# The Long Case Verse 1: Prep and Greet Chart review, be quick but keen Age, sex, job, hygiene Chief complaint, duration clear PMH, meds, allergies here Enter room, observe with care Comfort, distress – be aware Introduce, explain the plan Build rapport, then begin Chorus: Long case, step by step Every detail, don't forget From history to head-to-toe Leave no stone unturned, let's go Verse 2: History Dive SOCK-RAT-EEZE, apply with skill Site, Onset, Character, fulfill Radiation, Associated too Timing, Exacerbating, see it through Alleviating, Severity score Previous episodes, treatments galore Impact on life, fears confide Expectations, don't let slide Verse 3: Systems Review Respiratory: cough, sputum, wheeze? Cardiac: chest pain, SOB with ease? GI: appetite, bowels move? GU: micturition, prove Neuro: headaches, numbness, falls? MSK: joint pains, stiffness calls? Skin: rashes, lesions explore Endocrine: thirst, sweats, and more Verse 4: Past and Personal Childhood ills, adult conditions list Surgeries, traumas – don't miss Psychiatric history, be tactful OB/GYN if applicable Current meds, dosage precise OTC drugs, supplements suffice Allergies, immunizations update Family history, diseases relate Verse 5: Social Context Smoking: pack-years, tried to quit? Alcohol: units, bingeing fit? Drugs: type, route, frequency Job: stress, hazards foresee Home life: who's around to aid? Diet, exercise – choices made Sleep, stress levels realize Hobbies, travel – scrutinize Verse 6: Physical Exam Vitals first: BP, pulse, and more General inspection, from head to floor HEENT: eyes, ears, nose, and throat Neck: Jay Vee Pea, thyroid – take note Chest: expansion, sounds compare Heart: rate, rhythm, murmurs rare? Abdomen: tender, masses feel? Limbs: edema, pulses real? Neuro: mental state, CN test Motor, sensory, reflexes best Focused exam based on clues Relevant tests, carefully choose (Repeat Chorus) Verse 7: Wrap and Plan Summarize findings, problem list clear Differential diagnosis, persevere Investigations plan, be bold Management strategy, short and long-term told Patient education, follow-up set Prognosis discussed, no regret Outro: Long case complete, you've done your best Every system put to test From chart to plan, you've aced the quest This rhyme guides – long case success!
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