CTI SP Note template
From Clinicaltools.com
Candidate:
Date:
History-
Include significant positives and negatives from history of present illness, past medical history, review of system(s), social history and family history.
Physical Examination-
Indicate only pertinent positive and negative findings related to the patient's chief complaint.
Differential Diagnosis- In order of likelihood write no more than 5 differential diagnoses for this patient's current problems.
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5.
Diagnostic Work up-
Immediate plans for no more than 5 further diagnostic studies.
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