Sample Case

INITIAL INFORMATION PAGE

Patient Name: Bob Smith
Setting: Emergency Room

Patient Information:

Mr. Smith is a 75-year-old man who was admitted three hours ago with acute abdominal pain.

Blood pressure: 100/70 mm Hg
Temperature: 101.6° F
Heart rate: 120 beats per minute
Respirations: 22 breaths per minute

Your Tasks:

In the 15 minutes with the patient:

  1. obtain a focused history
  2. perform a relevant physical exam


In the last 10 minutes, you will complete a note documenting your visit with the patient and order any necessary labs.