relating to chief complaints.Past medical history (PMHx)Past surgical history.Current medications.More items...

How do you write a nursing case study presentation?

How to Write a Case Study Paper for NursingThe status of the patient. Demographic data. Medical History. ... The nursing assessment of the patient. Vital signs and test results. ... Current Care Plan and Recommendations. Details of the nursing care plan (including nursing goals and interventions)

How do you write a case study report?

Writing a Case Study AnalysisRead and Examine the Case Thoroughly. Take notes, highlight relevant facts, underline key problems.Focus Your Analysis. Identify two to five key problems. ... Uncover Possible Solutions/Changes Needed. ... Select the Best Solution.

Setting the Scene

Most students would agree that presenting a patient on rounds or to your attending is one of the scariest parts of being a third or fourth year medical student. Whether you are in a group or one-on-one, all eyes and attention are on you.

10 Tips

Now that we’ve established the importance of giving good presentations, I have compiled a list of 10 tips that will help you succeed.

Practice!

Finally, remember that you will not achieve excellence without plenty of practice. Do not expect to be great at presenting on the first day of your clerkship. It will take weeks, months, and even years to perfect your presentation skills.

Attending

Transcript: Attending ATTENDING Attention Focus on One Element Average person speaks at the rate of 150 words per minute Listeners can understand messages at the rate of 380 words per minute You have to learn to focus your attention to message Do You Know GET PHYSICALLY READY TO LISTEN Physical Environment Ready to Listen Eye Contact Use Of Voice TECHNIQUES OF ATTENDING Techniques of Attending Resist Mental Distractions Resist Mental Distraction Visual Auditory Physical Distraction Hear a person before you react Hear a Person Before You React Let the person end his conversation We Stop Listening person because of their mannerisms or words turn us off.

Patient Presentation

Transcript: 67 year old male weight 170 lbs height 5'5" Reason for Admission (4/02/2012) Resection of Gastro Esophageal junction carcinoma diabetes type II (12/05/2008)-present hyperlipidemia (12/05/2008)-present gout (12/05/2012)-present hypertension (12/05/2008)-present Parkinson's disease (12/05/2008)-present nuclear sclerosis (9/22/2010)-present prostate cancer (10/26/2010)-present GE junction carcinoma- (12/27/2011)-present Radiation started 1/17/2012 and completed 2/15/2012 dysphagia (12/27/2011-3/28/2012)-resolved dehydration (2/07/2012-3/28/2012)-resolved Hypocalcemia (4/03/2012)-present Vitals (4/02/2012) blood pressure 123/21 pulse 69 temperature 98.8 respirations 12 spO2 93% amantadine (parkinson's disease) carbidopa-levodopa (parkinson's disease) epinephrine (adrenaline) injection insulin levalbuterol (xopenex) methylnatrexone (treat constipation) nalbuphine (nubain) (relieves pain) pantoprazole (treat damage to esophagus) pramipexole (parkinson's disease) vancomycin (antibiotic) furosemide (diuretic) cefazolin (treat bacterial infection) Continous infusions during surgery norepinephrine naloxone (reverse effects of narcotic drugs during surgery) bupivacaine (anesthetic) lactated ringers (sterile irrigation of body cavities) dextrose (use when additional fluids are needed) epidural T-6 -7 (pain)-current Procedures during hospitalization Esophagogastrectomy (primary) CT chest (4/04/2012) pneumonia versus atelectasis moderate left pleural effusion two right chest tubes with tiny right anterior pneumothorax Sputum culture collection (04/04/2012) and resulted (04/06/2012) specimen source: Bronchial wash culture report: many Staphylococcus aureus Lab results (4/03/2012) creatine 0.9 BUN 16 NA 138 K 4.1 CO2 26 WBC 10.3 HGB 11.1 PLT 125 ABG ( 4/04/2012) ph 7.39 po2 60.1 pCO2 47.5 HCO3 28.3 Base 2.7 Lab results (4/04/2012) creatinine 0.9 BUN 14 NA 136 K 4.2 CL 101 CO2 30 WBC 8.1 HGB 10.3 PLT 122 CBC 4/05/2012 WBC 8.5 RBC 3.45 Hgb 10.5 PLT 124 Neutrophils 7.61 lymphocites 0.18 monocytes 0.70 basophils 0.01 Rt involvement (4/06/2012) Patient was on 1 l/min NC SpO2 pre 91% post 98% Pulse pre 104 post 94 Levalbuterol (xopenex) nebulizer solution 0.63mg q4h order for chest physioterapy Qid, discontinued that day and started Acapella Diagnosis Cancer of esophagus 2 chest tubes on R lung LLL and RLL collapsed Any questions besides Shawn Medical History Patient Presentation allergies lisinopril (treats high blood pressure) Medications By Karla Arias Admission patient was admitted to ICCU on (04/02/2012) Resection of gastroesophageal carcinoma.

Patient Presentation

Transcript: Life History Born in Manti, UT 3 brothers and 3 sisters Married at one time, currently single Raised 2 sons and a daughter on her own worked multiple jobs low income (Medicaid) Support System Son- working 2 jobs and wife not willing to help with JH Son- house not adaptable to wheelchair Daughter- little contact History of Present Illness Admitted from Mt.

Patient Portal Template

Transcript: Patient Portal Utilization Meaningful use is using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination, and population and public health Maintain privacy and security of patient health information Meaningful use sets specific objectives that eligible professionals (EPs) and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs.

flight attending presentation

Transcript: Attendant Career Research Flight Educational Requirements 01 High School degree or equivalent Some airlines prefer applicants who have taken college courses (tourism and hospitality) Must be certified by the Federal Aviation Administration Required Skills 02 Organized Attentive Communication skills Decision making skills Airlines set height, weight and age requirements Certain physical abilities are required Salary 03 Salary is affected by experience level, location and airline company.

ATTENDING

Transcript: Attending behavior in counseling Angel Shrestha Introduction ATTENDING Attending is the behavioural aspects of building rapport. When counsellor first meets with a client, they must indicate to the client that they are interested in listening to them and helping them.

Patient Presentation

Transcript: Thinking points Decreased albumin production Increased a-1-AGP Possible p-450 reduction Increased liver/renal flow 49 yo female admitted with 86% TBSA burn (80% 3rd degree). > 5 month ICU stay.

What to do when something is abnormal to a patient?

If something is abnormal to a patient, explain how it differs from normal for them. If a patient can’t walk without being SOB, you must explain how far could they walk before.

What to ask a patient for heart failure?

Indicate what medications they’re currently taking and how compliant they are. Ask the patient how many pillows they sleep with under their head as paroxysmal nocturnal dyspnea is a common symptom. Also, ask about their baseline weight (will go up in a heart failure exacerbation) and what their diet/fluid intake is like.

What are the comorbidities in PMH?

In your PMH include big comorbidities such as diabetes, asthma/COPD, heart failure, liver disease, and kidney issues.

Is it important to include symptoms of MI that they don't have?

It’s equally as important to include symptoms of an MI that they don’t have.

The history of present illness

Mr. Smith is a 67 year old male known to our cardiology group with a history significant for CAD with a stent in 2002, hypertension, dyslipidemia, COPD and heart failure with reduced EF presented to the hospital with 3 days of worsening dyspnea on exertion. He tells me that he has had to sleep sitting up in the chair.

Objective

On physical exam he appears in no acute distress. Positive JVD. Lung sounds with bibasilar crackles, wearing 2 liters nasal canula but respirations non-labored. S 1 S 2 heart sounds are normal, no gallop, 2/6 systolic murmur to the base. Positive abdominal and lower leg 2+ edema bilaterally.

Home medications

His home medications include aspirin, metoprolol tartrate, Lipitor, albuterol inhaler as needed.

Social history

At home he lives with his wife who actually insisted that he come to the hospital. He quit smoking back in 1990. Drinks alcohol socially on holidays.

Diagnostic tests

In the ED he had a chest x-ray that shows pulmonary vascular congestion. BNP elevated at 690. Normal electrolytes and creatinine. EKG is normal sinus rhythm and non-ischemic looking. He had an echo done 1 year ago showing an EF of 50% with no valvular abnormalities.

Assessment and Plan

I think the patient is having an acute exacerbation of heart failure and will require an over night stay for diuresing. The ED has given Lasix 40 mg IV. I will continue Lasix 40 mg IV BID and monitor daily BMP and magnesium levels along with I&O and daily weight. I will order an echo since the last one was done a year ago.

What is the purpose of a bedside presentation?

bedside presentation. The attending physician will ask the patient's permission to have the medical student present their case. After making the proper introductions the attending will let the patient know they may offer input or ask questions at any point.

What should an opening statement give?

This opening statement should give an overview of the patient and why they are here.

Why is it important to present patient cases?

A well delivered presentation has the potential to facilitate patient care and improve efficiency on ward rounds, as well as a means of teaching and assessing clinical competence. 1

Where do medical students present?

As a medical student, you are likely to be asked to present in numerous settings. A formal case presentation may take place at a teaching session or even at a conference or scientific meeting. These presentations are usually thorough and have an accompanying PowerPoint presentation or poster. More often, case presentations take place on the wards or over the phone and tend to be brief, using only memory or short, handwritten notes as an aid.

What should you anticipate in a presentation?

Everyone has their own presenting style, and the context of the presentation will determine how much detail you need to put in. You should anticipate what information your senior colleagues will need to know about the patient’s history and the care he or she has received since admission, to enable them to make further management decisions. In this article, I use a fictitious case to …

What is the purpose of case presentation?

The purpose of a case presentation is to communicate your diagnostic reasoning to the listener, so that he or she has a clear picture of the patient’s condition and further management can be planned accordingly . 2 To give a high quality presentation you need to take a thorough history.

What is the best phrase to use when you suspect a more serious cause is in the differential diagnosis?

Differential diagnoses. Mentioning one or two of the most likely diagnoses is sufficient. A useful phrase you can use is, “I would like to rule out,” especially when you suspect a more serious cause is in the differential diagnosis.

Do not trail off at the end of a diagnosis?

Do not trail off at the end, and state the diagnosis if you are confident you know what it is. If you are not sure what the diagnosis is then communicate this uncertainty and do not pretend to be more confident than you are.

Do you need to present all findings on an examination?

Findings on examination. Initially, it can be useful to practise presenting the full examination to make sure you don ’t leave anything out, but it is rare that you would need to present all the normal findings. Instead, focus on the most important main findings and any abnormalities.

Style

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Length

Structure

Presenting Patients Who Have Been in The Hospital For Multiple Days

Presenting Patients in Outpatient Settings