History & Physical Repository

Intro statement...Welcome to.... Below you'll find...

 

Intro to Doctoring

Guide to the Medical History and Physical Exam

The Medical History

1. 1. Chief Concern (get rid of Chief Complaint)
   2. HPI
   3. PMH
   4. PSH
   5. Medications
   6. Allergies/Reactions
   7. Habits
   8. Sexual History
   9. Social History (work, hobbies, military, support systems)
   10. ROS

The Physical Exam

1. 1. Core + Clusters Overview
   2. General Exam
   3. Vital Signs
   4. Head and Neck
   5. Lung
   6. Cardiovascular
   7. Abdomen
   8. Breast
   9. Pelvic
   10. Male GU/Rectal 
   11. Musculoskeletal
   12. Neurologic

Exam Checklists

Documentation

1. 1. The Write-Up (Full H&P)
   2. Progress Note (Focused H&P)
   3. Doctor’s Orders

Oral Presentations

Differential Diagnosis

Clinical Reasoning

Electronic Health Record

Boot Camp