Begin with the reason for the presentation/symptoms; and a rapid assessment of unstable and complex health care problems by: Conducting an advanced health assessment and provide any previous medical history, social history, medications, allergies, relevant lifestyle factors and psychosocial issues (including domestic violence, smoking, illicit drug and alcohol history). For those aspects of the history of the presenting illness not given spontaneously, please explain what questions you asked and reasoning/rationale behind these questions (provide references). By know you should be forming an ill-defined mental list in your mind whilst taking the history, and any variations from normal. Synthesise the historical and available data. Conclude this assessment with a list of initial differential diagnoses (no more than 3) based on the cues from this part of the health assessment. B. Physical examination: Describe the full physical examination, including baseline observations, and any reason for undertaking other focused examinations, . neurological: Relate the examination cues to the (3) differential diagnoses considered at this Point. In order of likeliness demonstrate critical thinking to accept or reject your differential diagnoses, based on the cues obtained from the history, physical examination, evidence, . use a table if preferred. Include a short discussion, rationalising the evidence to accept or reject any differential diagnosis selected at this point. C. Diagnostic Investigations: Considering your findings from the full physical examination cues, including differentiating between normal trajectories and common health problems: List the diagnostic investigations and the reason you have chosen each investigation and rejected others . you may also discuss the reasoning to order investigations sequentially over time.
