(PPSP/MD/Haem/CP2/L3)
PHASE II CLINICAL LOGBOOK
ASSESSMENT OF CASE REPORT
Block
Patient’s Name
R/N
Ward
Diagnosis
Date of Admission
:
:
:
:
:
:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Total
Marks
History
A Summary
Marks
Obtained
Comments
20
Physical examination
B Problem list
Symptoms
5
Signs
C Pathophysiology
Symptoms
50
Signs
D Discussion
-
relevant investigation and rationale
diagnosis
principles of treatment based on
pathophysiology
Total Marks
25
100
Name of Student
:
______________________________Code. No : ________
No. Matric
:
_______________________________
Name of Clinical Tutor
:
_______________________________
Signature
Date
:
:
_______________________________
_______________________________
Note to the clinical tutor
Students are required to present and write up 1 case for every 4 blocks as a pr-requisite for sitting the final
phase II exam in Year 3. In addition, the presentation and write up may be used as one of the criteria to decide
the fate of the student should they fall in the borderline range.
If you notice any plagiarism or cheating in the write-up, you are required to notify the Phase II chairperson in
writing.