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 a few 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:

  1. Complete a SOAP Note documenting your visit with the patient and order any necessary labs.

 

You may take this file into the room with you, but please leave it at the door when you leave.