This document provides a complete snapshot of a patient’s health at the time of evaluation.
What is the History & Physical (H&P)?
This condition can cause shortness of breath during exercise, especially in teens.
What is asthma?
This prefix means “inside” or “within.”
What is intra-?
This suffix means “condition of blood.”
What is -emia?
This occurs when patient information is recorded incorrectly or incompletely.
What is a medical error?
This section explains why the patient is seeking care in their own words.
What is the Chief Complaint (CC)?
This condition may cause severe headache and nausea and is sometimes mistaken for a migraine.
What is a brain aneurysm?
This prefix means “outside” or “beyond.”
What is extra-?
This suffix means “process of recording.”
What is -graphy?
This term refers to accurately and clearly recording patient information.
What is documentation?
This part of the H&P outlines the background and purpose of collecting patient information.
What is the patient history?
This condition can cause weakness, confusion, or slurred speech and is a medical emergency.
What is a stroke?
This prefix means “new” or “recent.”
What is neo-?
This suffix means “visual examination using a scope.”
What is -scopy?
This concept ensures patient information follows them between providers.
What is continuity of care?
This portion of the H&P involves hands-on assessment by the provider.
What is the physical examination?
This condition results from infection and can cause low blood pressure, confusion, and organ failure.
What is sepsis?
This prefix means “around” or “surrounding.”
What is peri-?
This suffix means “surgical removal.”
What is -ectomy?
This occurs when a healthcare professional fails to meet the standard of care.
What is negligence?
This document is often required before diagnostic tests or treatment can begin.
What is the History & Physical (H&P)?
This condition may present with chest pain and shortness of breath and requires immediate care.
What is a heart attack (myocardial infarction)?
This prefix means “against” or “opposing.”
What is anti-?
This suffix means “abnormal softening.”
What is -malacia?
This is the primary reason the H&P exists.
What is patient safety?