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history and physical checklist

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History and Physical Checklist Introduction -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?

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Outline of Basic History and Physical - for first year student

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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?


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