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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: 2 Jun 2004 Define the reason for the patient's visit as who has been having chest pain began in the left para-sternal area and radiated up to location. 4 Nov 2009 [back to Note Guidelines]. Patient ID: Mr. H. History and Physical conducted by: MD. History and Physical conducted on: October 1, 2007. Home Core Activities Documenting in the Medical Record Write-ups (Required) Sample Write-ups. History and Physical Exam · Physical Examination. An example write-up is given below to guide the students towards what will be The patient is an 80-year-old Japanese gentleman with a history of severe Example Write Up #1: A Patient with Diarrhea. Problem List. Active Problems. Duration. 1. Diarrhea and Right Lower Quadrant Pain. 10/24/08 – present. 2. CARDIOVASCULAR SAMPLE WRITE-UP. Below is a sample write-up of a patient without any significant physical exam findings. Please pretend as though you Sample Write-Ups. Sample Neurological H&P. CC: The patient is a 50-year-old right-handed woman with a history of chronic headaches who complains of acute Several sample student write-ups can be found at the end of this section. It gets a bit more tricky when writing up patients with pre-existing illness(es) or a
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