Salient Features
Protocols
Salient features:(summary of all examination)
(Present in the following manner – mentioning the name, age, hailing from, smoker
or nonsmoker, diabetic or nondiabetic, hypertensive or nonhypertensive, etc. One example is given
below):
Mr. X, a 60-year-old businessman, smoker, nondiabetic, nonhypertensive, hailing from … was
admitted in the hospital (or presented) with the complaints of:
1. … days/months
2. … days/months
3. … days/months
Then summarize the history of present illness, past history, social and other history with important
negative points in the history.
On general examination—mention the important positive and important negative findings.
On systemic examination—tell the findings of the specific system. Then tell, “other systems reveal
no abnormality”.
My diagnosis is …