The follow-up presentation differs from the presentation of a new patient.It is an abridged presentation, perhaps referencing major patient issues that have been previously presented, but focusing on new information about these issues and/or what has changed.
Only give pertinent positives and negatives. The Review of Systems (ROS) is often left out, as anything important was in the History of Present Illness (HPI).
Next give important Past Medical History (PMH), Past Surgical History (PSH), etc.Give the chief complaint and a brief and pertinent History of Present Illness (HPI).New patients get the traditional History and Physical Exam (H&PE) with assessment and plan.