H and p template word
[PDF File]B. Guide to the Comprehensive Adult H&P Write Up
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B. Guide to the Comprehensive Adult H&P Write‐Up (Adapted from D Bynum MD, C Colford MD, D McNeely MD, University of North Carolina at Chapel Hill, North Carolina) Chief Complaint Include the primary symptom causing the patient to seek care. Ideally, this should be in the patient’s words.
[PDF File]SAMPLE H&P
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SAMPLE H&P Chief Complaint (CC): chest pain (patients’ presenting complaint(s) in his own words) History of Present Illness (HPI): (details of patients’ presenting complaints) This is the first Hospital admission for this 52 year old lawyer with a past history of hypertension.
[PDF File]Sample Pediatric History and Physical Exam
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Sample Pediatric History and Physical Exam Date and Time of H&P: 9/6/16, 15:00 Historian: The history was obtained from both the patient’s mother and grandmother, who are both considered to be reliable historians. Chief complaint: "The rash in his diaper area is getting worse." History of Present Illness: Cortez is a 21-day-old African American male infant who presented
[PDF File]Chief Complaint - UNC School of Medicine
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Father - living with diabetes, s/p CABG. 2 sisters with HTN Maternal grandfather, leukemia Review of Systems Constitutional: denies anorexia and weight loss HEENT: denies decreased hearing blurring, diplopia, irritation, discharge, vision loss, eye pain, photophobia, ear pain or discharge, tinnitus, nasal obstruction or discharge, nosebleeds, sore
[PDF File]Comprehensive Adult History and Physical This sample ...
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Comprehensive Adult History and Physical (Sample Summative H&P by M2 Student) Chief Complaint: “I got lightheadedness and felt too weak to walk” Source and Setting: Patient reported in an in-patient setting on Day 2 of his hospitalization. History of Present Illness: Patient is a 48 year-old well-nourished Hispanic male with a 2-month history of Rheumatoid Arthritis and strong family ...
[PDF File]Chief Complaint: History of Present Illness
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77 y o woman in NAD with a h/o CAD, DM2, asthma and HTN on altace for 8 years awoke from sleep around 2:30 am this morning of a sore throat and swelling of tongue. She came immediately to the ED b/c she was having difficulty swallowing and some trouble breathing due to obstruction caused by the swelling. She has never had a similar
[PDF File]www.medfools.com thanks koop ID: Major Illnesses – DM HTN ...
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g ___ p_____ FAMILY HX: age, current health, major illnesses, cause of death Father Mother Grandparents Siblings
[PDF File]Preoperative Evaluation - ACP
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Preoperative Evaluation Tyler Schwiesow MD UnityPoint Central Iowa Hospitalists (no conflict of interests to disclose) Case • 100 y/o WF, presents to ER after fall. Found to ... consulted Medicine for an H&P. “I called them to create my history and physical,” said Dr. Hutchins. “Internal medicine couldn’t be …
[PDF File]H & P Example - University of New Mexico
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H & P Example . Date: 11/2/09 . Patient Name: JA MR#: ##### CC: “My mouth is numb.” HPI: JA is a 79 year old white female who came in today due to numbness of the lip and mouth. She first experienced this today after her morning cup of coffee when she felt the left side of her mouth and lip go to sleep. She has never experienced this before ...
[PDF File]1 THE HISTORY AND PHYSICAL (H & P)
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1 THE HISTORY AND PHYSICAL (H & P) I. Chief Complaint Why the patient came to the hospital Should be written in the patient's own words II. History of Present Illness (HPI) a chronologic account of the major problem for which the patient is seeking medical care
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