History and physical template word

    • [PDF File]HISTORY & PHYSICAL LONG FORM / COMPREHENSIVE

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      HISTORY & PHYSICAL LONG FORM / COMPREHENSIVE (Comprehensive H&P required for all admissions > 24 Hours UCLA Form #316042 Rev. (7/13) Page 1 of 2

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    • HISTORY & PHYSICAL (SHORT FORM) - Dignity Health

      history & physical (short form) 450 stanyan street • san francisco, ca 94117-1079 page 1 of 1 proposed surgery/procedure: surgical/procedural indications and present illness:

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    • [PDF File]A Primer for the General Medical and Occupational and ...

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      A Primer for the General Medical and Occupational and Environmental Health History and Physical Form Template A. Purpose: This template is intended for use by clinicians such as physicians, advance practice providers, or nurses, or nurse practitioners who 1.

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    • [PDF File]History and Physical Notes - Final Report

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      The history was obtained from the patient who seems to be a reliable informant. History of Present Illness: This is a 51 year old gentleman with no significant past medical history presenting with 3 weeks of worsening ... History and Physical Notes - Final Report

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    • [PDF File]PEDIATRIC HISTORY AND PHYSICAL EXAM TEMPLATE

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      PEDIATRIC HISTORY AND PHYSICAL EXAM TEMPLATE Informant: Mother Primary Care Physician: Dr. J. Alexander Chief Complaint: 15 month Latino female presents for 15 month check-up. History of Present Illness: Well-nourished, ambulatory child brought into clinic today for routine examination and scheduled immunizations.

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    • [PDF File]Chief Complaint: History of Present Illness

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      with history of prolapse. Musculo Skeletal - no changes in strengths, no joint tenderness or swelling Neurologic - No changes in memory Psychology - No changes in mood Heme/Lymph - Denies easy bruising Physical Examination: Vitals: Temp 35.9 . Pulse 76 O2 98% RA RR 20 BP 159/111 General - NAD, sitting up in bed, well groomed and in nightgown

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    • [PDF File]HISTORY AND PHYSICAL EXAMINATION FORM HOSPITAL …

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      HISTORY OF PRESENT ILLNESS ... HISTORY AND PHYSICAL EXAMINATION FORM HOSPITAL ADMIT NOTE *760600 (05/07) *760600* PAST MEDICAL HISTORY PAST SURGICAL HISTORY (include name of surgeon, hospital and date for each procedure) SOCIAL HISTORY c HAVE YOU SMOKED WITHIN THE LAST 12 MONTHS?

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    • [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 ...

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    • [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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    • [PDF File]Example of a Complete History and Physical Write-up

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      Example of a Complete History and Physical Write-up Patient Name: Unit No: Location: Informant: patient, who is reliable, and old CPMC chart. Chief Complaint: This is the 3rd CPMC admission for this 83 year old woman with a long history of hypertension who presented with the chief complaint of substernal “toothache like” chest pain of 12 hours

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