Writing a History and Physical book cover

Writing a History and Physical

Central to providing excellent patient care is excellent communication, for which a well-written History and Physical is crucial. This book is a step-by-step guide to help medical students, nurse practitioners, physician assistants, etc. write a comprehensive, clear, and useful History and Physical. Writing an effective History and Physical is as much an art as science, and this handy guide provides a roadmap for organizing facts in a logical and well-constructed fashion. The text also presents an abridged version for quick reference and a valuable section on how to write daily progress notes.

Audience
Medical Students, Nurse Practitioners, Physician Assistants

Paperback, 80 Pages

Published: May 2003

Imprint: Hanley And Belfus Medical Publishers

ISBN: 978-1-56053-602-4

Contents

  • 1. Source
    2. Chief Complaint (CC)
    3. History of the Present Illness (HPI)
    4. Past Medical History (PMH)
    5. Medications (Meds)
    6. Allergies (All)
    7. Family History (FHx)
    8. Social History (SHx)
    9. Review of Systems (ROS)
    10. Physical Exam (PE)
    11. Laboratories/Data
    12. Assessment/Impression/Summary
    13. The Plan
    14. Problem List
    15. Organ System Approach
    16. Writing a History and Physical: The Abridged Guide
    17. Writing a Daily Progress

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