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My general template is: Age, sex, relevant RF presented (if it's by ambulance I'll add it, otherwise I leave mode of arrival out) with SXS and laterality and found to have xyz with THIS management on such and such date.
For example: 50 yo M with CAD, PAD s/p prior left BKA (2/2020) and uncontrolled DM presented via ambulance with severe, crushing left chest pain and found to have new 90% blockage of LAD s/p revasc with stent placement on 02/11/22. Pt asymptomatic today and stable/doing well, etc.
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