history and physical checklist
Post on 09-Sep-2015
214 Views
Preview:
DESCRIPTION
Outline of Basic History and Physical - for first year student
TRANSCRIPT
History and Physical ChecklistIntroduction-Introduce self-Name role (MS3)-Set time line (15 min)-Set plan (talk about your most important concerns)-Any questions
Elicit concerns-What brings you in?-Anything else?-Anything else? until pt stops
HPI-OPPQRST or other mnemonic--onset, position, quality, related, transforming factors etc-have you had this happen in the past
PMH-Are you seeing doctors for anything else
Meds-name, dose, how often
Allergies-must ask first time + what happens when taken
FMHx-What runs in your family?-Common: heart disease, DM, cancers
Social-who do you live with? Work? Travel? Safety?
top related