Patient presents with left arm pain.  Onset, duration, location, character, aggravating factors, and relieving factors were explored.  Differential diagnosis includes but is not limited to cervical radiculopathy, brachial plexus neuropathy, peripheral neuropathy, thoracic outlet syndrome, angina pectoris, musculoskeletal pain, rotator cuff tear, and epicondylitis.  Patient describes the pain as (sharp, dull, aching, burning, throbbing, electric, etc.) and localized to (upper arm, forearm, wrist, hand, fingers, specific dermatome).  Pain severity was assessed using a pain scale (0-10).  Associated symptoms such as numbness, tingling, weakness, swelling, redness, or changes in temperature were queried.  Medical history, including past injuries, surgeries, and chronic conditions like diabetes, arthritis, or cardiovascular disease, was reviewed.  Physical examination included assessment of range of motion, palpation for tenderness, neurological examination including sensory and motor function, and vascular assessment including pulses and capillary refill.  Preliminary diagnosis is (diagnosis).  Plan includes (conservative management, medication, referral to specialist, imaging studies such as X-ray, MRI, CT scan, EMG, nerve conduction studies).  Patient education provided regarding activity modification, pain management strategies, and follow-up care.  Return to clinic scheduled in (timeframe).