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H&P = History and Physical.....

Posted By: hfarrow on 2006-03-27
In Reply to: question - nichole

H&P = History and Physical


It is one of the "Basic 4" reports also.





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history and physical
??
Acute care would be a history and physical or
A clinical report would be what a physician dictates from his office when he sees patients.  Sometimes, it gets sketchy with outpatient surgery clinics.  Acute care is usually work dictated from a hospital setting and clinical work is dictated from a physician's office, which could be a cardiologist, urologist, etc. 
Basic 4 hospital work - history and physical, discharge summaries, operative notes, and consults. nm
s
physical examination.....
Go to:
www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/contents.htm

I found this site a while back. I'm pretty experienced, but I thought I'd check this site out for a friend of mine, a new MT.

Hope this helps!
Physical Exam

Does anyone know of any good sites (or books that are not too pricey) that describe the steps of a PE?  I have found bits and pieces here and there, but nothing that puts it all together. I type for orthos and sometimes they lose me on the provocative testing words.  I am mainly looking for PE samples/explanations for things like: knee, shoulder, hip, wrist, ankle.  I have a reference sheet that states their normals, but sometimes they do a test that isn't on the sheet and of course that is when they mumble and I just can't hear it properly. I think it would be helfpful for me to be able to picture the steps of the exam as they are dictating them.


Thanks for any ideas!


 


physical therapy work
I have been doing neurosurgery/neurology for the last 8 months and my boss would like to move me to a physical therapy account. I know these are totally different specialties, but I was wondering if any of you can tell me if physical therapy is really difficult to learn. It took me 3 months of intensive training to learn neurosurgery. There will be no training for this position. I really want to try something besides neurosurgery but am hoping it won't be a huge transition for me. Any encouragement would be great! Thanks.
Hospital work: Op notes, Discharges, Consultations, History and Physicals. nm
s
Acute care is considered hospital transcription - discharges, history/physicals, consults, and op
s
maybe take a medical term course and start with physical therapy office
nm