The Medical H&P (History and Physical)

An overview of the structure, organization, and content of the traditional medical history and physical, including common variations and differences between the oral presentation and written note.
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[@jonathanlenz3722]

Just in time before my inpatient medicine rotation next month! Always good to get a different perspective. Thank you again for making these videos covering this and the physical exam. They are thorough and helpful.

[@Vade_mecum_]

This video has the potential to become legendary on an already legendary youtube channel. Thank you once again Dr. Strong. Such important concepts and when I was taught it in my medical school I found it so boring and dry. It wasn't until later when trying to create the first H&Ps that I realized that I needed a really good system for my health records, otherwise I do everything in a chaotic manner with a high probability of error. What I find most helpful about this video: 1. using real life example 2. examples of how not to do it (errors) - sometimes only after seeing how not to do it, I get to understand the basic principle. Even with things I think are obvious.

[@sidharthsuresh118]

Hello Dr. Strong! Could you please give an update on the release schedule for the strong exam videos. I particularly like the series and found it very informative. Would be very helpful for me. Thank you

[@StrongMed]

I don't have specific dates planned, but I anticipate the next 3 videos to be released in the Strong Exam series will be the demo of the core cardiovascular exam, an overview of the core abdominal exam, and the demo of the core abdominal exam. In that order, sometime in the next 4 weeks, give or take.

[@yasminyouyuo]

Thank you doctor, I was suffering with organizing my notes and thoughts regarding the history taking part

[@englanddanestacion5744]

I never clicked so fast for a video 😂

[@wol_ves]

Thank you so much for this! I do have a very specific question about one of your examples. For the IE patient in the HEENT section, you mentioned no roth spots. Is a fundoscopic exam an essential component of the exam for a patient admitted for IE? I'm a 4th year med student, and I haven't done or seen a fundoscopic exam outside of a tutorial we had 2nd year, and I haven't seen any of the doctors I worked with perform a fundoscopic exam for IE patients. Just wondering if that might be an institutional thing, so my question is if you would expect medical students or interns working with you to perform a fundoscopic exam for IE patients. I know this is a bit off-topic for the video but I did want to ask! Thank you again!

[@StrongMed]

That's a great question. The short answer is no, a retinal exam would not be included in most admission exams for patients with suspected endocarditis. However, that's more because of a near-universal discomfort of fundoscopy by non-ophthalmologists rather than because it's not actually indicated. In an ideal world, we all would have easy access to retinal cameras that require about 20-30 min of training (excluding the interpretation of images), but they are extremely expensive and not common.

[@wol_ves]

@@StrongMed That makes a lot of sense, thank you Dr. Strong! I remember we were practicing with ophthalmoscopes on our classmates, and even with dilated pupils it was really tricky to even find the fundus let alone get a good enough view to identify any findings. Hopefully we can have have a better and cheaper option in the future, but otherwise it might be worth just taking the time to practice more. Thank you again! I'm starting my IM Sub-I tomorrow, so I really appreciate the timing of this video as well. Really looking forward to the rest of this series!

[@heminhimdad]

Amazing video, could you please provide some quality examples so we can learn from

[@StrongMed]

Some new quality examples are coming in the next 1-2 weeks. In the meantime, here is a 10 year old video that compares an meh to average med student presentation to a great one: kzbin.info/www/bejne/q4WkdH2BbdSmgdE

[@heminhimdad]

@@StrongMed This is so amazing, I'm really thankful and greatful for your amazing works! Wish the medical lecturers around the world could learn a thing or two from your amazing teachings!