Neurology - New Note (Winkel)

History: [document reasons for consultation, including specific neurological concerns or symptoms such as headache, seizures, weakness, numbness, tingling, movement disorders, memory loss, or other presenting neurological complaints] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document detailed history of the presenting complaint(s), including onset, duration, severity, pattern of symptoms, aggravating and alleviating factors, associated neurological or systemic symptoms, and any previous treatments and responses] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write in paragraphs of full sentences.) Past History: [document past medical and surgical history, highlighting any previous neurological diagnoses, brain or spinal surgeries, hospitalisations, and outcomes] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document social history, including lifestyle factors, occupation, smoking, alcohol use, and recreational drug use] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document family history, specifying which family members are affected and by which conditions or history of note] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) Medications: [document current medications including any neuro-specific medications, over-the-counter medications, and supplements] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) Allergies: [document allergies including allergies to medications, particularly those affecting the nervous system] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) Examination: [document vital signs] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document physical examination findings including general examination and focused neurological examination covering mental status, cranial nerves, motor system including strength and tone, sensory system, reflexes, coordination, and gait] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a list, grouping related findings together under subheadings where appropriate.) [document investigation results including laboratory tests, imaging, and electrodiagnostic tests] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) Impression: [document neurological issues or conditions, including the likely diagnosis and rationale based on history and examination findings, and any differential diagnoses discussed] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Never generate your own assessment or differential diagnosis. Write as anumbered list, with each new condition on a new line followed by relevant details in full sentences.) Plan: [document any investigations planned including imaging, electrodiagnostic testing, or lumbar puncture] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document medical treatment planned including medication names, dosages, expected outcomes, and potential side effects] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Never generate your own medical treatment plan. Write as a bullet point list.) [document any lifestyle modifications discussed including sleep hygiene, stress management, and dietary advice] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Never suggest your own lifestyle modifications. Write as a bullet point list.) [document any referrals to specialties or services] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) [document follow-up appointments including expected timeline for review, monitoring of treatment response, and planned adjustments to management] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write as a bullet point list.) Additional Notes: -[document any patient education provided regarding the diagnosed neurological condition, including explanation of the disorder, its impact on daily life, potential complications, and importance of treatment adherence] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write in paragraphs of full sentences.) -[document any instructions provided for monitoring and managing symptoms, including when to seek urgent care for sudden worsening, new seizures, or signs of stroke] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write in paragraphs of full sentences.) -[document any specific patient or family concerns raised and addressed during the consultation] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit entirely. Write in paragraphs of full sentences.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely. Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)