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Medical History Form Praxis Dr. Bungee Dear Patient, Welcome to my practice! To ensure that I have all the important information that I need to treat you in my practice, I request you to complete
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How to fill out history and physical examination

How to fill out history and physical examination
01
Start by obtaining the patient's demographic information including name, age, sex, and occupation.
02
Take a detailed medical history by asking about the patient's chief complaint, past medical history, family history, social history, and medications.
03
Perform a thorough physical examination including vital signs, general appearance, skin, head and neck, chest and lungs, cardiovascular system, abdomen, musculoskeletal system, and neurological system.
04
Document all findings in a systematic and organized manner, including any abnormal or relevant findings.
05
Formulate a differential diagnosis based on the history and physical examination findings, and develop a management plan for the patient.
Who needs history and physical examination?
01
History and physical examination are essential for all patients seeking medical care, including new patients, patients with acute or chronic conditions, patients undergoing surgery or procedures, and patients in follow-up care.
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What is history and physical examination?
History and physical examination is a standard medical practice where healthcare providers collect information about a patient's medical history and perform a physical assessment to determine the patient's overall health status.
Who is required to file history and physical examination?
Healthcare providers such as doctors, nurses, or physician assistants are required to file history and physical examination for their patients.
How to fill out history and physical examination?
To fill out a history and physical examination, healthcare providers need to ask the patient about their medical history, perform a physical assessment, and document their findings in the patient's medical records.
What is the purpose of history and physical examination?
The purpose of history and physical examination is to gather important information about the patient's health, diagnose medical conditions, and develop a treatment plan.
What information must be reported on history and physical examination?
Information reported on history and physical examination typically includes the patient's medical history, current symptoms, vital signs, physical findings, and any other relevant information.
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