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  2. Chief complaint - Wikipedia

    en.wikipedia.org/wiki/Chief_complaint

    [citation needed] [1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. [2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance. [3]

  3. Medical diagnosis - Wikipedia

    en.wikipedia.org/wiki/Medical_diagnosis

    For example, a definitive diagnosis of cancer is made via tissue examination by a pathologist. [citation needed] Principal diagnosis The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment. Many patients have additional diagnoses. [citation needed] Admitting diagnosis

  4. Medical history - Wikipedia

    en.wikipedia.org/wiki/Medical_history

    The treatment plan may then include further investigations to clarify the diagnosis. The method by which doctors gather information about a patient's past and present medical condition in order to make informed clinical decisions is called the history and physical (a.k.a. the H&P). The history requires that a clinician be skilled in asking ...

  5. Ophthalmoparesis - Wikipedia

    en.wikipedia.org/wiki/Ophthalmoparesis

    Neuro-ophthalmologic examination showing ophthalmoplegia affecting the left eye in a patient with Tolosa–Hunt syndrome.The central image represents forward gaze, and each image around it represents gaze in that direction (for example, in the upper left image, the patient looks up and right; the left eye is unable to accomplish this movement).

  6. History of the present illness - Wikipedia

    en.wikipedia.org/wiki/History_of_the_present_illness

    Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) [1] (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).

  7. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis, a list of other possible diagnoses usually in order of most likely to least likely. The assessment will also include possible and likely etiologies of ...

  8. Glaucoma - Wikipedia

    en.wikipedia.org/wiki/Glaucoma

    Diagnosis is made from physical signs and symptoms - pupils mid-dilated and unresponsive to light, cornea edematous (cloudy), reduced vision, redness, and pain. However, the majority of cases are asymptomatic. Prior to the very severe loss of vision, these cases can only be identified by examination, generally by an eye-care professional.

  9. Eye injury - Wikipedia

    en.wikipedia.org/wiki/Eye_injury

    In rare cases, the infection can enter the brain and cause death to the patient. In cases of globe penetration, pressure patches should never be applied, and instead a shield patch should be applied that protects the eye without applying any pressure. If a shield patch is applied to one eye, the other eye should also be patched due to eye movement.