Thursday, August 5, 2010

Ward History and Physical

I do my first Ward H&P tomorrow. That means that I go see my M.D. that I've been assigned. Then, I go meet with an actual patient on the wards. I interview them and get their entire medical history. That means everything!!
What are they in the hospital for and that entire history
What other medical problems do they have and an entire history of each of these.
Their past surgical history, their family history, who they live with, what they do, do they drink? do they have sex with men/women/both? do they use any street drugs, then list everyone that I can think of.
Then a full musculoskeletal and neurological work up with vital signs (since that is all they have taught us how to do).

So basically this will be the most extensive work-up this patient has ever had. Then we get graded on a verbal and written presentation. So...pretty nervous about all of this. I have done all this before an a standardized patient (or mock patient) who knew I didn't know what I was doing. But this is the first time on an actual patient who will view me as a doctor (so they tell me). It's pretty scary thinking that I'll have someone's life in my hands one day. But this is the best way to learn. I plan on making the most of this experience. I just hope I remember to ask everything!

Wish me luck!

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