Chief Complaint - Headaches
History of Present Illness - Patient presents with headaches, achy hands, and tiredness. No significant past medical history however the patient did explain about the high levels of stress she has been dealing with. She recently finished a 2 hour exam which tested her on immunology, all of which as taught in three weeks.
Allergies: none although she stated that she can now explain everything about allergies
(skipping the rest of the report and going straight to Assessment and Plan)
Assessment - Patient is a stressed medical student who had to just suffer though the awful ordeal of taking an immunology exam.
Plan - Treat with an order of drunk noodles from her favorite Thai take-out place, copious amounts of TV, and many Irish car bomb cupcakes!