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Do not include CC, HPI, ROS or any other component, only the exam
Ensure that you and the patient are in the camera’s frame at all times. This may involve moving the camera as needed to ensure the instructor can view and grade the exam
There is no video editing permitted, and you may not stop and restart the filming, as doing so gives students the advantage of looking at notes and instructions. The exam is meant to be performed from beginning to end without pausing.
For this week’s documentation, though you will only record the neurological exam, you will be expected to write an entire SOAP note.
Create a neuro-related CC. Create an ID, CC, HPI, ROS, V/S, physical findings, and assessment with at least 3 differential diagnoses, a final diagnosis, and treatment plan in a full SOAP note format. Use a neuro related CC that a patient would present with in a primary care setting (i.e. no emergency room or ICU type complaints). Examples: regular headaches, migraines, dizziness, dementia or memory loss, weakness, neuropathy, etc..
Include at least two references for your diagnostic and treatment plan. They should be recent (in the last 5-10 years) and peer-reviewed. Use APA title page, citation, and references. Ensure the treatment plan includes all components (diagnostic plan, therapeutic plan, education plan, and follow up).
The ROS and physical exam in your document should be written up as they would be for a problem focused visit. The neurological part of the physical exam write up should be a comprehensive write up, including everything you assessed in your recording. The neuro write up is usually a full page or page and a half when done well.
Submit this SOAP, the video, and a comprehensive write-up of the findings in the assignment tab