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Writing a History and Physical

  • 1st Edition - May 5, 2003
  • Latest edition
  • Author: Jeffrey L. Greenwald
  • Language: English

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… Read more

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Description

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.

Key features

  • The author's tips pearls, and advice help the reader navigate the principles and goals of the History and Physical
  • Contains more explanations, tips and advice than existing books for what to include and why
  • Memorable good and bad examples reinforce themes in the text

Readership

Medical Students, Nurse Practitioners, Physician Assistants

Table of 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

Product details

  • Edition: 1
  • Latest edition
  • Published: May 5, 2003
  • Language: English

About the author

JG

Jeffrey L. Greenwald

Affiliations and expertise
Assistant Professor of Medicine, Division of General Internal Medicine, Boston Medical Center, Boston, MA