Practice for Patient Note Entry Form, Step 2 CS Patient Note Information http://usmle-cspractice.

com/

IMPORTANT! Please use our new domain name usmle-cspractice.com

HISTORY: Describe the history you just obtained from this patient. Include only information (pertinent positives and negatives) relevant to this patient's
problem(s).

irritable,daycare children with same symptoms Lines: 15 / 15 Characters: 628 / 950

PHYSICAL EXAMINATION: Describe any positive and negative findings relevant to this patient's problem(s). Be careful to include only those parts of examination
you performed in this encounter.

Lines: 1 / 15 Characters: 4 / 950

DATA INTERPRETATION: Based on what you have learned from the history and the physical examination, list up to 3 diagnoses that might explain this patient's
complaint(s). List your diagnoses from most to least likely. For some cases, fewer than 3 diagnoses will be appropriate. Then, enter the positive or negative findings
from the history and the physical examination (if present) that support each diagnosis. Lastly, list initial diagnostic studies (if any) you would order for each listed
diagnosis (e.g. restricted physical exam maneuvers, laboratory tests, imaging, ECG, etc.)
Diagnosis #1
gastroenteritis

History Finding(s) Physical Exam Finding(s)

daycare children with same symptons
watery diarrhea
fever

Diagnosis #2
bacterial diarrhea

History Finding(s) Physical Exam Finding(s)

fever
watery diarrhea
vomiting

1 of 2 5/7/2018, 4:54 PM
Practice for Patient Note Entry Form, Step 2 CS Patient Note Information http://usmle-cspractice.com/

Diagnosis #3
travel's diarrhea

History Finding(s) Physical Exam Finding(s)

travel recently to india
watery diarrhea

Diagnostic Study/Studies

If there is a bug or feature that you may like to report please do write to me at junaid_arif@hotmail.com

2 of 2 5/7/2018, 4:54 PM