This video shows a very good demonstration of chief complaint. The doctor asks all the appropriate questions to the patient, being careful to be respectful and polite at all times. The doctor maintains a very calm and relaxed tone when asking questions to the patient to ensure the patient cooperates in giving all the required information. The patient appears to be very comfortable with the doctor and her questions and doesn’t show any hesitation in answering the questions. The doctor has successfully obtained relevant information about the patient’s problem.
best intro to H&P I've ever heard!!!! Love the part where you actually repeat everything back just to verify stuff. Minor details, but absolutely helpful!!
I wrote an HPI to this as practice. Please let me know if you think I am missing anything or what I can improve it with! (and i used a random age) Mrs. Jones is a 30 y/o female who presents with evaluation of pain in the left elbow and worsens as she extends and bends the arm, onset 1-2 weeks ago. Pt rates the pain as a 6/10 and acts up about 2-3xs a day. She describes the pain to be mostly wrapped around the elbow, but does not radiate towards anywhere else. Pt attempted to take Tylenol but only reported temporary relief (1-2 tablets of regular strength as per bottle instructions). Pt also tried to apply a heating pad and ice but had no relief. She describes the pain as throbbing and would occur randomly with no specific time of the day. she finds the pain to be most excessive after performing exertion tasks such as the dishes or picking her children up. Pt recalls the pain to start after a day of helping her husband clean and lift boxes in the garage. She states “it feels more of a nuisance than physical pain.” She also states the pain does not wake her up during the night, but if she does wake up, the pain is felt and troubles her. She believes the pain is due to a pulled muscle. She denies having any associated symptoms and has not seen any other physicians.
Nice! Here is mine: Mrs. Jones is a female who presents with episodic, exertional pain in her left elbow. She believes she injured it a week and a half ago while lifting heavy boxes. Since then, her left elbow “acts up” 2-3 times a day, usually in response to daily exertional use. She reports the pain as 6/10 and localized to the elbow with no radiation. Pain is “a nuisance” that interferes with daily activities and interferes with falling back asleep if she awakens in the night. Patient has tried heating pads and ice packs without relief, although taking 1-2 normal dose Tylenol temporarily lessens the pain.
Mine from working in FM: 30yoWF 1-2 weeks atraumatic elbow pain worse with repetitive motion, wrapping around elbow joint. increased activity lately, worse with repetitive use, better w/ rest, ibu, partial response apap, 6-7/10 at worst, limiting. present all the time,
Yes, understanding cultural influences can help in treating the patients perception of the pain. It also facilitates healthy communication in the treatment plan.
+free scholarships not really , i ask alot of questions even repeating questions to cover all the details .because they don't like to talk so i keep asking till they tell everything
As a primary care physician I give this video a D-. Too many questions that does not effect management. You are asking questions just for the sake of asking questions. This is the type of garbage that we are trained in med school to practice, especially for our USMLE Step 2 CS exam, but shortly after that we shed this nonsense way of getting history. This is just a goofy and silly way to obtain history. "Regular or extra strength Tylenol" who gives a fuck. The health care provider in this video , who is an NP btw and not a physician, seems clueless about the problem when she asks so many pointless questions -- its like your stalling.
Neve will you see a color person as the pt, that is also a problem in the health care bussiness discrimination: Lawsuits with strong evidence dont discriminate hahahahahaaaa
