Sample H& P for Complicated Patient Note the date, time, and fact that this is a medical student note are clearly labeled. Medical Student H& P 11: 00 CC: Mr. Jones is a 72yo white, retired farmer, who presented to 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. She has 4 daughters (ages 60, 65, 56, 48) who are all healthy, and had a son who died at the age of 2 from pneumonia.
She has 12 grandchildren, 6 great grandchildren and 4 great, great grandchildren. However, the more you understand the fundamental principles of performing and writingup an H& P, and the more examples of high quality writeups you encounter, the better prepared you will be to create your own wellwritten H& Ps.
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. In addition, it outlines a plan for addressing the issues which prompted the The H& P should include the history of present illness, past medical history, past surgical history, allergies to meds, current meds, relevant family history (e.
g. " Mother and Sister had breast cancer" ), and social history (tobacco history