Thyroid Nodules

OVERALL_INSTRUCTIONS

Chief Complaint

Assessment of thyroid nodule.

Template

Thank you for referring [name], a [age] year old [gender], for assessment of [thyroid nodule]. Consent: I obtained consent from the patient for use of an AI scribe software. I explained that Empathia saves a copy of our conversation on their website for the purpose of generating a note, and that this software is FDA approved. History of Presenting Illness: [Brief description of symptoms, diagnosis, and treatments]. Hyperthyroidism symptoms: Mass effect: [difficulty breathing, difficulty swallowing, voice changes, lumps at the neck] Medical history: [medical_history] (List numerically with each having its own line) Medications: [drug_name] (List numerically with each having its own line) Allergies: [allergies] (List numerically with each having its own line) Social history: Work: [work] Extended coverage: [coverage] Alcohol: [alcohol] Cigarettes: [cigarettes] Drugs: [drugs] Family history: [family_history] Exam: [exam] Weight: Height: Blood pressure: Heart rate: Investigations: [investigations] (Group investigations by date and list labs with each having its own line) Impression and Plan: (List detailed action plans using the correct person tone, e.g., 'I have started dapagliflozin for diabetes control' or 'The family doctor has initiated...) [name] is a [age] year old [gender] with [diagnosis] Summary: (provide a summary of succinct recommendations in bullet form) Thank you for involving me in the care of this pleasant patient. Please do not hesitate to contact me with any questions or concerns.