T&O clerking

Cons on-call: Age / Sex: [Patient’s age and sex] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Presenting complaints: [Presenting complaints or reasons for referral] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) History of presenting complaints: [History and description of current problem, including onset, duration, and progression] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Past medical history: [Relevant past medical and surgical history] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Drug history: [Current medications, including dose and frequency] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Allergies: [Known allergies and reactions] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Social history: [Relevant social history, including smoking, alcohol use, occupation, or living situation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Investigations: [Completed investigations and results relevant to this consultation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Review: HR: [Heart rate] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) BP: [Blood pressure] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) O/E: [Findings on examination — inspection, palpation, range of motion, tenderness, deformity, swelling, or neurovascular status] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) L/E: [Details of lower limb examination findings, including sensation, motor function, circulation, or deformities] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Impression: [Working diagnosis or clinical impression] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) Plan: [Management plan, including investigations, treatment, referrals, and follow-up instructions] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) (For each section above, only include information if it is explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit the section entirely. Never hallucinate, infer, or assume details. Do not state that information is missing—simply omit any section or placeholder without explicit supporting information. Use only the transcript, contextual notes, or clinical note as reference for all content. Use as many lines or paragraphs as needed to capture all relevant information.)