Harriet S.MeyerMD, Contributing EditorDavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media
This program's main feature is a collection of templates for more than 600 histories and physical examinations (H&Ps) of specific diseases and problems. It is a Web-browser-based application (specifically, Internet Explorer), allowing easy point-and-click navigation from screen to screen.
The user chooses a disease-specific or problem-specific H&P from a series of menus. This H&P will highlight specific components from the history and physical examination that are particularly pertinent when seeing a patient for that disease or problem. For example, in the chest pain-specific H&P, standard items in the review of systems such as headache and dysuria are in black, while the specific symptoms of cough and dysphagia are highlighted in red. Each H&P can be generated in three versions: "complete," "brief," and "signs and symptoms." The brief version pares down the number of general history and examination items that are not unique for that diagnosis or symptom. The signs and symptoms version eliminates almost all the H&P items that are not disease- or condition-specific; this version is most appropriate for a follow-up visit by a patient with the specified problem.
History and PhysicaleH&P 2001 MD: Custom History and Physical Exam for Physicians. JAMA. 2002;287(10):1330. doi:10.1001/jama.287.10.1330-JBK0313-5-1