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THYROID PRESENTATION TEMPLATE

THYROID PRESENTATION TEMPLATE 2025

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The document is a Thyroid Presentation Template for the Endocrinology TeleECHOTM Clinic, designed to facilitate case consultations regarding thyroid-related patient issues. It includes sections for patient demographics, symptoms, medical history, psychiatric history, current medications, diagnosis details, family history, social habits, vital signs, physical exam findings, lab results, imaging studies, and cytology. The template emphasizes that consultations do not establish a provider-patient relationship.

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Click ‘Get Form’ to open the THYROID PRESENTATION TEMPLATE in the editor.
Begin by entering the 'Date' at the top of the form, followed by your 'Presenter Name' and 'Clinic Site'.
Fill in the 'ECHO ID' and select whether this is a 'New' or 'Follow Up' case.
Provide patient details including 'Age', 'Biologic Gender', and 'Insurance' information. Make sure to specify the insurance company if applicable.
In the symptoms section, check all relevant symptoms experienced by the patient. If there are additional symptoms, write them in the provided space.
Complete sections on past medical history, psychiatric history, medication allergies, and current medications. Use the provided fields for detailed entries.
Document any pertinent imaging studies and cytology results as needed in their respective sections.

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