Presenting your case : a concise guide for medical students

✍ Scribed by Clifford D. Packer

• Publisher: Springer
• Year: 2019
• Tongue: English
• Leaves: 201
• Category: Library

✦ Table of Contents

Preface
Contents
Chapter 1: The Importance of a Good Case Presentation and Why Students Struggle with It
Chapter 2: Organization of the Oral Case Presentation
The Admission H&P Versus the Oral Case Presentation
The History of Present Illness (HPI)
Past Medical History and Past Surgical History
Medications
Allergies
Family History
Social History
Review of Systems
Physical Exam
Laboratory Tests and Imaging Results
The Assessment and Plan
References
Chapter 3: Variations on the Oral Case Presentation
Night Float Admissions
Transfer Admissions
Bedside Presentations
The Daily Soap Presentation on Rounds
Calling a Consultant
The Emergency Room Presentation
The Outpatient Clinic Presentation
The SNAPPS Presentation
References
Chapter 4: The HPI: A Timeline, Not a Time Machine
The Timeline, from Hippocrates to Lawrence Weed
Case Reports and the Importance of the Timeline
The Timeline as “Origin Story” for the Chief Complaint
The Clinical Flow Sheet
Seven Keys to Presenting the HPI
References
Chapter 5: Pertinent Positives and Negatives
The Role of Pertinent Positives and Negatives in the Oral Presentation
Learning the Pertinent Positives
Cases with Pertinent Positives and Negatives
Case 1: Chest Pain
Discussion of Case 1
Case 2: Chest Pain
Discussion of Case 2
Case 3: Abdominal Pain
Discussion of Case 3
Case 4: Chronic Headache
Discussion of Case 4
The Dog that Didn’t Bark
Pertinent Positives and Negatives: Six Suggestions
References
Chapter 6: The Diagnostic Power of Description
The Art of Description
Diagnosis Through Description
More Examples: Sketchy Depictions Versus Deep Descriptions
Knee Pain
Hip Pain
Prostate Symptoms
Groin Pain and Bulging
Rash
References
Chapter 7: The Assessment and Plan
Elements of the Assessment and Plan
Let Us Know What You’re Thinking
Assessment: Beyond Diagnosis
The Evidence-Infused Assessment
References
Chapter 8: Approaches to Differential Diagnosis
Active Diagnosis: Hypothesis Testing in Real Time
Diagnostic Theories, Principles, and Caveats
Occam’s Razor
Hickam’s Dictum
The Law of Sigma
Case 1
Case 2
Case 3
Post Hoc Ergo Propter Hoc
Heuristics
Heuristic Failures and Diagnostic Biases
The Key Findings Approach to Differential Diagnosis
Using the Key Findings Approach in a Complex Case
References
Chapter 9: Searching and Citing the Literature
Using the Literature Search to Optimize Patient Care
How to Search the Literature
Discussing the Literature on Rounds
References
Chapter 10: Adding Value to the Oral Presentation
The Importance of High-Value Care
Ten Reasons for Overuse
Changing the Culture with High-Value Care
SOAP-V: Adding Value to the Oral Presentation
When to Discuss Value
How to Discuss Value
Soap-V Practice Cases
Case 1
Case 2
Answers for SOAP-V Practice Cases
Case 1
Case 2
References
Chapter 11: Teaching Rounds: Speaking Up, Getting Involved, and Learning to Accept Uncertainty
Teaching Rounds: The Student’s Role
Teaching Decisiveness: A Paradox in Medical Education
References
Chapter 12: On Pimping
What Is Pimping?
“Socrates Was Not a Pimp”
The Pimper Phenotype
Pimping the Pimper: The Art of Pimping Back
In Defense of Pimping
How to Respond to Pimping
References
Chapter 13: The Art of the 5-Minute Talk
How to Become a “Student-Educator”
Narrow the Scope
Dig Deep
Cite Key Studies
Write an Outline
Keep It Relevant to Patient Care
Summarize Your Findings in a One-Page Handout
References
Chapter 14: Future Directions of the Oral Case Presentation
New Technologies at the Bedside
Three Ways to Look at an Ambiguous Case
Traditional Assessment and Plan, 2019
Technology-Enhanced Assessment and Plan, 2019
Assessment and Plan for the Same Patient, c. 2029
References
Author Index
Subject Index