Out-patient Service

Each consultation must include: 1. Reason for consultation; 2. Symptomatology (or progress of the illness); 3.Physical examination; 4. Laboratory; 5. Diagnosis; 6. Treatment.

Stomach pains. Nov. 12, 1971

The patient, 49 years of age, is to be examined for pains of upper abdomen. Pain is relieved by food and starts several hours after meals. Not associated with diarrhoea. Light constipation. An episode of intestinal bleeding 2 years ago, which led to the diagnosis of duodenal ulcer at the Hospital Centre of Laval University. This symptomatology has lasted nearly 10 years. During the last few days, the patient has noticed a certain aggravation of symptoms but without bleeding or vomiting of blood emphasis added).

(Handwriting with no signature)

Patient seen. (The patient is) rather well on the digestive side. He is absolutely refusing to remain in the hospital. He ought, according to the psych. be hospitalized for the treatment of paranoia? Let us require that the patient be seen by the psychiatry in order to be hospitalized if this is necessary. P was seen by Dr. Dufour.

(Sign.) A. Hudon M.D.