Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation use the following template
CC (chief complaint):
HPI:
Past Psychiatric History:
β’ General Statement:
β’ Caregivers (if applicable):
β’ Hospitalizations:
β’ Medication trials:
β’ Psychotherapy or Previous Psychiatric Diagnosis:
Substance Current Use and History:
Family Psychiatric/Substance Use History:
Psychosocial History:
Medical History:
β’ Current Medications:
β’ Allergies:
β’ Reproductive Hx:
ROS:
β’ GENERAL:
β’ HEENT:
β’ SKIN:
β’ CARDIOVASCULAR:
β’ RESPIRATORY:
β’ GASTROINTESTINAL:
β’ GENITOURINARY:
β’ NEUROLOGICAL:
β’ MUSCULOSKELETAL:
β’ HEMATOLOGIC:
β’ LYMPHATICS:
β’ ENDOCRINOLOGIC:
Physical exam: if applicable
Diagnostic results:
Assessment
Mental Status Examination:
Differential Diagnoses: