The Chief Complaint

Vital Signs

History of the Present Illness

Review of Medications

Allergies

Past Medical History

Review of Symptoms of Organ Systems

Physical Exam

Differential Diagnosis

References

1. Preface. In: Goldberg C. eds. Practical Guide to History Taking, Physical Exam, and Functioning in the Hospital and Clinic. McGraw Hill; 2025. Accessed August 03, 2024. https://accessmedicine.mhmedical.com/content.aspx?bookid=3505&sectionid=288414412

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https://medicine.ucsf.edu/education/resed/articles/jama6_the_process.pdf