History and Physical Examination

The History and Physical Examination (H&P) is generated shortly before or after a patient is admitted in the hospital. This report usually contains

- Chief complaint or presenting problem.

- History of present illness which outlines the events leading to the patient's hospitalization.

- Past medical history which lists medical and surgical problems from childhood to the present, medications, and allergies.

- Family History, which outlines the medical condition of parents and other family members.

- Social history, which describes the patient's occupation, lifestyle, and habits.

- Review of systems, which is the medical condition of the patient's major organs.

- Physical examination.