How to Write an Admission Note: Part 1 (The History) 

watching this before i begin my first medical scribe session, thank you so much. very concise and broken down

Thank you very much sir for making it so simple and interesting, easy to follow

thank you.. as an immigrant physician, this is helping me a lot. I appreciated.

Thank you so much for making these awesome videos! Can you do "Discharge summary" video please ??

Thanks for this video Dr. Keegan

Clarity, detail and accuracy.

Great stuff, thx doc!

Concise and Elegant. Wonderful intro to clinical diagnosis. It was obvious to me that this was not an all inclusive course, however very effective. I have a request as a U.S. Physician, is it possible to repeat this topic as applied to the following; First, considerations when reviewing the H & P taken by Nurse Practicioner, Physician Assistants and Training Medical Residents/Students. My point is to highlight the physicians responsiblities with the H & P when data is collected by someone else. Lastly, considerations when taking the H & P by telemedicine if differences exist. Regards

You are a superman sir.

I use to abbreviate diarrhea with D and vomiting with V, I know this might confuse other colleagues but are there generally accepted abbrev.? thanks

For HPI, always use correct grammar, spelling and only standard abbreviations; the medical record is a legal document, not a personal diary entry. The provider excludes any data not contributing to diagnosis or treatment. Identify, rank and list each problem as a separate header; one header per line, vertically spaced, most to least important from top to bottom. Below each header, create a single 6 sentence paragraph: 1) symptom list and time course, 2) list of relevant absent symptoms, 3) list ameliorating/aggravating factors, 4) list potential relevant etiological/risk factors, 5) list relevant diagnostic tests and results, 6) list relevant treatments received and treatment response(s). Example: "This 22 year old woman has once monthly, 2-8 hour duration, right or left frontal-temporal, throbbing head pain accompanied by nausea, light and sound sensitivity, beginning at 18 years of age. She denies vomiting, tearing, eyelid droop, or visual aura. Sleep relieves head pain. Brain MRI without contrast (January 15, 2019) was normal. Sumatriptan relieves headaches in 50% of cases; topiramate was ineffective for headache prevention."

please. TK

Amazing channel thank you so much sir.but why did you stop 💔I hope everything is fine

👍👍

He writes at an incredibly fast pace

1

Recreation use Cig/etoh/drugs Yessssssss!!!!!!! Social context is important! 👁can save you time, and identify with their real issue. Especially when dealing idiopathic illnesses and mental disorders.

Thanks a lot. But you forget family history.

Wasn't very accurate from the time you wrote accurate incorrectly

Pediatrics= genetic and pedigree.

CULTRAL/RELIGION...+++++