Continue to work on a patient

Events: what has happened since we last saw each other/over night/over the weekend?

Subjective:

• Chief compliant(s)
• what is the current state of the patient?

Objective:

• Vitals + weight
• Exam
• Labs
• Imaging
• Meds
• comments / notes of other clinicians
• other data

Evaluate: past interventions

Assessment/Hypothesis:

• one liner
• why have things happen the way they did?
• how do things fit into the broad scheme?
• Differential Diagnosis

Plan:

• what is the concrete next step
• what are other important steps
• Labs, diet, referral, patient education,
• todos