History And Physical Forms For Physicians: Fill & Download for Free

CONTENT WARNING!!!! The following is not suitable for younger Quorans or the easily offended. It its rated N, S, and several other lurid and shocking letters. It involves naughty bits.Travel back in time if you will, back to a time before Viagra, before Cialis or Levitra, indeed before any chemical treatment for erectile dysfunction existed. Men with ED were left with the option of surgery or injecting a drug like papaverine directly into their you-know-what. Yikes!The most Kafka-esque moment of my medical career occurred as a 4th year med student. I was rotating through the Urology service at the VA. Four weeks prior to my arrival on service the urology team had implanted in one lucky old veteran, the Cadillac, nay the Rolls Royce, the ultimate penile implant. The cutting edge, so to speak, of 1990’s surgical treatment for erectile dysfunction. He was returning with all scars healed, for his maiden flight.Oh, sure I know what you’re thinking. Big deal, it was probably a malleable semi-rigid prosthesis. But no! It was a two-chamber inflatable prosthesis with a valve in the scrotum that would allow inflation and deflation. Here is a picture of the miraculous device in the upright and locked position vs the ‘business casual’ state.Too cool for school, amirite?As the med student du jour I was to go into the tiny exam room and perform a targeted history and physical and report to the junior resident with pertinent findings. Mr X, as I will call him, was a skinny old guy who reeked of cigarette smoke. He was sitting on the exam table with a gap toothed grin on his stubbly face. I asked him why he was there in my “I’m very nearly a doctor” tone. He responded by flipping up his gown and showing me his healed scars. He was very proud if not overly large.There was a knock at the door and the senior and junior urology residents came in. Neither had any interest in waiting for my stellar presentation of the patient’s past medical history and current list of complaints. The patient knew them by name and I moved to a corner of the room while they gloved up and laid Mr. X back on the table.The senior resident grabbed Mr. X’s scrotum and proceeded to inflate him to his full glory, examine the result by bouncing it once or twice, and deflated him. He did it a couple of times. Mr. X beamed, clearly pleased with the result himself and utterly unashamed to show it off. Senior and Junior talked excitedly and Junior left the room and came back with the urology attending physician. Again, Mr. X’s wondrous prosthesis was deployed and deflated much to the delight of all concerned. Talk resumed amongst the urologists and again Junior ran out of the room. While he was out they once again gave Mr. X an erection and just as magically removed it. The wonders of modern medicine were at work.Ten minutes later the Department of Urology chairman himself comes in. Once again Mr. X is put through his paces to great acclaim. And again! And again! It was at that point, crushed in a corner in an 8x8 room that smelled of expensive cologne mixed with cheap aftershave and stale cigarettes with 4 other guys that I ruled out urology as specialty.I discharged Mr. X to follow-up in 2 months or earlier if needed. The urology scrum left down the hall in a scented cloud of self-congratulation. Now that I am in my mid 50s I can appreciate Mr. X’s grin. Hopefully somewhere Mrs. X is grinning too.

This isn't about me but it's still a shocker in my opinion. One of my first grownup jobs was as a receptionist at a training school for people interested in medical careers. As part of the enrollment process, all students were required to submit a full physical exam. The exam details had to be printed out by a physician on forms provided by the school. One semester, a young woman going through the process presented her exam to me to be entered into the school's data system. At the end of each set of forms, there was space for extra notes or details that the physician felt were necessary to be mentioned regarding a student's overall health. This student's physician felt that it was necessary to write that the “patient” had a very unhealthy STD history and advised in his notes that she would be better off if she was less promiscuous. It was my job to type those extra notations into the school's data system. I wasn't gonna type that s*** into any data system for any reason! Like, wtf Doc!? I told the young lady in confidence that the info her physician provided was unnecessary and inappropriate and that she should consider seeking healthcare services elsewhere. I assured her that I would not enter that unwarranted medical advice in the system. Next, I gave her the original forms and placed a copy, minus the muck, inside of her academic folder. She hugged me and walked away feeling ready to learn a new skill, her medical reputation in the system, untarnished. Very sweet girl.

Community acquired pneumonia (CAP) is probably the one you are interested in knowing about the diagnosis. The other types of pneumonia affect hospitalised patients.As with most diseases, the clinical suspicion must be there and this is brought firstly by assessment of history and followed by a thorough physical examination.A patient presenting with fever, cough, fever, chills, fatigue, dyspnea (difficult breathing)...this will all alert the physician to a suspicion that the patient could have pneumonia.On physical examination, the physician could find crackles or rales on chest auscultation, and signs of dyspnea.As for complementary exams, chest X ray is very important here, not exactly on estabilishing the diagnosis, but more for assessing how much of the lung(s) is envolved and if there are any associated complications.The doctor could also order blood cultures and sputum Gram stain, depending on probably pathogen of cause.This is over simplified, but a general outline.It should not be taken as medical advice of any kind.Source: http://www.aafp.org/afp/2006/0201/p442.html