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Microsoft Word - Normal_PE_Sample_write-up. PHYSICAL EXAMINATION . WITH ALL NORMAL FINDINGS. (COMPLETE H&P) GENERAL APPEARANCE: (include general mental status) 45 y/o female who is awake and alert and who appears healthy and looks her stated age. VITALS.
NP cheat sheet for documenting a physical exam. Learn more from ThriveAP the leading virtual NP transition to practice education.
History of Present Illness. This is the first admission for this 56 year old woman, who states she was in her usual state of good health until one week prior to admission. At that time she noticed the abrupt onset (over a few seconds to a minute) of chest pain which she describes as dull and aching in character.
9 Νοε 2018 · SKIN: Warm, well perfused. No skin rashes or abnormal lesions. MSK: No deformities or signs of scoliosis. Normal gait. EXT: No clubbing, cyanosis, or edema. NEURO: Ambulating with no limitations. Normal muscle strength and tone. No focal deficits.
Microsoft Word - Normal_PE_Sample_write-up. DATA BASE SAMPLE: PHYSICAL EXAMINATION WITH ALL NORMAL FINDINGS. GENERAL APPEARANCE: (include general mental status) 45 y/o female who is awake and alert and who appears healthy and looks her stated age. VITALS.
History and Physical Examination (H&P) Examples. 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 website as examples. H&P 1.
Comprehensive Adult History and Physical (Sample Summative H&P by M2 Student) Chief Complaint: “I got lightheadedness and felt too weak to walk” Source and Setting: Patient reported in an in-patient setting on Day 2 of his hospitalization. History of Present Illness: Patient is a 48 year-old well-nourished Hispanic male with a 2-month
