Disease, etiology, severity, complications, comorbidities ; e.g.
Left sided ischemic stroke/CVA with right sided hemiplegia with global aphasia with left sided upper motor neuron facial palsy with urinary incontinence with newly diagnosed type II diabetes mellitus with resolved sensory aphasia with newly developed constipation
No abbreviations as much as possible e.g. not COPD but chronic obstructive pulmonary disease
Do not get the side wrong
Specifically distinct for Gyne/Obs
Management( =investigation+ treatment) e.g. Investigations of Acute Pancreatitis