The Complete History and Physical Exam Guide

1st Edition


  • Print ISBN 9780721687124

Key Features

  • Uses an easy-to-review outline format that covers history and physical examination · chartwork
  • Covers history and physical examination guidelines for subspecialty areas.
  • Provides in-depth, ready-to-use questions that highlight all key potential health issues when taking a patient's history.
  • Details each step for every type of system review, with up to three different approaches for each body system.
  • Offers sample write-ups at the end of each chapter to provide a starting point for documentation.
  • Addresses additional "must-know" content including ethical and legal issues.
  • Includes coverage of drugs in an abbreviated outline format, and appendices with conversion and data tables.

Table of Contents

"I. H&P Essentials
1. History and Physical Examination (H&P) Essentials (H&P)
2. Recording Laboratory Values and Diagnostic Information, and Conversion Tables (LAB)
3. Assessment and Plan (A&P) Formulation (A&P)
4. Chartwork Guidelines (CHART)
5. Presentation Guidelines (PRES)
6. Death Certification (DEATH)

II. Specialty-Focused History and Physical Examinations (Specialty H&P's)
7. Allergy and Immunology (ALLERGY)
8. Anesthesiology (ANESTH)
9. Cardiology (CARD)
10. Dermatology (DERM)
11. Emergency Medicine (Trauma Assessment) (EMERG)
12. Endocrinology (ENDO)
13. Gastroenterology (GI)
14. Gynecology (GYN)
15. Hematology (HEME)
16. Infectious Disease (ID)
17. Internal Medicine /Family Practice (IM/FP)
18. Intensive Care Unit (Adult Critical Care Medicine) (ICU)
19. Neonatology (NEO)
20. Nephrology (NEPH)
21. Neurology (NEURO)
22. Obstetrics (OB)
23. Occupational Medicine (OCC)
24. Oncology (ONC)
25. Ophthalmology (OPHTHO)
26. Orthopedics (ORTHO)
27. Otolaryngology (Head and Neck Surgery)/Ear, Nose and Throat (ENT) Surgery (OTO)
28. Pathology (PATH)
29. Pediatrics (PEDS)
30. Preventive Medicine (PREV)
31. Psychiatry (PSYCH)
32. Pulmonology (PULM)
33. Surgery (Focus on General Surgery) (SURG)
34. Urology (URO)

III. Focused History and Physical Examinations (Focused H&P's)
35. Alcohol Screening (ETOH)
36. Epidemiology (EPI)
37. Ethical Considerations (ETHICS)
Informed Consent
Advanced Directives
Do-Not-Resuscitate (DNR) Orders
38. Nutritional Status Evaluation (NUTRIT)
39. Tobacco Screening (TOB)



No. of pages:
© 2004
Print ISBN:

About the authors