Patient Notes

Room Number: 15 USMLE ID: 1-234-567-8
Candidate Name: (Practice session:  put email address here)
Candidate Number: 20

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 (with 1 being the most likely), list up to 5 potential or possible diagnoses for this patient's presentation (in many cases, fewer than 5 diagnoses are likely): DIAGNOSTIC WORKUP - List immediate plans (up to 5) for further diagnostic workup:
1 1
2 2
3 3
4 4
5 5

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