These h&ps must represent a medical history and physical examination actually performed by the medical student although at times a student might tag along and observe/participate in the examination done by the resident team, this experience does not match the learning experience inherent in performing the information gathering personally. Medical history and physical examination a scope of the examination the purpose of the medical examination is to determine whether the alien has: 1) a physical or mental disorder (including a communicable disease of public health significance or drug abuse/addiction) that renders him or her ineligible for admission or adjustment of status.
Write ups the written history and physical (h&p) serves several purposes: it is an important reference document that gives concise information about a patient's history and exam findings at the time of admission. History and physical examination (h&p) examples educational activities accommodations information for osce/nbme exam history and physical examination (h&p) examples info the links below are to actual h&ps written by unc students during their inpatient clerkship rotations the students have granted permission to have these h&ps posted on the.
History and physical examination, the introduction, preparation, history, examination, and more about history and physical examination.
Example of a complete history and physical write-up patient name: unit no: location: informant: patient, who is reliable, and old cpmc chart chief complaint: this is the 3rd cpmc admission for this 83 year old woman with a long history of hypertension who presented with the chief complaint of substernal “toothache like” chest pain of 12 hours. Internal medicine is the branch of medicine that deals with the diagnosis and treatment of diseases of the internal organ systems the internist's purview is all adult illness that is non-surgical, ranging from primary care and health promotion issues to the management of complex, multisystem disease.
History & physical format subjective (history) identification name, address, tel#, dob, informant, referring provider cc (chief complaint) list of symptoms & duration reason for seeking care.