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welcome to the University of Cincinnati internal medicine residency patient centered rounds tutorial entitled presenting the patient history at the bedside after this presentation medical team should be able to engage patients and other team members in bedside presentations determine what information should be included in bedside rounding and be flexible with bedside rounds and not simply recreate traditional table rounds at the bedside in this first vignette see if you can identify the problems as well as the opportunities for improvement basically the pain started this morning he was having horrible epigastric pain reading to his back it was about a 10 out of 10 sharp at nausea and a little bit of bloody Emma says no fevers or chills no diarrhea nothing made the pain better and many time he came and got worse [Music] other past medical history hes had pancreatitis hypertension PVD COPD and today medications hes and I think about Foreman and Im not really sure what the doses at Op