M1 H&P: Introduction to Physical Examination
Devin Nickol, M.D.
I. Why even bother?
- At least ___ of all diagnoses can be made on the basis of history alone.- Over ___ of all diagnoses can be made by a combination of history and physical exam.
II. The format of an H&P
CC: Chief complaint -
HPI: History of present illness -
PMH: Past medical history -
Meds: Medications -
All: Allergies -
FH: Family history -
SH: Social history -
ROS: Review of systems -
PE: Physical exam -
Lab/XRay: Laboratory and XRay data -
III: SOAP note format and sample note
- Inspection:- Auscultation:- Palpation:- Percussion:
- Other maneuvers:
- Despite technological advances, the vast majority of diagnoses can be made with _________ and __________________ alone.- The physical exam has a defined role in both an ____ and a ____________.- The ______ classic exam components can be used individually or combined to form additional exam techniques.